Can I ask my surgeon
Sure you can ask.
I opened an account with Sientra quickly and easily. The first pairs of implants that I ordered were delivered right away via Fedex.
Your surgeon will have a preference in terms of which company's product he prefers and you can understand and respect it. Prior to Sientra coming on the market, I respected the wishes of a patient who felt strongly that they wanted one brand and not another. As long as you are asking for a round implant, it is reasonable for you to make your prefence known to the surgeon.
However, if you are asking for an assymetrical oval base anatomic implant, you should understand that the vast majority of american plasic surgeons have never implanted such a device. It will take time until they appreciate its virtues and embrace them. Your surgeon may not be ready to go there yet.
I am paying more for the Sientra gummy bear anatomics.
Sientra has the most cohesive gel on the market with their round implants. This means that they are closer to gummy bear firmness and the material is more tightly linked. We THINK this means that it may be less likely to form a capsule because of "gel bleed" or leaking, but there's no data on this yet.
I think the price is probably very close to identical if not exactly the same. The shaped implants are more expensive than round. I think that the shaped implants with sientra are softer than the allergan implants and the texturing may be superior as well based on the data I have.
Sientra breast implants
Sientra implants have an excellent warranty and are FDA approved. We use them quite frequently in our office for patients who desire a highly cohesive gel.
Do Your Research
Great question. If you are sincerely interested in having an augmentation using Highly Cohesive Gel Implants - more popularly known as Gummy Bears - our suggestion is to first make sure you consults with surgeons properly trained and currently using those particular implants on a regular basis. Most surgeons have several types of implants they're most comfortable with and routinely place. Since you have a strong preference as to implant type, go with a surgeon who is most experience and proficient with that style.
As a final note, this question was posed a few months back (we hope your surgery and outcome are great, MilaG), but just earlier this week (11/17/14), the FDA approved Allergan's anatomically shaped implant. The Gummy Bear implants - with so many variations in size, shape and texture - represent true advancements in implant devices. It's good that there are so many strong choices for women.
Ask Surgeon to Use Sientra Breast Implants
Of course it is okay for you to ask your plastic surgeon about a particular breast implant. It is also okay if he prefers another breast implant for you. The link to my breast augmentation gallery is below. You will see more than 80 patients with breast implants. Sientra, Natrelle (Allergan) and Mentor brand are all represented. I don't think most prospective patients will notice a difference between brands. Really what you want is a plastic surgeon who has knowledge about all breast implants available and uses what he or she thinks is ideal for their particular patient.
Can Your Plastic Surgeon Use Sientra Breast Implants?
Sientra is the company that is distributing the gummy bear
or highly cohesive gel breast implants for breast augmentation and breast
reconstruction. In the US, Sientra only
sells their breast augmentation products to surgeons who are certified by the
American Board of Plastic Surgery. There are a number of reasons for this but the
important thing for you to realize is that, although this does not guarantee
that you are getting an expert surgeon, the odds of that are far higher than if
you go to a surgeon who calls themselves a plastic surgeon but may be an
internist, an obstetrician, an ER doc, a family practitioner, or a general
surgeon (and yes I have personally met physicians like this!)
Sientra has an implant line that is round much like Allergan’s
and Mentor’s implants and these implants all cost about the same. Each company has a gummy bear or shaped implant
(form stable) that is more anatomic. These
breast implants generally cost about an additional $1000 because the companies
charge the surgeon more.
These are more complex implants. They are the fifth generation of breast
implants and a lot of technology and development has gone into them to help get
you a better result, a safer implant and a device that should last far longer
than earlier generations.
I hope that helps.
All Board Certified Plastic Surgeons Can Access Sientra Gummy Bear Breast Implants
If your plastic surgeon is certified by the American Board of Plastic Surgery, they have the ability to access Sientra Breast Implants. The shaped implants are more expensive than round implants but it can be a very good investment if you are a good candidate shaped breast implants.
Sientra Implants vs Allergan and Mentor
If you feel very strongly about using the Sientra highly
cohesive gel implants, your surgeon, as long as he/ she is a board certified
plastic surgeon should be able to set up and account and have the implants
within a few days. This being said if
your surgeon uses a lot of Mentor or Allergan, he/ she may get better pricing
for the implants from these companies based on the volume he/ she uses. The operation may cost a bit more because of this. In my practice I charge the same for all
three manufacturers as sometimes there is a style, texture or shape that I
think is best for a patient and I would not want a patient to choose another
implant based solely on price. If you
currently have little breast tissue, then waiting for the Sientra implants may
be worth it as their more highly cohesive gel makes them softer and they have
less rippling, so with little tissue coverage they may be better. If you have a good amount of tissue to
start, you probably would not notice too much of a difference with any of the
three. Sientra implants are different widths
and have different fill volumes than Allergan or Mentor so listen to your
plastic surgeon and use your base diameter measurement to pick a great implant
for you. Depending on your base
diameter, if you have a very narrow breast for example, the best implant for
you may in fact be an Allergan style 45 (very high profile). Good luck!
Sientra implants for breast augmentation surgery
Allergan, Mentor and Sientra are the three FDA approved breast implant makers in the USA. Ask your surgeon if he or she has experience with the Sientra implant line. I've found the shaped Sientra implants to have a softer feel with more projection than the other shaped implants.
Silimed Cohesive Gel Breast Implants
Silimed Cohesive gel implants are now FDA approved and available. You should ask your port certified surgeon about availability and experience in use. I prefer their anatomic cohesive implants in selected patients that require slight nipple areolar lift. Best of luck.