Any difference in size between 350cc Mentor high profile breast implants and 415cc full profile inspirit breast implants?

Question

I recently had a breast revision done to increase my breast size by half a cup from a smll C to a full C,. I had 350cc hp mentor on rt and 325cc hp on lt My Ps suggested 415cc inspira to get the fullness I needed. I was disappointed to find there was no change in size. It didn't have the upper pole fullness I wanted and they feel like the same as before. So would mentor and inspira sizes vary a lot and is it possible that the mentor hp would have been a better choice to have gotten the fullness I needed?

Gerald Minniti, MD, FACS · Answer

Hello,Your breasts very clearly did change size, it's just that you used a bra to try to measure that change. Had instead you used an in-office sizing technique to see what you'd look like with larger implants, you might be happy now. Let go of your bra cup sizes, it is inaccurate and irrelevant. Best of luck!

Richard Baxter, MD · Answer

Our rule of thumb is make at least a 100 cc change in order to notice a difference, whether going larger or smaller. However, I think your plastic surgeon was on the right track because the Inspira 415 cc is a full profile (5 profiles available) and it has both a larger diameter and projection than the Mentor 425/450 HP. By definition it is larger, but cup size is a very inadequate and unscientific way to measure breast size.

Andrew Wolfe, MD · Answer

The appearance of an implant in the breast is a function of both volume and implant shape/dimension.  In your case, your implants were increased by 65cc, a relatively small volume difference.  When I have patients who want to increase their implant size, I usually recommend a minimum of 100cc larger to even notice a difference. Patients are often underwhelmed, as you have seen.  Unfortunately, not much you can do at this point except to go larger at some point in the future.  The Mentor vs Inspira issue is a non-factor, as its all about volume and shape, not manufacturer.

Tom J. Pousti, MD · Answer

Thank you for the question.

You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. Ultimately, careful physical examination, measurements, and communication of your goals will be critical.

Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery (regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.

In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “upper pole fulness ” or "C or D cup” etc means different things to different people and therefore prove unhelpful.

Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery ( after the use of temporary intraoperative sizers). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient.

I hope this, and the attached link (dedicated to revisionary breast augmentation surgery concerns), helps. Best wishes.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Inspira implants are superior to Mentor implants as they have a thicker shell, and jelly on the inside that is more cohesive; this will result in less rippling and likely longer lasting implants.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and clearly the Inspira implant you mentioned is 35 to 90cc's larger then the Mentor implants that you mentioned and would be expected if only due to volume to give you more projection and fullness.Dr. Corbin

Any difference in size between 350cc Mentor high profile breast implants and 415cc full profile inspirit breast implants?

Answers (6)

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