Is Sientra 355 cc moderate profile a good size for my frame? Looking for a second opinion before moving forward (photos)

Dear MGX460,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello,

Thank you for the question and the photos.

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 of your chest wall. I also utilize Vectra 3D planning to further help with implant selection.

Based on your photos, 355 MP Sientra size implant will likely give you a fuller natural-looking cleavage that you desire.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

I would highly recommend that you goto ricetest.com and perform the rice test with all your favorite outfits to help figure out what look you are going for. Once you have narrowed down what volume will help you achieve your goals your surgeon can pick an implant with that volume based on your breast/chest measurement. All women have different chest walls and different breasts that can be wider or more narrow and sit in different places on the chest wall. Picking an implant is an individual thing.
Even if two women want the same volume, lets say 350cc, they could be the same height but have totally different chest walls and breasts that the implants will go under. One woman may need a 350cc ultra high profile implant because she is very slim with smaller width and tighter breast tissue, while another could have a wider chest with wider breasts that are less tight from weight loss or breast feeding.
Overall, don't worry about what other women have had done and find what volume meets your goals and have your surgeon find you an implant that will fit your body while meeting your goals.
Hope this helps!