What size do you think would be a better fit for my body, the 355 or 385cc Sientra Moderate Plus Profile? (Photo)

Question

I'm 5'6" and weigh 132lbs. My breast diameter is 11cm and currently a 34a. I'm looking to a full c. I like running and being active. I don't want to look top heavy but love to get some cleavage.

Donald Groves, MD · Answer

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

Ira H. Rex lll, MD · Answer

The two implants you have chosen are very close in volume and dimension. In reality, it probably doesn't matter which one you go with. You probably shouldn't concentrate so much on cup size, but on the look you are aiming for. I find the best way to do this is using sizers in a sports bra.

Adam J. Oppenheimer, MD, FACS · Answer

If you're on the fence, just go with the slightly bigger size. That said, I'm conservative and you have a small and tight breast skin envelope. I might have offered you a smaller size based on your dimensions, but like i said, i don't like to push things too much. I don't like stretch marks that I caused by using implants that the patient suggested, so I tend to use smaller implants in general than most doctors.

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. I think either choice would be a good option for you as there is only a 30cc difference. It is important to clearly convey your desired goals to your plastic surgeon so that he/she can make the appropriate judgement in the operating room. Please see a board certified plastic surgeon who specializes in breast augmentation procedures. Ask to see a lot of before and after photos of their work on women similar to you. Hope this helps and good luck.

Richard Baxter, MD · Answer

Your goal pictures show very full breasts so the simple answer is go with the larger size. On the other hand, for someone who is a runner and doesn't want to look top heavy, the smaller size makes more sense. It will best be decided by trying implants in a bra, ignoring cup size and just seeing what looks right.

What size do you think would be a better fit for my body, the 355 or 385cc Sientra Moderate Plus Profile? (Photo)

Answers (9)

Answer: Sientra Breast Implants - Which size is best?

Answer: Sientra Breast Implants - Which size is best?

Answer: Trade-offs in choosing implant size

Answer: Trade-offs in choosing implant size

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What size do you think would be a better fit for my body, the 355 or 385cc Sientra Moderate Plus Profile? (Photo)

Answers (9)

Answer: Sientra Breast Implants - Which size is best?

Answer: Sientra Breast Implants - Which size is best?

Answer: Trade-offs in choosing implant size

Answer: Trade-offs in choosing implant size

Browse related questions

Recommended reading

Everything you need to know about Sientra Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.