Mentor 475cc Silicone Moderate Plus Profie or Sientra 510cc Implants Silicone? (photo)

It never hurts to compare
brands and sizes when trying to determine which implant will work best for your
body. Both Sientra and Mentor offer high-quality implants, and ultimately the
results are very similar. That said, Sientra is becoming increasingly popular
and is used and recommended by surgeons across the country for its reduced risk
of capsule formation, decreased chance of rippling and decreased risk of gel
leakage. Show your surgeon photos of your ideal breast appearance so that he or
she can help you decide on the right implant type and size for your body.

Every implant manufacturer has a variety of implant sizes, profiles, projections and contours.  This is great for surgeons as we have many options to choose from, though can be confusing to patients. It is important to fill the breast pocket (width) with the appropriate implant so cleavage and "side boob" is ideal.  Sientra offers implants that are have a slightly different base width and projection than Mentor which is why the size or cc's vary a bit.  Once you get to the size you are considering, 50 cc's, or 10% is not a huge difference.  At this point it is probably best to feel the implants to determine the implant you like best.  You can't go wrong with either.  They will be very similar in look so it comes down to which implant you think feels best.  We use primarily Sientra implants in my practice and my patents are thrilled. 

Thank you for your question. As long as your surgeon is going off of our
base diameter (as it sounds he/she is) then you should be happy with both. The Sientra are a bit more narrow than the
moderate profile Mentor. The difference
between the two (35cc) is so small when you are looking in the 500cc range that
one could be in one side and one in the other and you probably wouldn’t notice
the difference. This being said the
Sientra tend to have a bit more projection than the Mentor. Good luck!

The goal of breast surgery is to have beautiful breasts.  Beauty is determined by several factors including symmetry, skin tone, position of breast on the chest wall, cleavage, projection and least of all volume.  The best implants are small silicone gel placed retro-pectoral since they look and feel more natural, are stable long term, less likely to ripple or have complications needing revision.  A 500 cc implant retro-pectoral would extrude inferiorly and laterally requiring revision.  I recommend a new techique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.  Through the same incision, an implant can be placed.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant.  Larger volume implants descend, lose projection and require revision.

 

Best Wishes,

Gary Horndeski, M.D.

In my video I discuss why Sientra implants are a great choice for patients. Hopefully this help guide you to correct choice.