The surgeon switch from mentor to sientra implants. What are the differences and pros & cons of mentor vs sientra?
Doctor Answers 9
Sientra Breast Implants as Compared to Mentor or Allergan Breast Implants
Sientra breast implants are essentially the “latest and greatest”. They are fifth generation breast implants or the highly cohesive shaped silicone gel breast implants or gummy bear implants. There are now three companies in the U.S. with these implants. The implants include all of Sientra’s product line, Mentor’s MemoryShape and Natrelle’s 410 “gummy bears”. These are all excellent implants and in fact a recent research paper published just a few days ago (June 28, 2014) in the main plastic surgery journal shows that, while there are differences in the biomechanics of these three implants, these differences are not big ones and that the implants are all biomechanically very sound. Sientra’s implant is however a little tougher.
The main difference at the time of writing this (things may change in the future) is that Sientra has the following advantages over the other implants:
- It has arguably the best warrantee of the implants available in the US. (Mentor, Allergan or Natrelle and Sientra). The company virtually changed the game of the implant industry when it started to provide implant replacement if you develop a capsule contracture in the first two years.
- Sientra provides a two year warrantee for capsule contracture.
- The Sientra safety profile is better in that it has a documented significantly lower capsule contracture rate with its textured surface implants over its competitors.
- When it comes to their shaped implants they have a larger variety of sizes, shapes and projections.
I hope that helps.
Mentor vs. Sientra
SIENTRA IMPLANTS ARE EXCELLENT
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Sientra vs Mentor
Mentor versus Sientra
The Mentor smooth round "MemoryGel" implant has the advantage of a soft feel, that many women like.
The Sientra textured round implant had a lower capsule rate in the study by Stevens that was published in PRS in Nov 2013. Both gels are relatively cohesive.
Both companies have similar warranties when it comes to implant leakage. Sientra also has a capsule warranty, which is good for the first 2 years only.
Both devices are very good. I have no problem recommending either one.
Breast Implant Choices - How to Choose
My experience is that both Mentor (made by J&J) and Natrelle implants (made by Allergan) are excellent implants with ethical back up from their parent companies. That is all that has been available in the USA until now. Starting in 2012, patients will have another option for silicone breast implants from another solid company. Silimed. Competition is always great for patients. Patients can choose an implant from Sientra (Silimed) a world leader in breast implant (and other silicone implants). Prospective breast augmentation patients should now be aware that the FDA has approved a new silicone gel-filled breast implant made by Sientra, Inc. Being FDA approved means it is a safe product equal to the standard for Natrelle and Mentor. The Biggest Difference which was just announced by Sientra at the American Aesthetic Meeting in Vancouver May 2012, is that they will only be sold to Board Eligible or Board Certified Plastic Surgery.This is not true for Allergan or Mentor who sell their products to anyone, whether trained or not. This is a great safety factor for patients and for that reason I have switched to Sientra implants for the majority of my patients. Sientra is also the only implant company to have a replacement warranty against capsular contracture if their textured implants are used.
Marketing is the main difference between Sientra, Mentor, and Allergan.
The bottom line is that the majority of the differences in implants are not appreciable by the patient. This is particularly true with round implants. You would not be able to tell the difference based on an exam. The rupture rates are comparable across the board. All 3 manufacturers make great implants and the choice is much more important for the surgeon than it is for the patient (sales rep availability, implant stock in the hospital, familiarity with sizing variations).
Mentor vs. Sientra Breast Implants
I have experience with all three implant manufacturers in the United States (Mentor, Natrelle and Sientra) and I can say that they are all high quality and yield great results. Most surgeons develop a personal preference over time for a number of reasons including availability, manufacturer representative relationship, hospital stock, personal experience, etc.
You're right that only board certified or board eligible plastic surgeons have access to Sientra implants.
We choose different volumes, textures and shapes of implants based on characteristics specific to you. But the truth is that the "brand" of implant chosen will ultimately not make much difference for you.
What's most important is that you are being treated by an experienced plastic surgeon who can deliver the results you desire.
Best of luck to you,
Ruth Celestin, MD
Pros and Cons of Mentor and Sientra Breast Implants
It is true that Sentra sells their breast implants exclusively to board certified and board eligible plastic surgeons.
More important than the brand of breast implant your plastic surgeon uses is the attention to details he or she gives to surgery and to patients,, and the evidence that they are able to create a result you want. Looking at many, many before and after photos is the first step in determining whether or not a plastic surgeon is right for you. Every breast augmentation patient should be photographed from a front, side and oblique perspective.