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Replacing 300/315cc for 485cc Sientra Silicone Gels After 15 Years | 5'0" - 110lb - San Mateo, CA

UPDATED FROM sweetbeast
4 months post

4 Month Post Op Pix

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sweetbeast
WORTH IT$11,000

sweetbeast's provider

James L. Pertsch, MD

James L. Pertsch, MD

Board Certified Plastic Surgeon

sweetbeast

sweetbeast rating for Dr. Pertsch:

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Replies (4)

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September 29, 2015
You look awesome, sweetie, and very happy, too, it seems! Starting my journey, and PS recommended Sientras 457cc Mod Plus. It was really great finding your review.
March 26, 2016
You look great! Csn you provide me with info on Sientras? How do they compare to Natrelle and Mentor? Id like sizing options to make right decision third time size-wise as I want greatest volume, cleavage and projection and found Natrekke Styke 45 (uhp)!at 800cc to have most projection at 6.7 cm and width of 14.2. Please advise. Thanks! Just wanted to see if Sientra offers more projection than 6.7 with my BWD to consider.
March 26, 2016
Sorry for typos, on phone. I meant Natrelle style **
August 19, 2016
You look great!! I just had a revision done and we have similar stats and I also went with the 485CC Sientra Mod+. I am at 5 weeks and they are still too high and round for my liking. I wanted my old shape with my prior implants, just bigger (not extreme upper pole fullness). Did yours ever drop? It's hard to tell with some of your pics. Thanks:)
November 22, 2023
What size did you have previously & what style? Do you know if you got hsc or hsc+ - this my fear too I have old style Natrelle & im happy with them I don’t want them to be too full even at practically same cc
January 21, 2020
Would love an update!!!
UPDATED FROM sweetbeast
4 months post

Suuuuper Late Update | 2 Month Post Op Pix

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sweetbeast
Hey RealSelfers,

Sorry to have left my review hanging without updates for so long!! But here are some pix I took about 10 weeks after my BA replacement. You can see that the swelling had already pretty much disappeared by then and my implants dropped more as well. This revealed some asymmetries, but this is a total nonissue to me. As far as I'm concerned, my goals too fill in the stretched skin and to great lateral and medial fullness were completed, and I'm still very happy. They have also softened even more and the ripples on the sides have softened to be much less evident to the touch. Although there remains some very slight rippling underneath, where my skin is suuuuper thin - overall the rippling is a world better than it was with my old salines.

From time to time, I see other BA's and kind of wish I would have gone with a higher profile; but most of the time I think what I've got is just perfect for me. Even though Dr. Pertsch and I deliberately exceeded my base width, the Sientra 485cc Mod Plus' seems to have been the right dimensions to help me meet my goals (from 11.9 to 13.6cm in diameter/ from 4.1 to 4.8cm projection). My new bra size is a 32DD and I have gone up in my shirt size from an X-small to a small. For sports bras from Lulu I went up from a size 4 to a 6. And in dresses, I increased from a size 0 to 2. Although the fullness can look a bit matronly in certain outfits, I can rock a hotttt look in others. Also - I'm sooooo happy that it seems like all sensation has returned.

Hope this helps some of you!! All the best and happy healing to you all. XOXOXO

Replies (3)

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September 1, 2015
damn typos!! I meant "create" lateral and medial fullness
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September 1, 2015
congratulations!!!! you've completely healed and at ease with the new you! happy for you!!
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November 16, 2016
You look AWESOME!! I am getting my 305s swapped out to 475/450next month!! I'm super excited. Can you post clothes pics? Are you able to wear all your same clothes? I love wearing tight shirts and don't want to have to get anything new but just want to look better in them :)
UPDATED FROM sweetbeast
1 month post

6 weeks Post Op

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sweetbeast
Hi REALSELFERS!! It's been awhile... I'm now at 6 weeks post op and both breasts have softened up quite a bit. I'm starting to see and the benefits of the switch to silicone gel. The initial ripples are smoothing out, making for a really nice handful of boobie!! The scars have also softened quite a bit and their hardly noticeable at all. Upper poles are fuller than I wanted and hope they settle a bit more with time. So I'm still going bra-less everyday, so as not to hinder more dropping. I love the size, and am anxious to see what they'll look like when I get back in the gym and down to my ideal body fat percentage.
Hope you're all well and have a great Memorial Day weekend! :-)

Replies (4)

May 21, 2015
looking awesome, and love the view from below, so natural!!
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May 22, 2015
thank you! In the past weeks, I'd kept going back n forth on wishing I'd gone bigger and more fake looking. But I'm starting to appreciate the natural look I asked for more and more.
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May 21, 2015
So cool:-) happy for you!!!
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May 22, 2015
thank you, marmolada! xo
May 22, 2015
Still looking great!!! Thanks for sharing and updating! The scars look great and are hardly noticeable at all. Your upper pole is my DREAM!! Continued Happy Healing!! Have a great Memorial Day Weekend!!
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May 22, 2015
Thank you @FindingMe2015!! And I forgot to mention that the Mondor's cord issue resolved itself since my last post. Thankfully :-)
May 22, 2015
That is great news, sweetbeast!! I was hoping that the Mondor's Cord issue had passed. I thought so since you didn't mention it, but I should have asked. I hope that my BA looks as great as yours!! Would you mind if I put you as one of my wish boobs pictures? Thanks again for sharing your journey!
June 20, 2015
any updates? would love to see your progress :)