Mentor gummy bear implant vs. Mentor round, smooth and overfilled implant?

Hello,Your initial reconstructive surgeon is familiar with what the rest of the world uses most: shaped and textured implants. Your new surgeon is more in line with 90% of American surgeons: round and smooth, it's all they really know. You are incorrect that your shaped implant is to blame for your lack of cleavage; that's a common misconception proliferated by surgeons, along with the opposite assertion that round and shaped implants give the same results; the truth is that it's not that simple or black and white. Simply overfilling an implant like the new Mentor model does not necessarily make things better, and in fact this new 'x' model from Mentor ripples just sitting on the table top; I must say it was a disappointment when the rep brought it by for me to see. If you were to change your implants to round and overfilled, I would steer you towards a more cohesive Inspira implant, however I think a more cohesive shaped gummy bear implant like the Natrelle 410 in a larger size will ripple less and give you more cleavage. Best of luck!

If you like the shape you are now then I would avoid changing the implants.  I would try to do some fat grafting if you have donor sites available.  A round implant will make you look different and I am not sure the rippling will be any different.  The space between your breasts can be minimized by a wider implant. For more upper pole fullness/cleavage will be obtained with a rounder implant. 

Unfortunately,
you have not provided photographs.  It is
very difficult to create cleavage using implants.  Other alternatives to consider are autogenous
reconstruction or a breast lift.  You
have so many choices but it is difficult to advise you without more
information.Best Wishes,Gary Horndeski, M.D.

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.

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

If your concern is to have cleavage, then I would probably recommend a high profile implant and maybe going larger. 

I would only add to the recommendations that were made below by saying that you might discuss the option of fat grafting to your breast with your plastic surgeon. This may help to reduce rippling and may provide some improvement in your cleavage. Best wishes,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, CaliforniaIG: jonperlmanmd