Will 440cc Sientra HP implants bring me to a full C/small D?

Question

While trying on sizers I fell in love with the 440cc. I originally told my PS I wanted to be a full D, small DD. He told me that 440cc will bring me to a C/small D. They felt and looked huge on me. Is my doctors post op guess conservative? Or is this an accurate assumption? My only other option is 500cc UHP Sientra.I did not like the look of the 400cc UHP I tried on. It projected to far. I do not want the fake round look. I want large, more natural looking breasts. 24 yo 5'2" 115lb 32B BWD:14

Tom J. Pousti, MD · Answer

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.***Given your concerns/questions, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.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 know words such as “natural” or "full C or small D cup” or "fake look" 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 breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

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

Nana N. Mizuguchi, MD, FACS · Answer

Selection of the proper breast implant and size is crucial in maximizing your results.  Having said that, size is extremely important!  On average, it takes about 200cc to increase one cup size.  440cc should bring you to a D-cup.Best Wishes,Nana Mizuguchi, MD

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

It depends on your chest wall
measurements and existing breast tissue as implant size does not accurately
correlate to a bra size.  It also depends on the brand and style of bra
you wear as size varies from manufacturer to manufacturer.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. SchwartzBoard
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Curtis Wong, MD · Answer

if at all possible as they are reserved for those who just want big and fake with small frames, plus their impact on your tissue is detrimental with time.As for what cup size you will be, I never tell my patients what cup they will be and instead tell them that I am trying to create the look they had with certain sizers.  And I always add 10% to the sizers my patients choose to provide that outcome as if you do not, you will be a little smaller than what you saw in the mirror.

Will 440cc Sientra HP implants bring me to a full C/small D?

Answers (7)

Answer: Breast Implants / Breast Augmentation/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery

Answer: Breast Implants / Breast Augmentation/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery

Answer: Avoid the UHP

Answer: Avoid the UHP

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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.

Will 440cc Sientra HP implants bring me to a full C/small D?

Answers (7)

Answer: Breast Implants / Breast Augmentation/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery

Answer: Breast Implants / Breast Augmentation/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery

Answer: Avoid the UHP

Answer: Avoid the UHP

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.