I'm 34 AA, 5'5", 130lbs, 14cm wide. I am considering getting 500cc Sientra gummy bear, textured, high profile implants. I want a nice full look but not fake-looking. Will this amount of cubic centimeters be overkill? I would like to be in a full D-range. No bigger than DD, but I also want to maximize my time by not having to replace my implants due to sagging. I've been told in my pre-op consultation that I have great skin. I am 9.5 from nipple to crease on left side and 8 on right side.
So based on your stats and I'm mostly going by height and weight, I think you'll like that volume. I never promise a cup size because it's so different store to store. You could find just the right store to find whatever cup size you like said a different way. I would encourage you to at least have a conversation with your surgeon about textured implants. I use them occasionally but in an under the muscle position I do not see any benefit and the rate of BIA-ALCL (rare lymphoma associated with textured implants) on the rise, I ensure those patients are incredibly well informed regarding their decision.
Published on Jul 11, 2012
It is very difficult without assessing you in person to know what implant size will be appropriate for you. Keep in mind that implant size selection not only depends on your personal preference, but it also depends on your unique measurements. A thorough consultation with a board certified plastic surgeon will allow you to communicate what your desired result is and will inform you as to what is possible to achieve your goals. We have a device called the Vectra 3D imaging system that shows you what you will look like with any implant. Our patients are very happy with the choice of implant they make when using this system.
Published on Jul 11, 2012
Sounds like a very reasonable choice for your dimensions. Texturing was first developed with the thought of minimizing capsular contracture however it has not been proven to do so. Also textured implants tend to be less mobile and are the only surface for shaped implants. Your "gummy bear" implants may be round or shaped and if round, can be smooth or textured. Another potential issue with texturing is fluid formation around the implant which can be a late occurrence and very rarely may lead to an unusual type of cancer.
Discuss these potential issues with your surgeon so you are fully informed before your surgery.
Published on Jul 11, 2012
If you are an AA then where you put the implant is not that important. Underneath the muscle you will feel less of the implant and your breasts should not sag (if you don't have any to begin with) with time. A 500cc implant will increase your breasts by about 31/2 cup sizes.
Published on Jul 11, 2012
Your aesthetic goal should be determined by in-office sizing using an unpadded bra and sizers while looking in the mirror at your new appearance. Cup sizes are meaningless, and you should not expect your surgeon to deliver a specific cup size. Much more important than your goal is your anatomic capacity. 500 cc for you would be too big for you based on your quoted nipple to fold distance. Best of luck!
Published on Jul 11, 2012
Online consultants are not able to give you accurate advice about breast implant size. The best thing to do is communicate with your surgeon. I ask my patients to bring in pictures of breast sizes that they like and even dislike. I review these photos with the patient and discuss if it is reasonable with their body type, size, etc.. I take these photos to the operating room with me and when the patient is on the operating room table, I use temporary sizers to view how different cc's look on the patient. I sit the patient up on the operating room several times and compare them with the photos that they have chosen. When I see that I have achieved the patient's goals, I remove the temporary sizers and put in the implants. There is no guess work. I have all sizes from both manufacturers available to me at all times. This procedure takes more time BUT gives more exact results.
Remember that "no bigger than DD cup" may mean different things to different people - that is why the use of photos is best.
I hope this helps.
Published on Jul 11, 2012