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

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.

Doctor Answers 9

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.

Texas Plastic Surgeon
4.6 out of 5 stars 217 reviews

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. 

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 6 reviews

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.  

Charles R. Nathan, MD, FACS
Saint Louis Plastic Surgeon
5.0 out of 5 stars 66 reviews

Dr. Kayser

Each implant has certain pros and cons. The standard gels are softer but may wrinkle more while the 410's are denser and more cohesive, hence the name "hyper-cohesive" or form-stable or "gummy bear" which allows them to be shaped and also makes them less resistant to deformities and, potentially, to capsular contracture as well and their potential leak rate is reported to be lower over time. But the 410 is heavier and more expensive and, because its textured, it can flip resulting in implant positional deformities. Based on your desired implant size, neither will likely make you look anything but natural or even result in bottoming out so that is really not a concern.  There are also the Sientra implants which are form-stable but less expensive so that may be an option. And finally, your own body fat can be used to enhance your breast through a process call autologous fat grafting but for certain women who are petite and without a supply of fat this may be an issue.  I hope this helps and have a wonderful day! Dr. Kayser - St Clair Shores, MI

Melek Kayser, MD
Detroit Plastic Surgeon
4.8 out of 5 stars 35 reviews

Anatomic shaped implants may not be what your looking for.

He state that you want a natural look.  In my experience a moderate profile plus silicone gel implant rates the most natural looking breast augmentation.  There are indications for shaped breast implants but I do not think of them first when I am trying for a natural look.  Please consult a plastic surgeon who is certified by the American Board of Plastic Surgery, experienced in breast surgery, and who has an excellent reputation in your community.  He really need an expert surgeon to examine you and make the best recommendation for you.

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.

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

Are you talking about saline vs silicone or different shaped silicone? The round moderate profile silcone implant sounds like it would probably work best, but hard to tell without an exam. Get a consult with an experienced plastic surgeon.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 26 reviews

Types of Breast Implants

Consult with a Board Certified Plastic Surgeon, certified by the American Society of Plastic Surgeons (ASPS) for an exam to discuss the implants that would work best for you.  An exam is needed to best answer your question.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 58 reviews

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

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 45 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.