I see the Seintra round hp textured only go up to 565cc. Can a bigger size Sientra Implants be ordered? (photo)

I love using Sientra implants. However, Sientra is a distributor of Silimed implants. The Silimed catalog is broader than the Sientra catalog. Style 20622 maximum has a 625 cc XH (extra height) with a width of 13.1 cm and a projection of 6.9 cm. I cannot get them in the US. The implant certainly exists, if that is what you want. Hopefully, the FDA will loosen the leash on these exceptional products.

Thank you for your
question.Yes, the textured Sientra high projection implant only goes up to 565 cc.  If you want 600 cc, the the Sientra Smooth Round is an option with 595 cc and a 13.9 cm base diameter.

To be sure, see
two or more board-certified plastic surgeons in your area for a full and
complete evaluation to make sure you are a good candidate and that it is safe
for you to have surgery.

I hope this helps.

The maximum size of Sientra implantsUnfortunately in the US   this is the limit of what is available.There are no custom implants at this time.

Hi Shelly,Sorry you are looking at a revision.Many, many styles and options and sizes are available from Sientra.  You have the added benefit of living in Australia, so you would have more options available if you stayed home for your revision.  If you come to the Go to the Sientra website, and look at all the shape, and size options that are available in the US.  Ultimately your surgeon will have some input on what the best implant is for your redo.  All the best, "Dr. Joe"

Good question, but difficult to answer.  No, we cannot custom order a cohesive gel implant from Sientra.  The sizes and shapes available are what have been approved by the FDA and are available for plastic surgeons.  The more important question is why do you want a revision in the first place? Is there an issue with your previous procedure? Are you just looking to increase projection or are there other issues.  It seems you are on the right track, but you definitely need to have a consultation with a plastic surgeon to help define your goals and see if they are achievable with more surgery.

Thanks for your question and detailed information. Since you already have implants, I would want to know a few other items--are they submuscular and smooth? What are your goals other than increase in size and more projection? A full, high, rounder, "fake" look? More firmness? Closer cleavage? More "side boob?"Let's assume you have smooth round submuscular implants, and that you don't presently have capsular contracture, but simply want to increase size and projection. Once your present implants are removed, the already-healed capsule will not have a high likelihood of adhering to the textured surface of your new implants without first having a capsulectomy, which would be more difficult, bloody, and otherwise unnecessary.Capsulotomy will be necessary to enlarge your pockets to allow for larger implants, but complete capsulectomy to give a fresh tissue surface for textured implant adherence makes little sense to me. Especially if you do not already have capsular contracture issues. Why not simply opt for Sientra's smooth, round implants in enlarged pockets, and use the high profile (smooth round) 655cc or 695cc implants? These have base diameters of 15.1 and 15.4cm, which makes them a bit wide for your breast base even in high profile implants. Unless your breast base dimensions are measured conservatively, which I find often to be the case, you may only be able to go up by 100-150cc per side without creating new issues such as symmastia, double bubble, bottoming out, or more visible implant rippling.In other words, without consultation and more information, give your surgeon the flexibility to make recommendations based on not only the two goals of increased size and projection, but on the remainder of your anatomic considerations, present results, and careful implant selection. Smooth round implants are teardrop-shaped when standing, and are indistinguishable from textured teardrop-shaped implants in actual standing patients by mammogram. But textured teardrop shaped implants remain that shape when reclining, which is decidedly less "anatomic" and natural than smooth round implants, which flatten and round out wile sliding slightly to the side of the chest, just like natural "real" breasts. You indicated you were considering round textured implants, which would not move (because of the adherent texture), or would slide around in the already-healed capsule, negating the potential advantages of textured implants. Plus, the high-strength cohesive gel that Sientra uses means those implants would be more firm than your present implants, and less likely to assume a natural teardrop shape when standing.Consider smooth round implants in the submuscular plane, and choose the implant size and profile carefully with your chosen plastic surgeon, who should do enough breast augmentation to discuss all of the pros and cons of the various alternatives so you can make a joint decision that will best fulfill your goals. Best wishes! Dr. Tholen

Yes, 565cc is the largest high profile round textured Sientra implant, however the projection is greater than a 600cc style 20 high profile silicone Natrelle implant.

Unfortunately, you are correct, in the U.S. the 565cc is the largest Seintra makes in that style implant. Other manufacturers do make somewhat larger implants up to approximately 800cc.  Another option would be t further augment the breast with free fat grafting along with the larger implant.  Best wishes.  Dr Lepore.