Hi J!,Both are great implants. The Xtra actually has less wrinkling, BUT still feels soft like the normal Mentor gel implants. The Xtra is great for thin patients, or on top of the muscle pockets or revisional surgery. I have been using them for 11 months with good follow up and great results. I placed about 40 pair. That said, all the mentor implants are great and I have stopped using the other implants out there, placing over 600 per year for cosmetic augmentation. So in terms of looks, you could have less wrinkling with the Xtra. See a BC/BE PS and see the video link below. Good luck, Dr. Joe
Mentor Xtra gel is slightly overfilled to yield less rippling compared to regular gel. However, rippling is not often an issue unless the implant is placed over the muscle, in a very thin patient, or in revision surgery. Therefore, the Xtra volume isn't often necessary. In regards to what appears natural looking, this is more related to the implant profile as opposed to whether it is regular versus Xtra fill. Moderate Plus Profile implants generally yeld more natural appearing results while High Profile implants tend to look more round and less natural.