Rippling: what is better at showing less rippling (for a very thin build , under the muscle) -Mentor or Natrelle?

Question

Since I'm very thin and have very little breast tissue / looking to get around 300cc silicone , under the muscle / what do you suggest is a better brand to reduce the chance of showing rippling between mentor and Natrelle ?

Nelson Castillo, MD · Answer

Thank you for sharing your question. I would advocate for a thicker cohesive gel implant from the Natrelle brand line. Hope this helps.

Martin Jugenburg, MD · Answer

Both Mentor and Natrelle offer high-quality implants, but there are subtle differences that might influence your choice.

Rippling occurs when the implant's edges become visible under the skin, often due to insufficient soft tissue coverage. This is more common in individuals with little natural breast tissue, as the implant sits closer to the skin's surface. Factors contributing to rippling include implant size, placement, and shell texture.

Mentor vs. Natrelle: A Comparison
-- Shell Thickness: Mentor's cohesive gel implants generally have a thicker shell compared to Natrelle's. A thicker shell can provide more support and may reduce the likelihood of rippling.
-- Gel Cohesivity: Both brands offer cohesive gel implants, which are designed to maintain their shape and reduce the risk of rippling. Mentor's MemoryGel and Natrelle's Inspira implants are examples of cohesive gel options.
-- Projection Options: Natrelle offers a wider range of projection options, which can be beneficial in achieving a more natural look, especially for individuals with minimal breast tissue.

Recommendations 
For individuals with a thin build and limited breast tissue, a cohesive gel implant with a thicker shell and appropriate projection is advisable to minimize the risk of rippling. Both Mentor and Natrelle offer implants that meet these criteria.

However, considering your specific anatomy and aesthetic goals, a detailed consultation with your surgeon is essential to determine the most suitable implant for you. Check out the supporting link for this answer!

William Andrade, MD · Answer

Thank you for your inquiry.  To my knowledge there aren't many high quality studies examining which implant company causes less rippling when the implants are actually inserted into a patient.  However, when the implants are examined side by side, they do have a different feel.  Also, both companies have more than one line of breast implant so any comparison would depend on the exact line chosen from each company (for example, Natrelle comes in three styles, "responsive", "soft touch" and "cohesive", which all have a different feel and ability to hold their shape).  I have used both company's implants extensively and in my experience the risk of rippling has more to do with other factors like the amount of tissue covering the implants, size of the implants relative to the patient's breast size, pocket chosen, etc.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Regarding visible and palpable rippling - 
In his June 2020 study, "Prospective Study of Saline versus Silicone Gel Implants for Subpectoral Breast Augmentation", Dr. Eric Swanson proved- Saline and silicone breast implants produce similar degrees of rippling, as determined on outcome surveys and ultrasound examination.
This was in the journal 
Plastic and Reconstructive  Surg Global Open
. 2020 Jun 4;8(6):e2882.  doi: 10.1097/GOX.0000000000002882. eCollection 2020 Jun.  DOI: 10.1097/GOX.0000000000002882 Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Donald R. Revis Jr, MD · Answer

Good afternoon,
I perform over 600 augmentations a year, and have been doing so for 22 years of private practice. I prefer Mentor implants- in my opinion they are a better company, with a better product, better track record, better warranty, better people, and better customer service. However, does one ripple more or less than the other when properly placed under the muscle? Absolutely positively not- and don't let anyone tell you any differently because it's just not true.

Gerald Minniti, MD, FACS · Answer

Although firmer, highly cohesive gel is your best bet at combating rippling. Mentor does not make a highly cohesive round implant.

Daniel Barrett, MD · Answer

Dear Thrifty410180,
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

Connie Hiers, MD, FACS · Answer

Both brands are excellent implants, and silicone is much better in avoiding ripples than saline. Fat transfers can also be helpful to give more tissue to cover implant edges.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!The silicone gel and polymer shell of Mentor and Natrelle implants are not much different. Allergan offers more choice of implant projection, while Mentor offers a better range of size. Rippling may occur if the breasts are relatively small and / or if the implants are placed above the muscle, and if saline implants are utilized.Both Mentor and Natrelle brands of silicone implant will be satisfactory in minimizing the risk of rippling.Best wishes...

Rippling: what is better at showing less rippling (for a very thin build , under the muscle) -Mentor or Natrelle?

Answers (9)

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