Sientra Smooth Round Low, Low Plus, vs Moderate and Moderate Plus Implants for Petite Women? (Photo)

Thank you for your photos and measurements. Breast augmentations look most natural when the implant dimensions fit within the breast dimensions/boundarys. Also consider that at 5’ 1 “ 97 lbs, you are petite, so smaller implants will look larger on you proportionally. You have a well shaped breast and don’t need unnecessary addition width, (ie, the low profile implant). I note your left breast is slightly smaller than your right side. Approximately 230cc will make you 1 cup larger, so a bit of additional volume will help you trend more toward a C cup. I believe that a 230 - 255 cc smooth, round moderate plus profile implant should give you an excellent, balanced result. You may consider an asymmetric size augmentation, slightly larger on the left, to help improve your symmetry, if this bothers you. I choose not to use tear drop shaped implants as they must be textured to prevent implant rotation and, though rare, textured implants are associated with Anaplastic Large Cell Lymphoma much more than smooth implants. I hope this is helpful. Best wishes.

Dear Glorious747950,
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