500hp Sientra Textured? (photo)
Doctor Answers 31
Sientra vs Mentor or Allergan: Smooth or Textured decisions
All three implant companies make great implants, though I prefer Sientra for the following reasons - see below.
Of interest is that about 90% of the world outside the United States prefers textured breast implants, where as almost the reverse is true in the USA. I think this trend will change as textured implants such as Sientra's use more highly cohesive silicone gel so that there is less likelihood of rippling. The big advantage is that a primary augmentation patient will qualify for a free replacement implant if she requires revision surgery to correct a significant capsular contracture within the first two years after implantation. Perhaps most importantly from a patients perspective is that breast implant "massage" is not needed with textured implants, and they don't drift to the side when you lie down.
Sientra’s TRUE Texture™ implants were found to carry a significantly reduced risk of capsular contracture compared to its smooth implants, according to a study published in Plastic and Reconstructive Surgery. The analysis looked at more than five thousand implants over a five-year follow up process, providing a very robust set of data as a foundation for this finding. It is with this statistical confidence in the resilience of their textured implants against capsular contracture that Sientra introduces the C3 Program.
As with the implants themselves, Sientra’s C3 Program is only available through plastic surgeons certified by the American Board of Plastic Surgery. This is done to improve patient confidence even further — it ensures that surgical procedures using Sientra implants are only done by the most qualified doctors.
Sientra high strength silicone gel implants
Sientra has the highest strength silicone gel with excellent gel to shell bonding and if you choose either a round or a shaped implant ( my preference) it will afford the best and softies, natural result. Softness comes from meticulous operative technique combined with avoiding the nipple approach and using a textured implant placed beneath the muscle. Shaped implants give more volume and projection for the cc and a shaped oval or round base in the mid 300- 400s should match the 500 ccs. Wouldn't believe the smooth mentor option is the best - we used to use Mentor and now opt for Sientra for essentially all patients
500 HP Sientra Implants
While I agree with my colleagues it's always best to speak directly with your Board Certified Plastic Surgeon since they will manage your care. I am happy to share my views on how I do things in my practice. I do like the Sientra implants. They are slightly firmer than Mentor...but I bet I could put a Sientra in one breast and Mentor in the other and you wouldn't tell a difference. So, I wouldn't worry about that. Sientra makes a great implant and early studies show they "may" last longer. Personally speaking I'm not a big fan of high profile implants because they tend to look "more fake." Again, that is just my opinion. I do use them in my practice but typically for patients with very small chest widths. Bottom line I think you'll have a great result.
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Sientra textured implants
Sientra textured imants
Since your surgeon is offering you a Sientra implant you can feel
secure in knowing they are a board certified plastic surgeon as they are the only ones who can purchase this brand of implants.
i usually select the profile and volume of the implant using your chest measurements and size interest.
I like the textured implants best as they offer several advantages over smooth implants. These advantages are that they are less likely to get firm,
more likely to stay more centered on your chest over time and are soft and natural feeling.
Many US plastic surgeons were not trained to use textured implants so they may not be as familiar. I was one of those surgeons as well.
I have learned from the European plastic surgeons of the benefits of textured implants and like them best.
Good luck with your procedure.
The published data on the Sientra implants is very good - so you don't need to be worried about the brand. However, it sounds like the implants that you and your surgeon have chosen are a bit large for your frame size... it would give a pretty "obvious" implanted look, IMO.
But, of course, it depends on what you like and what you've asked for... speak to your plastic surgeon if you are having doubts.
What is your breast base width?
Matronly and implants
Your pictures are difficult to interpret because you are taking your own and the lifting of your arms elevates the breasts, making them look more lifted. Sientra makes round silicone implants that are textured and smooth. They also make anatomic (or form stable implants) that are textured. I think the anatomic ones may not look the best if you have much ptosis (or breast hang). But a good examiner can help guide you because, the surgeon should also look at skin quality, breast volume, chest projection, etc.
Sientra Implants? and sizing concerns?
All good questions!
I think sizing my patients is my biggest challenge. If you are at all unsure I would visit your Plastic Surgeon again for further discussion. It can be a very difficult decision to make.
I tend to use smooth round implants for most of my patients. Every patient is an individual, and it's important that you express your expectations with your surgeon to help him/her choose the right implant specifically tailored for you!
I am one of the principal investigators for the Sientra FDA study that was published late last year. I really like their product. I think their implants ripple less, and have more cohesivety than the others on the market. I strongly recommend them without any reservation.
Best of luck,
Jennifer Harrington MD
Sientra is as good or better than the others
I prefer smooth for round implants but top surgeons disagree about the smooth v textured issue. So go with what your surgeon suggests.
The size is very large and HP implants are more spherical in shape than natural breasts. So long as you want to look fake, round, stuffed, and accepted that your already loose skin will stretch and thin to a great degree over time you should be fine with what was suggested.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.