Allergan Cohesive implants vs Mentor Smooth? Self-conscious of how hard implants are

Question

I had breast reconstruction following a mastectomy 4 1/2 years ago. The implants, Allergan Natrelle Inspir, look fine, but I am so self-conscious of how hard they are that I find myself hugging with my shoulder hunched forward so no one can feel them. A friend had a similar surgery but got the Mentor MemoryGel implants and her's feel so natural! Far softer than mine. Are they different? Could I switch?

John L. Burns Jr., MD · Answer

In my opinion, Mentor makes the softest implants.  Allergan offers 3 gel viscosities:  Inspira (soft), SoftTouch (medium), Cohesive (firm).

Daniel Barrett, MD · Answer

Dear moogie51,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Yes, you can switch your implants. I would suggest goin back to your surgeon and discussing your concerns. In reconstruction, the more tissue you have, the better the implants feel.

Allergan Cohesive implants vs Mentor Smooth? Self-conscious of how hard implants are

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Allergan Cohesive implants vs Mentor Smooth? Self-conscious of how hard implants are

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Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.