Allergan 410 Vs Mentor CPG. Which Highly Cohesive Implant is Better, and Why?

Petite frame, 5'6", 117 lbs, 27 years old, mother of 1, breast fed for 2 years, currently 34 A cup, wanting cohesive breast implants to achieve a full B cup.

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9 Doctor Answers | Asked by Brandy1121 in St. Louis, MO

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Sientra Implants are available in the US to Board Certified Plastic Surgeons and their patients

Finally we have free access to Sientra- Silimed Breast Implants!!!! Yea! I have used them since 2004 and have place over 900 as part of the FDA study . They are highly cohesive Gummy Bear Implants. The study was published in the Aesthetic Surgery Journal and it is only one style of implant . They also make 3 anatomic styles and a low profile. I have used them all and love them. They have the lowest complication rates I have ever seen.... more

Breast implant size?

The more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saiine/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling of the... more

Cohesive gel implants

The cohesive gel implants are not readily available at this time in the US and only a handful of surgeons around the country are part of the research protocol.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Silicone breast implants: Allergan 410 or Mentor CPG

The first question that comes to mind is can you identify a surgeon who can place these implants (410 or CPG). The distribution of these is limited and not readily available to all surgeons. The primary advantage of them is the form stable quality of the implant. However they tend to be slightly more firm than the traditional and widely available cohesive gel implants which are the more popular and available for use wtih readily available data on its record.... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Cohesive gel implants are very versatile

Cohesive gel implants come in anatomic or round shapes. Within each of these groups there are several choices ie different profiles and heights. I have used both types of anatomic implants ie from both manufacturers. They each have advantages and disadvantages. In your specific case your choice of implant will depend on the final shape you desire.

Silicone Gel Cohesive Implants

The goof thing about all of the silicone implants these days is that they are cohesive. This means that if you cut them in half, the gel just sits there like jello. It does not ooze out anywhere. The style 410 or CPG are anatomically shaped, textured implants, meaning they are form stable. They are put in place in a very specific orientation, and they will stay that way. They work great for breast reconstruction, but really are limited for breast augmentation... more

Form-Stable or Gummy Bear Implants

There are not huge differences between the implants made by either company. The FDA has been slow to approve these implants for general use yet. They also benefit a fairly small number of patients, although you may be a good candidate if our skin is not too loose and you do not want a very large augmentation. Dr Yates provided a very good discussion of these implants here:

Breast implants with highly cohesive gel

Highly cohesive gel implants are referred to as form stable, gummy bear, and of course highly cohesive as well. They describe an implant in which the gel is semisolid and does not flow as the fill in a saline or regular silicone gel implant will. Comparing the Allergan and the Mentor you have to ask yourself in what way. The implants are stiff and unless you have very special circumstances it is unlikely you would be better off with either. Even cohesive gel implants wear and leak so... more

Anatomic implants

Is there a reason for an anatomic implant. Judging by your size, a smooth round implant may give you a more natural result if placed under the muscle. Anatomic implants may rotate with time and are generally firmer. Smooth round implants from either company are less expensive and if placed properly will give an excellent result.