5'5", 100lbs, A cup to C cup & asymmetry, is it advisable to pick 2 different projections with same ccs? (Photos)

Differences in breast size and projection are very common. It appears that this is an issue not only with your breast but your chest wall. Choosing implants with different projections is a relatively common way to ensure that your breasts will match well when all of the swelling goes down and the implants settle in. The nice thing about Sientra implants is that they only sell to board certified plastic surgeons, so you know that you are in good hands.

Hello,
Thank you for the question.
Based on your photos, you appear to be a great candidate for breast augmentation to give you a fuller cleavage that you desire.
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions.
The difference in projection between 2 implants is minimal but may help improve mild asymmetry that you have.
I would encourage you to seek a consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Thank you for your question and photos. Your surgeon could be right with their implant selections. However, it is very difficult to access the outcome with only a few parameters. My personal prefernces are to first use sizers in a bra for you to see what kind of volume you are seeking. The next step is to use a three dimensional photographic simulation system (Vectra) to demonstrate what that means. My concern in your case is that the more depressed breast also looks smaller, so addressing the projection alone could result in some residual asymmetry. Best of luck.

My ability to assess you via the photos (which are good) is still limited by two dimensionality and being still photos, so perhaps I would come to a different conclusion after an in person examination. Having said that, I think that your surgeon's implant selection is off. Although those two implants ( 300 mp, 300 hp) are different by one cm in projection, making up for the lack of projection of your left breast, the 300 hp is also 6 mm narrower, and unfortunately your left breast is also narrower. So, I don't think the result will look as good as anticipated; the wider breast looking even wider and now substantially bigger than the narrower, now bulbous breast. I think that the appropriate set of implants, whichever combo is decided, are likely going to be of different volume, which would make sense because it appears like your breasts have apparently different volume. I do like the concept of using linear measurements (width and projection) as the way to tailor each implant to each breast. I like to start with the limiting side and determine what is the widest, most projecting implant I'd use. Then know the stats on that implant, choose an appropriate implant for the larger breast. Good luck!

Dear KatieSue22,
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

Hello and thank you for your questions, and I hope you get the answers you are looking for. Remember, it is best to see a Board Certified Plastic Surgeon who can in person examine you, take key measurements and go over with you your specific aesthetic goals. Bringing several photos of your "ideal" look to your consultation can be helpful as well. During the consultation should be a review and discussion about the size you desire and do not desire, incision location, implant placement, implant size and shape, type of the implants as well as the recovery period and what to expect. There are several key differences and some similarities in the types and shapes of breast implants. It is best to see and feel in person the different sizes, shapes and textures of the various implants during a consultation with a Board Certified Plastic Surgeon. Best of luck.

Dr. Benjamin J. Cousins M.D. Board Certified Plastic Surgeon Miami/Miami Beach FL
Board Certified Plastic Surgeon Miami/Miami Beach/Broward

Greetings,
Implant selection in patients with uneven breast sizes and projections can be challenging. The simplest approach would be to have your surgeon place you in a trial bra and place implants of different sizes and shapes on each side until you attain visually a more symmetrical appearance. This takes a little more time in the consultation, but a well chosen pair of implants will result in a happier patient. The augmentations should look better to you after your surgery, but not perfectly even.
Best Regards,