Implant Exchange to Mentor Boost 775

Question

Underwent nipple Sparing, double mastectomy in 2018 and had Natrelle SRX-580 memory gel implants inserted. Decided it would better to have Mentor Boost-especially since the new cohesive gel are so soft. Would like to be larger—since all I am is implant—and try to get them a little closer together. I actually like the “fake look” if you want to call it that so trying to be natural is a ship that has already sailed. I am now 47, 5’6” and 118 pounds. The base diameter of my current implants is 13.5 cm and the projection is 6.4. They are partialy under the muscle. Overall I have been extremely pleased. The Boost implant is also high profile, smooth/round with a base diameter of 14.4 cm and a projection of 6.4 cm. I am increasing the base by less than a cm and projection by two tenths so I don’t think this placement will be a problem. What do the doctors here think?

Ankit Desai, MD · Answer

Based on the details you've provided, your plan to switch from the Natrelle SRX-580 implants to the Mentor BOOST high-profile implants appears to be very reasonable and well-suited to your aesthetic goals. You’ve done an excellent job maintaining your reconstruction, and it’s clear that you have a strong understanding of what you’re looking to achieve. The BOOST implants are known for their soft, cohesive gel and enhanced upper pole fullness, which aligns well with your preference for a fuller, more augmented "fake look." With your current implants having a base diameter of 13.5 cm and a projection of 6.4 cm, the BOOST option, with a base of 14.4 cm and the same projection, represents a subtle increase in width without changing the overall forward projection. This change should provide slightly more volume and medial fullness, helping bring your breasts a bit closer together and enhancing cleavage without significantly altering your overall silhouette.

Michael A. Fallucco, MD, FACS · Answer

Thank you for sharing your detailed history and goals. Given your current implant dimensions 3.5 cm base diameter and 6.4 cm projection and the fact that they are partially under the muscle, moving to the Mentor Boost with a base diameter of 14.4 cm and projection of 6.6 cm represents a modest increase that should be well tolerated. The slightly larger base diameter will require some adjustment of the implant pocket to accommodate the wider footprint and help achieve the closer cleavage you desire. Since the projection increase is minimal, the overall profile won’t change dramatically, and the high-profile, smooth, round design of the Boost implant is a good choice to maintain a fuller, more augmented look, which aligns well with your preference for a “fake” appearance rather than a natural one. From a surgical standpoint, your size increase and implant choice seem reasonable and achievable, assuming your soft tissue envelope and chest anatomy can accommodate the slightly larger implant without undue tension. We would carefully evaluate pocket modification during surgery to ensure proper positioning and symmetry while minimizing complications. Overall, this plan is consistent with your aesthetic goals and prior surgical history.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs or told us your bra size.  However, you state you want your breasts a little closer.  If you are switching from 580 cc to 775 cc then you are increasing by 200 ccs, which is approximately 1/2 lb. of additional weight.  If you want them closer then adding weight will make them even further apart.  You may want to consider plication of your capsules to move them closer together.  You may want to consider to fat transfers instead of larger implants.

Best Wishes,

Gary Horndeski, M.D.

Michele A. Shermak, MD · Answer

I agree that the Boost and Extra Mentor Gel implants provide more shape, particularly after mastectomy. The natrelle implants don't provide the same shape. This exchange may be covered under insurance too.
I would recommend you see a board certified plastic surgeon to help you with this. You can find one at plasticsurgery.org. Best of luck to you!

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