What is the difference (if any) between Natrelle Soft Touch, Responsive and Cohesive implants?

The difference between these implant types is the cohesivity (basically, the firmness) of the gel. This affects three main things for you--the feel, the risk of rippling, and upper pole fullness. The responsive is the softest of the three to feel, but has a higher risk of rippling and gives less upper pole fullness for a given shape and volume. Cohesive is the firmest to touch (some people feel it's too firm), has the lowest risk of rippling, and gives the most upper pole fullness for a given shape and volume. Soft touch is between the two of these, and in my experience it often is the sweet spot for decreased rippling and a great shape and feel for primary breast augmentations, especially with little breast tissue. The two Sientra gels (HSC and HSC+) are also in between Responsive and Cohesive in firmness. Hope this helps!

Thanks Bigtittygothgf for your question! Natrelle offers three main types of silicone gel breast implants, each differing in the cohesivity (or "gumminess") of the gel:
Natrelle Inspira Responsives: are the softest to the touch since they have the lowest cohesivity. However, because of their lower cohesivity, they are somewhat more slightly likely to tear, particularly in thinner tissue. Furthermore, in comparison to the other two varieties, they could provide less fullness in the breast's upper pole.
Soft Touch Natrelle Inspira: These implants offer a balance between softness and firmness. They offer good upper pole fullness, guaranteeing a natural-looking form, and they are less likely to ripple compared to responsive implants.
Natrelle Inspira Cohesive: Patients with thinner tissue benefit greatly from these implants since they have the maximum cohesivity, which makes them feel the firmest to the touch, and the lowest chance of rippling. They give the best fullness to the upper poles, which also results in a well-defined breast form.
Selecting the Appropriate Implant:
A number of variables, such as your preferred form, tissue quality, and personal preferences, will determine which implant is ideal for you. To discuss your objectives and choose the best implant type for you, it's imperative that you speak with a Board-Certified Plastic Surgeon.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian
TRIPLE Board Certified Plastic Surgeon

Thank you for your question about Natrelle breast implants.

Responsive, Soft Touch, and Cohesive are the three types of silicone or gel that are available with Natrelle implants. Each type of these types of implants have a different level of cohesivity, or what surgeons may refer to as gumminess.

The Natrelle is also a great website full of resources and education.

I hope this helps.

Hi,
Natrelle has three different implant types, Responsive, Soft Touch, and Cohesive. There is more crosslinking in the gel in the cohesive as opposed to the other two. The more cohesive the gel the firmer the implant and more upper pole fullness in that particular gel. We often say "more gel in the shell" to help patients visualize this better. All three styles are considered "gummy bear". Often, surgeon preference dictates what she or he will use in a patient. Some surgery offices will have different samples of these three gel styles to allow you to feel the difference in each. Make sure all of your questions are fully addressed by your surgeon prior to surgery. Best wishes,
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

The difference between responsive, soft touch and cohesive implants is the thickness of the gel (or viscosity). This translates to 'firmness' of feel. The responsive will feel the least firm of the three and the cohesive will feel the most firm. This will also translate to risk of rippling. The least viscous of the three, the responsive type, will have a slighty higher risk of visible rippling than the other two types.

Dear bigtittygothgf
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The difference in the three implants are increasing cohesivety of the gel. The most cohesive is usually reserved for breast reconstruction. The Response and Soft Touch are the softest and middle firmness, respectively. If you are going for the round "augmented look," then the soft touch might be the better option. If you are looking for "natural results," then the Response should work just fine. You should not experience much rippling with silicone gel.

The difference between the 3 types of implants has to do with how responsive or stiff the silicone is. Cohesive implants have the stiffest of the 3. That means the gel in the upper portion of the implant is less likely to move. The Soft Touch implants are the second stiffest. The silicone in the upper portion of these implants will move down slightly in time. Finally, the responsive implants' gel moves down the most. It is designed to imitate a patient's natural breast tissue in that the upper pole will eventually drop in time.

Thank you for your question. The difference between these implants effectively are softer and harder by feel with the cohesive implants being the hardest and having the least amount of ripples. It is best to see your surgeon and ask him or her to feel the difference between these implants. You should consider the cohesive implants especially if you’re worried about rippling and have a little coverage.

The three types of implants you referenced are all silicone, but the responsive is very soft, soft touch is medium soft, and the highly cohesive is the firmest or least soft. When you hold these implants upright they tend to take a little bit different shape with the responsive gel creating more of a teardrop shape. This may influence your Plastic Surgeon do use this implant based upon your discussions about shape you may have had.
The only other difference is the price, the responsive gel is the least expensive of those three. Best of luck! Dr. Boschert