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POSTED UNDER Sientra Breast Implants REVIEWS

235 Cc Sientra Textured Round + Shoelace Cast - Seattle, WA

ORIGINAL POST

My little A boobs were pretty (no kids, etc.), but...

FuzzyD
WORTH IT$7,700
My little A boobs were pretty (no kids, etc.), but I always felt a full B cup would suit me better. My rib cage is on the wider side and there is a space between my breasts and pec muscles. I knew not to expect cleavage, but I'm a little concerned that the textured implants were the wrong choice for my body.
I felt confident in Dr. Grenley's experience and went with textured on his advice: lower risk of CC and of implant displacement during exercises. Now I wonder if I made a mistake and should have gone with smooth to have a softer feel, less risk of rippling, and more ability to move around in the pocket.
I'll try not to freak out as I see how my breasts change over the next few months (I might love them), but I'm a bit concerned I'll be stuck with baseballs on my chest... I am wearing a bandeau 24/7, but it's not helping much (yet). I now read that textured don't really "drop and fluff" like the smooth, and are not ideal for someone thin and thin skinned like I am. (Wish I had done better research!)
The idea of ripping out textured implants in a year and doing this all over again is more than I can handle at the moment :/

FuzzyD's provider

Robert M. Grenley, MD (retired)

Robert M. Grenley, MD (retired)

Board Certified Plastic Surgeon

FuzzyD rating for Dr. Grenley:

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Replies (20)

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April 4, 2016

Thank you for sharing your experience. Hoping you find support in the community.

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April 5, 2016
Hey Fuzzy D! I do get what you are saying. In stead of textured being the issue I think it is the profile. If you had a low profile implant you would have softer feel and more cleavage. Doctors just don't use them that much as they give less projection. But I wasn't interested in projection so I convinced my doc to go with lows and I love the look. But of course this is not very good advice at is it in hindsight. But I just wanted to mention it, so you take that into consideration when you eventually change implant. Anyway give them time to soften up and d&f and you'll probably fall in love with them :) Happy healing!
April 5, 2016
Thanks for the input. Funny you mention that because I initially told my PS that I would like them as flat and round as possible, so I asked if they made low profile ones (mine are medium). He suggested I use medium profile because they would relax and spread out a bit while leaving me with some projection (since I was going so small). Also, my breasts are naturally very narrow, so there wasn't much width to work with.
But I know (and would like) the look you are talking about! I'll just hang on and hope these magically D&F...
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April 6, 2016
Hi there~ Do you have pre op / before pics to compare to? I had surgery with Dr. Grenley last year Jan 2015 - my second surgery to repair my 1st and feel he is truly gifted at what he does. Your breast will change quite a bit over the next year and you are still very early in the healing process. You also need time to adjust to your new breast. Hang in there, and give it some time :)
April 6, 2016
Unfortunately I do not have any before pics (but I'll get them from him if I can). Yes, I agree with your opinion of Dr. Grenley and am rebounding from my little freakout the other day ;) Thanks for the support.
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April 7, 2016
I actually had a few freak following my surgery :) I think it's pretty normal. But now that I'm 15 months out, I honestly couldn't be happier. I also have the textured implants and they will change somewhat over time. Mine have become very natural looking. Keep taking pics to track your healing process and changes. Best of luck! n
April 6, 2016
Hi I just had same surgery done with same type of implants. My surgery was 3/31/16 just 5 days ago. I had same concerns as you. I'm still questioning as to why I was recommended textured implants if I have slender body type ( like you). My doctor had same explanation as yours. However, my bigger concern is the gap between breasts. No cleavage It should not be more than 1 finger apart. Mine is already 2 now. If swollen goes down, it will be even larger gap. Did you ask your doctor about that?
Nat
April 6, 2016
I knew i wasn't going to have any cleavage because I went under the muscle, and my pec muscle edges are separated by more than an inch (two fingers, easily). I saw my doctor 9 days post-op and he told me to push and hold the implants toward the center of my chest a few times a day to make sure I keep the inner edge of my pockets open (for the implants to eventually relax into). If you keep your pockets open toward the center (and your space is not as naturally large as mine), hopefully yours will D&F nicely. I assume you got medium profile? when do you see your PS again?

