I’m 5’, 115 pound. I’m a reconst. patient (bilat. mastectomy in 2016). I have the Gummy bear shaped implants (345 cc on each side), which offer a nice natural look. However, I have rippling and no cleavage (which I hate!). I’m going in for revision work, and the new surgeon I met with is suggesting the round smooth overfilled implants by mentor to give me more cleavage and less rippling. My only concern is that I won’t look natural. Should I be concerned? Is this the right direction to go?
April 6, 2018
Answer: Breast Reconstruction after Mastectomy Unfortunately that is one of the problems with the Mentor implants used in breast reconstruction: rippling. Even with the CPG/Shaped implants of mentor they do ripple. The smooth round Xtra implants of Mentor would still ripple in breast reconstruction patients who are very thin and don't have much subcutaneous coverage.To address this there are several options that I have found may have to work together. The use of ADM (acellular dermal matrix) with fat grafting and using Allergan 410 or Cohesive Rounds would be the best way to address this issue. Mentor implants don't have the cohesiveness that the Allergan 410 implants do.I would recommend you consult with a board certified plastic surgeon who has a lot of experience in breast reconstruction after mastectomy.Hope that helps.
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April 6, 2018
Answer: Breast Reconstruction after Mastectomy Unfortunately that is one of the problems with the Mentor implants used in breast reconstruction: rippling. Even with the CPG/Shaped implants of mentor they do ripple. The smooth round Xtra implants of Mentor would still ripple in breast reconstruction patients who are very thin and don't have much subcutaneous coverage.To address this there are several options that I have found may have to work together. The use of ADM (acellular dermal matrix) with fat grafting and using Allergan 410 or Cohesive Rounds would be the best way to address this issue. Mentor implants don't have the cohesiveness that the Allergan 410 implants do.I would recommend you consult with a board certified plastic surgeon who has a lot of experience in breast reconstruction after mastectomy.Hope that helps.
Helpful 1 person found this helpful
April 6, 2018
Answer: Implant type Dear YRBlessed,I recommend you have this discussion in person with a plastic surgeon because everyone's breasts are different but generally speaking the shaped gummy bear implants will allow more upper pole breast fullness but can diminish the amount of cleavage. I typically don't recommend these unless you have very small breasts to begin with or have had a mastectomy. I see no advantage to a round form stable implant. Generally if you want a round implant its best to not go with a form stable implant to allow more natural look and feel. Form stable implants are much more firmer. I carry all sizes and types of implants in my office to allow my patients to get a better sense for their implant choice. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful 1 person found this helpful
April 6, 2018
Answer: Implant type Dear YRBlessed,I recommend you have this discussion in person with a plastic surgeon because everyone's breasts are different but generally speaking the shaped gummy bear implants will allow more upper pole breast fullness but can diminish the amount of cleavage. I typically don't recommend these unless you have very small breasts to begin with or have had a mastectomy. I see no advantage to a round form stable implant. Generally if you want a round implant its best to not go with a form stable implant to allow more natural look and feel. Form stable implants are much more firmer. I carry all sizes and types of implants in my office to allow my patients to get a better sense for their implant choice. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful 1 person found this helpful