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!

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Your photos are not showing your breasts. With the size selected, you should gain 2 bra cups in size. Go back to your surgeon and ask to try on that size.

Implant selection is best done in person with your board certified plastic surgeon. She/He has had the benefit of examining and measuring your breasts as well as speaking to you about your goals for surgery. Many surgeons have sample implants you can "try on" to get an idea of how you may look after surgery. This may help you decide if the implant you are considering provides the look you want.

Successful high-quality breast augmentation is based on three different variables,
Those variables are the patient’s candidacy for the procedure, the choice of implants and correctly, placing the implant in the correct anatomical location.
Without seeing breast pictures, we can’t begin to make an assessment regarding your candidacy.
Not all patients seeking breast, augmentation surgery or ideal candidate for the procedure.
Each plastic surgeon will have their own recommendation in regards to implant selection.
Implant selection is very important, and should be carefully done reviewing lots and lots of before, and after pictures, making it very clear what you’re hoping to achieve. Providers should have no difficulties showing you before and after pictures of previous patients with similar body characteristics to your own.
Pictures are generally the most accurate in determining implant size.
My personal preferred method is to use temporary sizers during surgery, having a large selection of implants available to choose from during the operation.
I typically use scissors to determine what size implant will give results consistent with images the patient has chosen for their desired outcome.
Different providers have different ways of determining implant selection. I suggest working with your provider.
In the hands of the right surgeon, implant selection, it should be straightforward, leaving few surprises.
Without having a proper consultation, it’s inappropriate to guide you regarding implant, size, type or shape.
The following are some general guidelines for finding the right providers.
To find the best provider, I suggest patient schedule multiple in person consultations with experienced plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have similar body or facial characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. An experienced provider should in fact have hundreds or preferably thousands of before and after pictures to choose from for commonly performed procedures.
Being shown a handful of preselected images, representing the best results of a provider’s career is insufficient to get a clear understanding of what average results will look like in the hands of each provider.
There is no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider for your needs.
Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures. It’s not a bad idea to bring pictures of your own body/face to use as reference when reviewing before and after pictures.
The biggest mistake patients make is scheduling only one consultation without properly vetting or comparing providers before scheduling surgery.
Best,
Mats Hagstrom, MD