What are your feelings on the Mentor III Memory Gel anatomically shaped implants? I am a retired thoroughbred jockey at 5 ft 4 in 104 lbs and wondered if the anatomical shape of gummy bears would give a more natural appearance?
Are Mentor III Memory Gel Anatomically Shaped Implants Any Good?
Doctor Answers 13
No doubt. ANATOMIC implants (Allergan, Mentor)
Thank you for your question. If yo asked me about this sub 15 years ago, i would answer that ROUND IMPLANTS were the best with no doubt. Since 1997 we have in Spain & Europe the ANATOMIC SHAPED IMPLANTS. Currently 80% people demand anatomic shaped implants (an almost 99% in >30 years old) - in primary aesthetic breast augmentation. We perform and average of 600 augmentation surgeries in a year, so I think the data is quite representative. In the other hand, in best Hospitals of Spain (European leader in Plastic Surgery) the ratio ANATOMICAL:ROUND is 4:1 in primary aesthetic augmentation mammoplasties. I think that in USA, FDA promotes a highly defensive medicine/surgery; but the anatomical shape "fever" will arrive...
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Nice results can be obtained with most implants
Although I do not personally care for shaped or so-called anatomic implants because my patients can't massage them there are some plastic surgeons who do. The newest generation of gummy bear type implants have not yet been approved by the FDA, we hope the approval will come soon. My personal preference is the currently approved cohesive gel implants. I think these give a very pretty, natural result.. You have a great pre-op shape of your breasts and should be able to achieve a very nice natural appearance with a cohesive gel implant. Discuss your options with a board-certified plastic surgeon. Best of luck.
Pro's and cons of shaped implants
There is no single best answer for what type of implant is best for any individual. While the "anatomic" implants, more correctly called shaped implants, may produce a slope on the upper portion of the breast that you might prefer, round implants generally have a similar slope in the upright position when they are appropriately sized. The gummy bear implants are firmer and require a longer incision so a longer scar. On the other hand, there are some breast shapes, for instance if the base foundation is more oval than round, that work better with shaped implants. Best to meet with your plastic surgeon and get into some detail about your own preferences and expectations, and any considerations about your anatomy.
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One of many options
The anatomeic gel implants will be one of the options for patients and ideally the options will be individualized for each patient. The differences between the available implants can be discussed with you surgeon. Right now they appear to be a great option for certain situations.
Shaped, Form Stable Breast Implants
Natural appearing breast augmentation
You have excellent appearing breasts that will accept any modest sized implants and produce a natural appearance.
Although the sound of anatomic implants may seem appealing, the aesthetic results are challenging with an implant that could aggravate the subtle asymmetry that you already exhibit: You right is slightly larger and your left nipple is slightly lower. Anatomic implants can be smooth or textured. Rotation of a shaped implant can distort an actually accentuate the mild asymmetry you have.
In my opinion go with a lower projecting round implant in order to achieve a "natural" appearance.
Shaped implants may not be for everyone
The Mentor product that you ask about is a wonderful implant, however the use and need of a shaped implant is a very controversial one. I am happy to give you my own point of view, though you will come to see others may have a very different opinion.
We consider breast augmentation a breast enhancement procedure. All individuals have unique characteristics within the breast and augmentation effectively enhances the natural breast shape and size. The vast majority of patients will do quite well with a round smooth breast implant of moderate profile of either a saline or silicone gel fill, placed into a position which maintains the best cover and softness over time; a submuscular position. The smooth round implant will not create friction in the pocket and blend well with the breast tissue with a soft and natural result. They are more likely to move and flow with the breast and look well from all positions.
A shaped implant of a very cohesive gel is designed to maintain its shape and impart this characteristic or personality on the breast. The implant is stiff by nature and the texture to keep the implant from rotating and shifting will reduce the natural softness and flow of the breast. I find them less than optimal for augmentation though very effective in breast reconstruction.
Anatomic highly cohesive gels are "new" however we have seen decades of excellent augmentations with round smooth ones except in very special circumstances. Take your time considering.
Best of luck,
You have a good starting point for a natural result
Aside from a slight asymmetry, you have a nice starting point for a natural result. In my opinion, a moderate profile Mentor gel implant of appropriate base dimension to fit your chest wall would give you a more natural result than an "anatomical" implant which is generally taller than it is wide and is designed to create upper pole fullness that is beyond natural.
Smooth round moderate profile plus for your shape
All of the implants you mention are excellent-its a matter of waht you want to achieve.
In my experience (27 years), the smooth round implants give a much more natural breast appearance.
You have a very petite feminine shape with very natural attractive feminine breasts. I would say you look excellent the way you are.
However, if you want fuller breasts, I would go small, 225 to 250 cc and use the Mentor Smooth round moderate profile plus gel implants. This will give you a very natural appearing full breast that fits your shape. The anatomicals do not fall and mold into a natural shape in my experience.
See before and after photos of breast augmentation.
Anatomical shaped teardrop breasts with round implants
There has been a lot of focus on implant shape which can certainly help in attaining a natural shape, but technique is much more important. I prefer to use soft loosely filled low profile implants with a subfascial plane. It is a big misconception that subfascial placement leads to a shelf type appearance. True subfascial placement( where the fasciai is not violated and not burned into nonexistence actually does the opposite. Common belief and teaching is that placing the implant under the muscle adds superior pole fullness but I would contend that it does the opposite. If you have friends with submuscular implants and thin breast tissue, wantch their breasts- you will see that the pectoralis muscle is always under some tone, and variable tone. What this means is that the muscle tissue and skin are pulled down on the implant, creating a shelf like effect. the implants are always pushed down and out. The beauty of true subfascial implantation is that the fascia elevates over the superior pole, lifting the existing breast tissue away from the chest wall and blunting the edge of the implant. The problem is that some practitioners claim to perform subfascial augmentation when they are really performing subglandular or destroying the fascia with their dissection which is equivalent to subglandular. This is one of the many reasons that I developed the 'cold-subfascial augmentation.' The technique differs in that it is what i call a histiocentric technique. It pays respect to the tissues necessary for a successful operation by using precisely designed sharp dissection with no electrocautery or heat energy ensuring the full capacity of the fascia is present. A second important difference is implant selection. While almost everyone uses super high profile implants. In reality with an intact and carefully designed fascial dissection a low profile implant can be designed to project and taper as a beautiful teardrop shape. I prefer to shape the breast in this manner to attain a soft and projecting natural appearance. I hope this helps!
All the best,
Rian A. Maercks M.D.
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