31yo, 5’3”, 110lbs, Breastfed 1 Child - 355cc/385cc Sientra Textured Round Submuscular "Gummy Bear" implants - Dallas, TX

So like most women on here, I'm in need of some help…some major help in the chest area after having my daughter in 2015! I breastfed her for a little over 6 months and quickly noticed a decrease in my breast tissue which left me with a very deflated chest ? I am 31yo, 5’3”, 110lbs, and workout 5x per week. I had my first consult on March 20th and decided on Sientra Textured Round under the muscle 350-400cc (not sure yet). My PS decides projection on the day of surgery but I’m leaning towards moderate plus or high profile if I get to choose.
I KNOW everyone talks about boob greed and it’s so hard to be debating between 50cc’s but honestly in my 3D renderings the 400cc look way too big to me (especially from the side) and the 350cc looks about right. BUT I’ve read that when you go under the muscle you should go up at least 25cc which would mean I should choose the 375. My goals for a BA are: Increase in size which is proportional to my frame, Natural feeling, No large gap in between my breasts, minimal but some side boob, and I do NOT want to look top heavy or out of proportion. Lots of criteria, I know :( so its been really stressful for me going back and forth on this.
My pre-op appointment is on April 17th with my surgery scheduled for May 5th! I am very nervous as I do not want to pick the wrong size. I would love to hear from anyone getting Sientra Textured Round implants with stats close to mine. And I would like to thank all the ladies on RealSelf, you have no idea how helpful you’ve been! I’ll definitely update after my pre-op appt!

I had my pre-op appointment yesterday! Everything has been finalized! I got to try on sizers again and meet with staff nurses to once again discuss surgery procedures. I tried on the 300cc and 350cc sizers and actually liked the 300s the best which is different than my first appointment where I really favored the 350s. I could tell my husband was "secretly" wanting me to choose the 350s so I asked the nurse her opinion. She looked at my wish pics and the two different sizers in my bra. She quickly said I needed to go with 350s for the look I was wanting to achieve. My husband was definitely happy to hear that and I figured why not?! It's only 50cc (2 tablespoons) more and everyone talks about boob greed, etc... plus they looked just as good as the 300s and I could only tell a slight difference between the two.

The nurse then went over everything regarding medication, before/after surgery, limitations, etc. I was given a LONG list of the medications that I need to take to the pharmacy but she also told me which ones were essential and which ones were not typically covered on insurance. I really appreciated her advising me of this because she stated that some medications on the list could run upwards of $300+ and not be covered. I will take this into consideration when getting them filled and decide based off her recommendations which ones I definitely need.

My PS then came in and I advised him that I wanted to discuss a few things first being the brands Mentor vs Sientra. I’ve seen a lot of women with the Mentor Smooth on RealSelf with results that I liked and I wanted to determine which implant is best for me since he uses both brands of implants. He stated that Mentor is a very good company and he uses their implants mainly in women wanting “unusual sizes” because they have a very high range of sizes in their catalog. However he prefers Sientra because they have a better highly cohesive gel, a better warranty, and the best company in his opinion. This was something I had already researched and found that it is more the PS and his techniques rather than the brand so I was fine with choosing Sientra.

Then I told him I wanted to discuss textured vs smooth. He had originally recommended the Sientra textured to me during my consult however, a lot of the videos that I've seen of the smooth implants show they are so movable and natural “feeling” whereas the textured are firmer and do not have as much movement. My PS thoroughly explained to me the benefits of the textured being their much lower rate for capsular contracture and the fact that having breastfed my daughter it would help with the sag my breasts currently have by acting as ‘velcro’ and how them in place. He said this was his recommendation but that he would use smooth if that’s what I wanted. I really appreciated him being open to my thoughts and feelings and not just wanting to do what he wants to do. It's definitely a trade-off but I decided to go with the safety factor over feel and choose textured. Plus I have seen videos that the textured still move and are "soft" just not as much as the smooth implants so I was comfortable with this decision.

The next topic I wanted to address with my PS was the profile. He was very open and asked for my thoughts on this and what I was wanting to see on myself. I told him all of my wish pics are moderate (plus) profiles and I asked if I could have this because I would rather have wider implants with less projection than too much projection as I have seen in many HP implants. He looked at my wish pics and said that I could probably do that unless during surgery he found that the moderate implants would be too wide creating a "uniboob" than he'd have to go with high profile. I said this was fine however I think that I would rather have a lower amount of CCs and the Mod+ profile than to have to have HP just to get 350cc. I will make sure that I am clear about this on the day of surgery because the difference in 300-350 is not that much but the width and profile of the implants vary between those sizes. I still do not know what my BWD but in comparing my wish pics to my 3D image, my PS stated “Wow you should be pretty much dead on!” So that made me happy to hear because I really liked my 3D image result for the 350s.

Lastly, I met with the patient coordinator to discuss final payment and confirm my surgery day. So at this point I am getting 355cc Sientra Round Textured Moderate Plus Submuscular Highly Cohesive “Gummy Bear” implants (WTH – 12.1cm, PROJ – 4.4cm). My surgery is scheduled for May 5th and I'm actually so much more calm since having the chance to double check sizers and confirm everything! I’m really excited and I will update after the procedure.

Well I had my surgery yesterday on May 5th and I'm feeling really good! I went in thinking I was getting 355cc moderate plus but I haven't confirmed yet that's actually what I came out with since I know my Dr said one was slightly bigger than the other and I just left it up to his best judgment on what looked best based on my wish pics. So far I am very happy with the results and can't wait to see the final results! I am still very sore but feeling better and staying on top of my meds.