Sientra: High Profile 440cc vs. Moderate Profile 435cc - what to choose?

Question

118 lbs, 5'4, 13.1 BWD right and 13.3 BWD on left. Left nipple hangs 24cm and right 23cm Lopsided from nursing, 34C on left side and 34B on right. Needing full anchor lift + implants. Will I need different sized implants? Will PS do sizers first? Wasn't mentioned in my consultation, PS thought the majority is extra skin on left Looking for full C-full D range. Not sure which profile to go with. Not sure which would be more flattering. Tried 440HP and 435MP and don't know which I like better.

Gary M. Horndeski, MD · Answer

At size 34 each 100 cc’s of implant corresponds to 1 cup size change.  To go from a C to a D would require 100 cc implants and to go from a B to a D would require 200 cc implants.  400 cc implants would be much too big, would not fit retro-pectoral, will extrude inferiorly and laterally requiring revision.  However, you say you need a full anchor lift.  The full anchor lift was developed in 1956 and often results in nipple numbness, the inability to breast feed and ugly vertical scars.  Because of the complications of this procedure, new techniques have been developed.  Unfortunately, you have not provided any photographs, however, it may be possible that you would benefit from breast augmentation using circumareola lift procedure.  Using this technique (not Benelli) it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant.  Many women think large implants will create increased projection but increased projection can be achieved by simultaneous lift.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

Whether you choose moderate or high profile implants will make very little difference and you should use whatever your surgeon recommends.  The asymmetry is something gat will be addressed by the lift.  The decision to use different size implants to correct asymmetry may be necessary but that determination is often made at the time of surgery.

Christopher J. Davidson, MD, FACS · Answer

Thanks for your question - hard question to answer - best answered by trying implants on in your bra - best to make this decision in person - best of luck!

Steven Wallach, MD · Answer

The selection of different profile breast implants will really depend upon your goals and your anatomy. This would need to be determined in person during examination.

R. Michael Johnson, MD · Answer

if I understand your measurements your base diameter measurements are pretty close so I would not think two different implants would be necessary. And a difference of 5 cc in volume would be unlikely to make a difference. The nipple position and any minor skin or volume differences could be improved with the anchor lift. Good luck

Sientra: High Profile 440cc vs. Moderate Profile 435cc - what to choose?

Answers (10)

Answer: Different profile breast implants

Answer: Different profile breast implants

Answer: Breast augmentation

Answer: Breast augmentation

Recommended reading

Everything you need to know about Sientra Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Sientra: High Profile 440cc vs. Moderate Profile 435cc - what to choose?

Answers (10)

Answer: Different profile breast implants

Answer: Different profile breast implants

Answer: Breast augmentation

Answer: Breast augmentation

Browse related questions

Recommended reading

Everything you need to know about Sientra Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.