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

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!