Im currently a 32 AA and looking for a conservative look with my BA. I have decided to go with 200cc's but havent decided if I want the Allergan 410 or the standard silicone gel implants. Here's what I'm concerned about - wrinkling, capsular contracture, bottoming out, and a ''too fake'' appearance. From what Ive read, all signs seem to point towards the 410's, but if my risk of any of those complications is small, I'd like to save the money. Any advice is greatly appreciated.
Answer: Small implants best 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.
Helpful
Answer: Small implants best 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.
Helpful
February 24, 2014
Answer: 410 implants 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.
Helpful
February 24, 2014
Answer: 410 implants 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.
Helpful
February 22, 2014
Answer: The 410 device is a silicone device that is firmer so you should compare that to others! 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.
Helpful
February 22, 2014
Answer: The 410 device is a silicone device that is firmer so you should compare that to others! 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.
Helpful
February 21, 2014
Answer: Highly Cohesive implant or standard memory gel. 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
Helpful
February 21, 2014
Answer: Highly Cohesive implant or standard memory gel. 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
Helpful
February 23, 2014
Answer: Choice of Round and Form Stable Silicone Implants 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.
Helpful
February 23, 2014
Answer: Choice of Round and Form Stable Silicone Implants 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.
Helpful