I'm feeling a little better about the textured after reading some horror stories about implant migration/displacement. As for rippling, the Sientra textured supposedly ripple a little less than other textured because their gel is more cohesive (but the trade off is extra firmness). It's definitely not an exact science, and everyone's body reacts so differently.
April 22, 2016
Thank you very much for sharing. I was told you should never massage Texture implants. My doctor says it is the beauty of having textured. Truly I wanted to. The skin is so tight on breasts that touching them seems take that pressure off. Well, I'll wait but still wish I should have smooth. From your pictures I noticed you started with small breast like me. After two weeks I was wearing bra that closes in the front. When I tried on regular bra, I noticed my boobs are not in the center. It seems the center shifted to the left or was there from the start. I'm not sure if I'm still swollen but it concerns me. Of course I asked the doctor to see me before 6 weeks post op. He says it is too soon to tell. Wait. They get softer and will drop so the center will be fixed on its own. Oh hard to believe. I'm getting depressed that I can't wear normal bra because it is so obvious. Did you have problem like with your breasts?
April 22, 2016
My left side tends to run away a bit. I've been using the compression band to push them down, but it has the benefit of also pushing them together if I get them in the right position. When they say no massage is necessary with textured, I think that they mean no aggressive massaging exercises that are recommended for the smooth. That said, if it feels good for you to rub your breast lightly, I can't imagine that it would be a problem! The textured are supposed to stay in place better, but they do have some movement, which is why some women who get the anatomical implants will have them shift to the wrong position even if they are textured. My doctor told me to push them in toward the pocket to make sure the pocket stays open toward the center. Also, he wants me to get a sleep bra with extra side support for the next few months (even if it's a regular push up bra,, etc.) To prevent the implants from settling too the side while I sleep.
It looks like you are about 3 weeks in, so I wouldn't worry too much. Maybe just use a band or Ace bandages to gently keep your breasts in the position that you are happy with. They will probably soften and even out, but it doesn't hurt to be extra careful about their placement as they are settling :)
UPDATED FROM FuzzyD
29 days post

4 weeks: Starting to soften and drop

FuzzyD
Progress: they are finally starting to soften up a bit.The compression band is not as painful anymore and the fullness is slowly moving south. My tight skin is not happy about it, thought, and some light stretchmarks are showing (no biggie).
I'm pushing the implants toward my center to keep my pockets open, but as I said, I didn't expect cleavage ;)
Hopefully in the next few months my skin will stretch, and they'll drop and settle into the lower pole so I can have a bit of a fold instead of projectile boobs!

Bra shopping was a total failure: they don't really sit/fill out the cups, so it's hard to asses size (I can't wear regular bras yet, anyhow).

Anyhow, for all you who are in the early phases: hang in there!

Replies (12)

April 15, 2016
I think they look great already. Keep posting progress!!!
April 15, 2016
Thanks - it's definitely great having boobs :)
April 15, 2016
You look great, very natural!
April 15, 2016
Thanks :) not bad for one month, I suppose
April 15, 2016
I'm having the same worries as you. I've read a few articles/pros and cons of textured round and smooth round and now can't decide.
My surgeon suggested Sientra textured as well. I'm just nervous about how slowly they'll drop and if they'll look too stiff and fake
April 15, 2016
They are gonna be slightly stiffer, from what I've read. But they do soften up. Even at 4 weeks might are significantly softer than they were at 2.
With smooth, there is more opportunity to create cleavage if your breasts are separated. But there's also more chance for the implant to move into weird areas (if you go under the muscle) or to bottom out. No perfect answer, but I feel better about the textured now because they will be somewhat Velcroed into place ;)
April 15, 2016
P.S. it depends on how large you are going as well. If you are going larger and are pretty thin, I think the smooth will feel less fake. At a smaller size, I don't think it makes much of a difference.
April 15, 2016
Also, are yours textured Mod+ or HP?
April 15, 2016
Moderate. I didn't want much projection and initially suggested low profile, but my PS suggested I at least get moderate for some change (since I was going so small).
April 19, 2016
Be patient. The recovery process takes awhile. You're still early out of post op.
I also have textured 235 cc's, but mine are teardrop shaped. I'm almost a year post op & I love them now. I understand your concerns, as I shared some of them in the early stages of my recovery. They will drop and soften. Most people are shocked if I tell them that I have implants. They look so natural. It's hard to know what to expect during the recovery process. One thing I learned is to be patient and that it takes time. Everyone is different, my Dr said it takes 6 - 12 mos for them to fully settle. Hang in there.
April 19, 2016
Thanks. I'm hoping when they soften that they'll also widen a bit at the base. Are yours Sientra?
April 27, 2016
I have mentor
UPDATED FROM FuzzyD
1 month post

Scars ~5 weeks

FuzzyD
A few scar pics. I've been careful to stay low key and let these heal tightly. I've stretched open other scars on my body by being too active too quickly, so I've learned my lesson. I'm doing some light massage, but nothing too intense. I'll wait until I see my PS this week.
They are still irritated from the original tape, but the silicone tape I'm using now doesn't bother them at all.

Replies (2)

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April 22, 2016
Hi you :) How are you doing? Are your breasts d&f more? Hope you are happier with the result?
April 22, 2016
Hi! Yes, they are softening up. I'll post some more pics maybe at the 8-week mark. Actually, I just got my before pics today from my PS so I will post them in a moment. Such a difference! Yours are looking very natural!