Silicone implants
Natrelle Inspirasilicone gel implants are offered in three levels of cohesiveness. “The more cohesive the gel, the firmer the implant and the better it maintains its shape,” explains Dr. Daniel Butz, a plastic surgeon in Miquon, Wisconsin. “This provides more upper-pole fullness [at the top of the breast] and less potential for rippling.”
- The Responsive is the most popular Inspira implant. “It’s the most commonly used and the least expensive,” says Dr. Butz.
- The Cohesive model has the highest level of cohesiveness and the highest cost. “This might be ideal for a patient looking to go subglandular [have their implants placed under the muscle] to minimize rippling,” explains Dr. Butz.
- The SoftTouch is the “happy medium between the two,” says Dr. Butz. “A lot of my patients chose this implant for its more natural feel.”
Most surgeons recommend silicone implants. “They have a few advantages over saline,” says Dr. Nancy de Kleer, a plastic surgeon in Oakville, Ontario. “If they break, they still hold together and don’t go completely flat. They have less chance of rippling than a saline implant does, and they often feel more natural.”
Saline implants
Smooth, round Natrelle saline implants are available in 55 sizes and three projection styles. Saline implants can be filled after they’re placed, so incisions and scars are smaller.
Ruptures are also more likely to be caught quickly, because it’s easier to see signs like a deflated breast, according to Dr. Jerome Edelstein, a plastic surgeon in Toronto, Ontario. They also offer peace of mind in that if they do rupture, the saline fluid is harmlessly absorbed by the body.
Other factors to weigh when choosing a breast implant include your body size, your desired breast size, and the amount of breast skin you have. Your plastic surgeon will discuss your goals with you before recommending the best implant options.
RealSelf Tip: When you’re considering breast implant surgery, most RealSelf doctors say that choosing the right plastic surgeon is more important than which company’s breast implants they use. In fact, many surgeons say they use all brands on a regular basis.