Natrelle Inspira implant versus the regular Natrelle implants. Which is best?

Question

From what I understand, in Canada we have the option of the Natrelle Inspira implants. Are they any different than the "regular" Natrelle implants?

John L. Burns Jr., MD · Answer

Inspira is the newest generation cohesive silicone implant from Allergan.  The Inspira implant has a higher gel fill ratio than their older lines:  Style 10, 15, and 20.  The higher fill ratio gives a rounder look with less rippling.  They have recently come out with the Inspira Cohesive which combines the form stable gel of the 410 implant for the Inspira implants.  This allows the gel to hold its shape in the upper pole giving more upper pole fullnes than the traditional Inspira implant.

Martin Jugenburg, MD · Answer

Inspira are similar to the previous Natrelle implants but come with a more cohesive gel, less rippling, and a wider selection of sizes.  Have transferred to Inspira over a year ago because of these advantages, and I like using them.

Jerome Edelstein, MD · Answer

It depends on what your goals are. Inspira implants are filled more fully so they are a little firmer than Natrelle implants. This is to reduce the risk of rippling.

Susan Buenaventura, MD, FACS · Answer

The inspira implants by Allergan will be fuller, and if used with the highly cohesive gel will give more volume/projection.   They are available in US as well.  It depends on your aesthetic goals as to whether it is right for you.   I would compare it to the higher profile implants with more projection as opposed to the anatomic implants with less upper pole volume.

Ziyad Hammoudeh, MD · Answer

The regular Natrelle implants (style 10, 15, 20, 45) are round implants made by the same company (Allergan) and have the same type of moderately cohesive (non-gummy bear) silicone gel as the Natrelle Inspira Responsive implants.  The only difference between these implants is the fill ratio of silicone.  The regular Natrelle implants are 84% full with silicone while the Inspira implants are 95% full with silicone.  The greater fill percentage of the Inspira implants creates less rippling and a more full, attractive appearance of the breast compared to the regular Natrelle implants.  For this reason, most surgeons using Natrelle implants have transitioned to using Inspira responsive gel instead of the regular Natrelle implants.  The Inspira Responsive implants became available in the US by FDA approval in February 2015 with a smooth shell and June 2015 with a textured shell.
In September 2016, Inspira implants became available by FDA approval in a highly cohesive (gummy bear) silicone gel, which was named Inspira Cohesive.  The Inspira Cohesive implant has the same gel as the Natrelle 410 anatomic (tear-drop shaped) implant.  In January 2017, Inspira became available by FDA approval in a softer highly cohesive silicone gel, which was named Inspira SoftTouch.  Therefore, there are now many different implant options by Natrelle, each with its own advantages for use in breast surgery to fit each patient's unique characteristics.
Ziyad Hammoudeh, MD

Josh Waltzman, MD, MBA · Answer

Inspira implants and regular Natrelle implants are very similar.  They both contain the same type of silicone.  The difference is that the Inspira implants have a high fill ratio.  This is best shown if you take two implants of the same size, one Inspira and one Natrelle, and set them next to each other.  The Inspira implant will appear "fuller" and with less wrinkles or ripples in the shell.  I have transitioned almost completely over to the Inspira version of the implant.  I have found my patients to be very happy and get beautiful results.  Best of luck!

Michael B. Tantillo, MD · Answer

Inspira implants are round implants with a more cohesive gel than the "regular" Natrelle round implants - style 10.15, 20, 45, 110,115, 120.  They are round impants with gel of the shaped (410) implants.  The inspira line comes in smooth and textured.

Natrelle Inspira implant versus the regular Natrelle implants. Which is best?

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