I am currently considering getting 350 mod+ silicone breast implants or 425 high profile. I am a super deflated 34B (from breast feeding-used to be a 34 full C small D prior to having 3 kids) and don’t need a lift, however, I do have plenty of breast tissue. Would you NOT recommend getting the high profile? Is it a more risky implant to get at that amount of CC’s? Both implants are the exact same size in width and both would fit me well. My surgery is very soon and I haven’t been able to make my mind up. I am 5’4″ 120 pounds. Thanks!
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The Plastic Surgery Channel Surgeon Answers: (3)
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Answer from PSC Doctor:
Brett J. Snyder, MD
bsnyder responded:
You have raised a common concern about which implant profile to choose. Many surgeons and patient’s assume that if the high profile implant has the same base width as the moderate plus, then it will allow better filling of your soft tissue envelope and/or satisfy your preference for a larger breast. This is not always the case and in fact, the larger high profile implant may ultimately create some problems for you. Unfortunately, it is difficult to make a recommendation in your case without further information about your base width and soft tissue measurements. If your surgeon is utilizing a planning system based on your chest and soft tissue measurements, then he or she should be able to counsel you about the relative benefits and drawbacks of each choice.
Brett Snyder, MD
Answer from PSC Doctor:
John Griffin, MD
jgriffin responded:
I agree with Dr. Snyder. High profile implants can look great on some people; but on others they can result in immediate, post-op contour issues that patients may not have been prepared for in advance. And other issues related to the profile of the implant, that can arise over time. Your surgeon, who looked at you closely, is the best person with whom to discuss this.
Computer simulations may help here. And looking at pictures of other patients, comparing a set of patients who have had high profile to some that have had moderate profile implants.
Answer from PSC Doctor:
William P. Adams, Jr., MD
CMO responded:
High profile implants were originally made for breast reconstruction. In general they are higher volume and projection than is typically ideal for a breast augmentation patient. What patients should remember is once an oversized, too large a volume ( a for given breast), and/ or over-projecting implant is placed in the breast several negative things occur including soft-tissue stretch, thinning and atrophy of the breast tissue and chest wall. Sometimes patients think or are told that the high profile implants gives extra projection – while this is true initially the long-term projection is often less due to the increased atrophy and thinning that occurs compared to an implant that “fits” the breast properly based on tissue – based planning principles.