Will 700cc Sientra fill me out and add cleavage?

Most patients in my practice, chose implants that are around 250-500 cc's.  So an implant of around 700 cc is pretty sizable but final "cup" size really depends on how much breast tissue you have before surgery.  If a patient is tall and full figured then an implant of this size can work well.  Cleavage is a different issue.  Cleavage is really created with a bra pushing the implants or breasts together.  Some girls can have sizable implants but never have cleavage.

The largest breast implant you can use will be determined by your breast base size. Your implant should have smaller base than your breast. Moderate profile implants have larger base, compared to high profile implants. if you want to opt for largest possible size for your breast base -then you will have to go gor higer profile. High profile implants also work better in ptotic breasts.Generally, I do not believe you need such big implants to go from C to D

Thank you for the question. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical.

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.
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. For example, I have found that the use of words such as “natural” or "D or DD cup” or "add cleavage" etc means 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, the use of computer imaging has been very helpful during the communication process, in our practice.
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, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to larger breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.