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hi everyone! here we are in o.r. 1, this isthe number one operating room here at the plastic surgery clinic, and what a lot ofpeople have asked me to talk about is implant projection. so, people want to know, whatis the difference between low projection, medium projection, moderate plus projection,and high projection? what does that mean? lots of people think that projection meanshow high the implant stands. it doesn't. projection means how far out the implant projects orsticks forward in the frontways direction. let me show you 2 different implants. so theseimplants, these 2 implants are both 400cc implants. but this implant is a high projectingimplant, and this implant is a moderate projecting implant. so you see this implant sticks outmore in the front to back direction than this

implant does. but they're both 400cc's. now,if they're both 400cc's the higher projecting implant is also narrower. so if you look atthese 2 implants you see how this one is narrower than that one. so how do we decide which implantto use? well, remember, here at the plastic surgery clinic, our number one motto is makingpeople look natural. so the number of cc's is not as important as the look. so our goalis to do 2 things: we want to create a breast which is natural looking, and has a beautifulshape, and that means we need to pick the projection to match the patient. so what wedo is we measure the width of the breast, we have special calipers which is a specialmeasuring device which measures the width of the breast, we figure out how wide theimplant can be, and match the width of the

implant to the width of the patient's breast.then we figure out how much projection they need to get the volume they want. and so we'llpick either a moderate projecting implant, or a moderate plus projecting implant, ora high projecting implant. now, high projecting implants are generally for people who havevery narrow chests but want a fairly significant size, and they are really great at gettingyou a large size if you're small. the trouble is, they're not quite as natural as the moderateprojecting implant. the problem with the moderate implant, though, is that it's wide but notvery projecting. and so most implant companies now have something in between called the moderateplus projecting implant and that's the implant that we use the most often. halfway betweenmoderate, halfway between high, but still

gives a natural look. but remember, all ofthose decisions are customized to your needs and desires and what you want, and so in somepatients we use moderate, in some patients we use moderate plus, and in some people weuse high, but always the decision is to make it look natural, because that's what we want.thanks for watching.