Please help me decide on an implant size Sientra 385 or 410 mods ? Surgery in two weeks (Photo)

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below reference.

Get as much insight as you can from your plastic surgeon. Then, go with your whim! The differences between these implants are so small you probably would barely notice the difference. It is an interesting exercise to micromanage these decisions, but you would probably be exceedingly happy with either implant. In fact, you may just be one of the 90+ percent of  who say they should of gone just a little bigger.

A few rules of thumb about breast implant size: 1. The implant cannot be wider than the existing width of the breast, an needs to be a little bit narrower because the measured width is external (so a 13 cm width implant in a 13 cm wide breast may not be a good idea); 2. Most patients would choose to go a little bit larger if they had to do it all over again; 3. a 25 cc difference is less than 2 tablespoons, not very significant; 4. work with your plastic surgeon and rely on their experience and expertise to guide you. Your breasts appear to have a slightly oval base, which means the vertical diameter is less than the horizontal, which in turn means the wider implant could be problematic. Everything involves trade-offs.