Is Natrelle Inspira Round Textured the Best Implant Choice for a Very Thin Woman? (photo)

Hi there-

In my opinion, there is absolutely NO advantage to the use of a textured device in your situation. 

On the other hand, the textured surface will greatly elevate your risks of visible rippling and the ability to feel the implant through your skin.

Modern silicon implants (from either manufacturer) are more likely to give you the natural, lovely result you desire.

I'm sure you'll get multiple different recommendations.  However, both Mentor memory gel and Allergan Inspira implants are good quality products, with excellent warrantees.  Many times, the shapes and sizes are very similar. It's a little bit like Coke vs. Pepsi.In general, we prefer the smooth implants rather the textured ones.The 280 - 310 cc sizes you have been recommended sound like they are in the right volume range, but only an in-person examination would be able to confirm this.All the best,

The Natrelle Inspira implants are not available in the US and just recently received Health Canada Approval. These have been available and approved in Europe and some other countries since 2006. They are different and in my opinion better than what we have had available before. The cohesive silicone gel filler material can be either a responsive gel (similar to Mentor Memory Gel or Allergan Natrelle TruForm 1Gel used in their Style 10, 15 and 20), or a much more cohesive gel consistent with that used in the Natrelle 410 Soft Touch implant.

The most important step is choosing a qualified Plastic Surgeon who has experience with all devices that they are considering and one who makes you feel confident and understood. The implant base width should be determined by your breast and tissue measurements and without these only general comments can be made. The sizes up to what has been recommended are for you seem suitable. A round implant placed in a sub-pectoral location has many advantages for your body/breast features.

Both Allergan and Mentor make excellent implants. With the addition of the Natrelle Inspira and the Natrelle 410, it is no longer reasonable to suggest that the two companies have product lines that are interchangeable. Texturing is different on these two implant brands and once again has pros and cons. Some Plastic Surgeons have a strong opinion on texturing and for the most part texturing is not commonly used in the US as the implants currently available do have a higher incidence of rippling when texturing is used. For highly cohesive gel devices like the Natrelle Inspira and Natrelle 410, texturing has not increased the rate of problematic rippling and can now be considered when other properties are required. 

Sounds like you are on the right track but need to ask a few more questions to the Plastic Surgeon of your choosing.

Regards,

Dr. Mosher

Textured implants are best when your surgeon is "forced" (by anatomy, prior surgery, or patient specifics) to go above the muscle, as the texture may help to minimize the potential for capsular contracture. Positioning the implants behind the breast may expose the implant surface to bacterial contamination from the breast ducts, and lead to a higher risk of capsular contracture. That is why the majority of plastic surgeons now utilize a submuscular approach for most (not all) patients.

I too agree that implants by either implant manufacturer are excellent. I would, however, recommend smooth round implants placed behind the muscle, regardless of manufacturer. Profile is determined by your desired size, and your own breast base measurements.

For more information, read the link below. Good luck and best wishes!

Both Natrelle and Mentor implants provide implants of excellent quality, durability, and of various sizes and shapes. What is more important than focusing on the exact type of implant p, size, and shape, is choosing an experienced plastic surgeon who can show you his before and after gallery that you like.
Looking at the picture you posted I notice your breasts look vertically long but with a narrow width and sizeable space between them. When choosing an implant who's diameter is greater that the width of your breast will likely result in a visible distinction between the implant and natural breast tissue. I would be careful to avoid trying improve your cleavage by using a larger/wider implant who's medial border would extend past the medial border of your natural breasts.

Sincerely,

Martin Jugenburg, MD

For a thin patient with little breast tissue who wants a small augmentation and a very natural look, I typically recommend an anatomic (tear-shaped) breast implant.  This offers a more natural, gradual slope from the chest wall to the most projecting point on the breast compared to a round implant.  I also prefer the subfascial (above the muscle but below the muscle lining) approach that allows for better cleavage and avoids the animation deformity that occurs with subpectoral (under the muscle) approach.  The subfascial plane works well with anatomic tear-drop shaped implants in appropriate patients because the anatomic implants are highly cohesive, which resists rippling.  Inspira implants are round with different cohesive silicone gel options that work well in patients that prefer a round look. I prefer textured implants in both round and anatomic shapes.  I would recommend an in-person consultation to allow for a thorough physical examination, detailed discussion to better understand your goals, and to make further recommendations to achieve the natural look you desire.
Ziyad Hammoudeh, MD 

Based on the photo you provided it sounds like you are getting good recommendations in terms of implant size.  Both the Inspira and Memory Gel are very similar implants, and no one (not even plastic surgeons), would be able to tell which type of implant you have.  Textured or smooth in an issue of surgeon preference.  I personally really like the fill ratio of the Natrelle Inspira.  I think it provides a very nice full shape with minimal rippling.  You can minimize the fake rounded shape by placing the implant partially under the muscle and choosing an implant with more of a moderate projection.  Best of luck!

There is no advantage to textured implants in your case and you will probably will want to maintain smooth round implants. Both Mentor and Natrelle make good implants so an in person exam and consultation will determine the appropriate size and profile for you. Consult with 3 - 4 experienced and expert board certified plastic surgeons to explore your options.

Thank you for the question and pictures.


Communication with your plastic surgeon will be key to achieving the results you are looking for. Unfortunately, the use of words such as “I really want a natural look" means different things to different people. In other words, what you consider to be natural may not be what your plastic surgeon considers to be natural looking.




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




In my practice I use goal pictures to communicate with patients.  With this technique patients are able to demonstrate what they are trying to achieve and what type of looks they do not like as well. 
I also use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 





Generally, your choice of surgeon will be a more important factor in determining the end result than the specific type of implant used.  I personally  prefer smooth implants for most patients.




By the way, the most common regret after this operation, is “I wish I was bigger”.




I hope this helps.




 

Hi.

1)  As you can see there is disagreement among surgeons, and that is very confusing to women.  I can only tell you what my fairly long experience has been.  Textured implants have no advantages, and several possible complications, such as rippling and flipping around.  Most plastic surgeons use  smooth implants.

2)  300 cc's may be a little large for what you want.  It is best for the surgeon to make the final decision during surgery, after using sterile sizers.  Then there is no guess work and you will have a natural looking result.