Are 505cc Sientra 106 implants considered large for my frame?

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thank you for your questions. Some photos would be helpful for sure. You do have a wide base diameter and could likely support a large implant, but the question is, does that meet your goals? If you are an A cup now, and want to be a D, then that is roughly a 3 cup size change which is going to be likely an implant and in the range of 450-600, so 505 may not be crazy. However, before choosing a large implant like this which can cause significant stress on the soft tissue over time, I would take time to try on implant sizers, use digital 3D modeling (Crisalix), and other methods to make sure this is what you want to achieve your goals. It sounds like you have done all those things, so did all of those point you in the same direction as the 505 implant? If so, then do not worry about the "sound" of the size and accept that this is what it is going to take to achieve your goals. Make sure you are seeing a plastic surgeon who is board certified by the American Board of Plastic Surgery (presuming you are with Sientra implants).

Good luck!

Dallas R. Buchanan, MD, FACS
VIVIFY plastic surgery

Dear Dondefleur, thanks for sharing your concerns, I do not recommend that size of implants for your frame, I do rather recommend smaller implants to provide you with a full and marvelous shape, it will be good also to see some pictures, also sizes and positions are a thoughtful decision that must to be talk with your surgeon, you should go to an in person consultation in order to see different sizes and discuss your desired results. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.