285, 305, 325 Sientra Moderate Plus. Which size would be best?

Question

Hello! I am 5 foot 2 and 120 pounds. I have a stout body type. Big and sturdy size 7 feet, 13 inch calves, big thighs, big hips, but small waist and chest and muscular arms and back. I am afraid 325 will make me look heavier in certain t shirts. But worried 285 will be too small. Any thoughts? I am currently a 32/A.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  The overall difference in the sizes listed is quite small and it would be best to “try on” the implants in your surgeons office so that you can get a better visualization of each size.  Hope this helps.

Michelle Zweifler, MD · Answer

Breast Implant sizing is based on several factors including your breast base width, skin quality and patient desires.  In general 300cc implants increases one's bra 2 cup sizes.  At consultation, your base width should be measured and often patients "try on" different sizers with a bra.

Daniel Barrett, MD · Answer

Dear 52120lbs,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ali Gurlek, MD · Answer

Thank you for your Question. 
there are multiple factors influencing the actual size increase a breast implant will provide other than volume, including:
Implant profile (projection) and base widthImplant shape (i.e., classic round, teardrop shaped, extra upper pole fullness)How much natural breast tissue you haveThe width and contour of your rib cage

Connie Hiers, MD, FACS · Answer

There is only 40 cc's difference between the smallest and largest implant which is a little more than a tablespoon. I would suggest trying on these sizes to see what you like, or choose the middle size.

Heather Vande Ven, DO · Answer

Hello! Thank you for your question, implant sizing is an important factor when undergoing breast augmentation. The size is determined on many things including the width of the chest, the elasticity of the tissue, patient desire etc. It would be best to see a surgeon in person so they can evaluate your measurements and talk with you about what you would like out of the procedure. Best of luck!

Kevin Tehrani, MD, FACS · Answer

Thank you for your question, unfortunately it is difficult to answer without at least pictures. In general however, the most common reason to have another surgery is to go bigger because of size regret. So you should plan on going with the biggest size in the series, this will likely not overwhelm your body. It is best of course to have a consultation and have 3-D imaging to visualize the different sizes.

Douglas Taranow, DO, FACOS · Answer

40cc difference in breast implants is not really dramatic.  You need to submit photos and possibly your breast measurements.  
Bring topless breast photos for your plastic surgeon to assess a proper size for you. 
Dr. T

Asaad H. Samra, MD, FACS · Answer

Good question. The answer lies somewhere in the mix if what your breast base width is, how much upper breast and overall breast fullness you want. The volumes you’ve listed are very close to one another and wouldn’t make a big difference. The dimensions, however, would be different and that would be helpful to further guide you. Best of luck.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and size is an individual decision based on measurements and putting implants in a bra till you see the volume on your chest that you like then your surgeon can pick the best shaped implant for you at that volume. So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results and size with various implants and become fully informed about the desired procedure

Dr Corbin

Dr Corbin

285, 305, 325 Sientra Moderate Plus. Which size would be best?

Answers (11)

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