How much noticeable volume between 350cc and 385cc? Sientra HP round.

This is a good question and deciding between 2 closely sized implants is often very difficult for patients.  In the end the differences can be very subtle and I urge patients to discuss their concerns with their physician, take their time and to ultimately go with their gut!

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

In general, you will not notice much of a difference between the 385cc and 350cc implants once they are placed. Sizers can help considerably when choosing a particular implant but they can be a bit misleading in things like heaviness and width. In general, pushing the width of the breast to 12.3 from 11.8 will still give you a natural result without too much lateral displacement or "side boob." However, the best way to achieve the best results is to make sure that preoperatively you are receiving an in person physical exam from a board-certified plastic surgeon.

The volume of these two implants is quite close, 35 mL. That is slightly more than 2 tablespoons of water. The differences between the two is small and making a decision can be difficult. By your height and weight, most likely both of these implants can be nicely placed by an experienced surgeon. I would not expect a lot of side fullness in most patients. Although the appearance between these two sizes is quite small, often the decision-making can be anxiety provoking. You should be able to have a good discussion with her surgeon regarding your concerns, either being too large or too small. My best advice is once you have made your decision, do not second-guess yourself as often this leads to more anxiety.

Dear newboobs2002,Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid them.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

Thank you for your question. It can often be difficult for patients to decide between such close sizes. There is not a significant difference in a 350cc or 385cc. Many patients who struggle with choosing a size often wish they had gone with the larger size. If your surgeon states the larger size will fit your measurements then my recommendation is to choose the 385cc. Follow up with your board certified surgeon to address your concern. Good luck!

In most cases, a 35 cc difference does not create a clinically significant difference.My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.  Show your plastic surgeon what your goals using as many visual aids as possible.   As you can imagine, terms such as "natural" or "side boob" can be interpreted differently by different people.  One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure?
  Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup” etc may mean different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.
 
I hope this helps. Best wishes for an outcome that you will be very pleased with.

Many patients cannot tell the difference between a 350 and a 385 implant once they are implanted in the body. The measurements are very similar. One will not look much different from the other, "armpit " implants are usually caused by the chest muscle pushing them too far to the side or a implant pocket that is too large to the side.  I ask patients this question. Are you worried about being too big or not big enough.?  The answer to this question make the choice for the implant. If you are worried about being too big choose 350. If you are worried about not being big enough then choose 385.

my patients are always told to pick the higher one.  The small difference is not going to make any impact on your outcome.  As for the style (aka width and height), your surgeon should be choosing it for you based on your anatomy to eliminate risks for symmastia and lessen risks for side boob if you truly do not want that.  Let your surgeon show you where the implants will sit on you and just how much side boob it will create.

Greetings,Ultimately, you must choose a size that you will be happy with.  The difference between the sizes you are looking at is 7 teaspoons.  That's 45.5 grams; I think that is 1.5 ounces of weight.My best recommendation is to bring your favorite shirt with an appropriate bra to your revisit with your plastic surgeon and try the implants on again.Best Regards,