Ideal breast implants vs Sientra?

I think you need to strongly consider placement of acellular dermal matrix such as Strattice or its equivalent to help protect you from a recurrent contracture.Implant choice is less of a factor vs sterile technique, pocket placement, and meticulous hemostasis.Your autoimmune condition may play a role if you are on immunosuppressant medication.Good luck!

I agree with my plastic surgery colleagues below.  Revision breast surgery can be quite complex as can recurrent capsular contracture after breast augmentation. I do not think the brand of the breast implant has much to do with the capsular contracture; however, I do prefer smooth round silicone gel breast implants compared to saline-based breast implants, which is what the Ideal implant is.  I devote a large part of my practice to revision breast surgery, specifically recurrent capsular contraction.  I think there are a number of things that can be done for this depending on what has been done before. Oftentimes in addition to new breast implants and a capsulectomy being performed, pocket or site changes need to be incorporated to provide a fresh new "tissue interface" to be in contact with the breast implant.  Site changes in conjunction with an ADM (acellular dermal matrix) can really improve recurrent capsular contraction.  I hope this helps.  Good luck!

I would not get stuck on a brand of implant as much as pocket position position(under the muscle) and use of a internal bra/mesh(such as alloderm or strattice) along with using a textured implant if possible. These are the things we know that decrease the rate of Cap con. If you want only a modest increase in size(1 cup size or so) and you have some fat to donate from your abdomen or elsewhere, fat grafting to your breasts may be a good option for you also with your hx of breast capsule problems.