Having a hard time deciding between the Allergan 410 implants or silicone gel implants?

You are concerned about wrinkling, capsular contracture,
bottoming out and too fake of an appearance.
For that reason, I recommend small round textured silicone gel implants
placed retro-pectoral since they look and feel more natural, are more stable,
less likely to ripple or have complications needing revision. Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it. The advantage of the textured implant is that
is it adherent, less likely to bottom out or develop capsular contracture. The smaller the implant the more natural they
appear and at 32 AA, 200 cc implants might be the appropriate size. Best Wishes,Gary Horndeski, M.D.

The 410 properly placed and sized is an outstanding implant for someone who wants a low risk profile and natural result.  Consult with an experienced surgeon using these devices and they can discuss the pros and cons.  Cost may be similar for the time being as Allergan is offering five hundred dollars off certificates that can be obtained by your surgeon or from the Allergan website I believe.  

Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!



In breast augmentation I have chosen to spend time reviewing
photographs with patients to fully understand their expectation of size and
shape. Many times this simply raises
more questions. I will make measurements
and use the implant guides to allow the patient to understand exactly the sizes
that are reasonable for their body type and measurements.

Dear Jules,It is hard to tell you your specific risk of rippling and wrinkling without seeing your photos or performing an in person exam.  However, you are right, the 410's from Allergan, or the Mentor/Sientra equivalents, are less likely to ripple wrinkle or have capsular contraction than standard memory gel type implants.  The less tissue you have, the more vulnerable you are to this.  However, I have done plenty of women with almost no tissue, both sub-muscular and sub-fascial with memory gel implants with no rippling.  The following link is an example of this.  However, it is important to know that if the implant is placed perfectly, the implant will cause rippling if it is a 410 or memory gel, so who you choose as your surgeon is very important as well.Best wishes,Pablo Prichard, MD

WIthout examining you, it is impossible to give any specific advice. However, I used anatomic implants for years. When the new cohesive gel implants became available, but without an anatomic implant, I switched to them. Now that we have the anatomic implants in the cohesive gel like the Allergan 410, I have found only a few very specific reasons to use them. The regular implants do an excellent job of providing minimal wrinkling, capsular contracture and bottoming out as well as providing a very natural result.