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

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.