I hate these Natrelle 410cc's; I am regretting changing and wish I went with silicone rounds. How long should I wait? (Photos)

Question

I previously had saline implants. Rippling and bottoming out after 7 years caused me to revise with Naterelle 410s. I hate them, still rippling and now I feel like I'll never be able to wear a normal bra again because they don't move. I don't know how long to wait before revising again. My plastic surgeon says that I'm too thin to fat Graft, but I'm 5'2" and 105-ish and I feel like there's enough fat to improve upon the rippling. He didn't think Strattice would be worth the expense.

John Mesa, MD · Answer

In the world of silicone breast implants, there are two type of implants: round and shaped .Shaped implants are the new type of implants that have a tear drop shape and give a "natural" shape to the implants. However,  the term "natural" doesn't mean that is what the patient in the United States wants.In the US, most of the patient want to have a Pamela Anderson or nowadays Nicky Minaj or Sofia Vergara breast look: a lot of upper pole fullness, This is only achieved with round implants. The shaped implants, since they give an smooth transition from the chest to the breast, they don't give an upper pole fullness. Shape implants are common Europe. However, in the US they are not as popular since they don't deliver the type of breast shape the US patients wants. In my practice I recommend the brazilian gummy bear breast implants made by sientra. They come in both shape and round shape, but I only use round ones. They give excellent upper pole projection and they have minimal risk of rippling even in thin patients.Patients interested in breast implant revision/exchange should  ideally wait at least 6 months to a year to undergo the procedure.

David R. Alfonso, MD, FACS · Answer

If your implants are above your muscle, which appears to be the case, there is very little you can do to hide the rippling. Fat grafting can help but you don't appear to have much extra fat. Overall I think your result is good and you may have to live with some degree of rippling given how thin you are

Matthew H. Steele, MD · Answer

Thank you for your question and photos.  I am sorry you are unhappy with your last procedure.  You will likely get different answers, but I think waiting about 6 months is reasonable.  You are thin, so you do want to confirm that your implants are under the muscle.  This will add tissue coverage along the upper breast.  Strattice, Alloderm, or Seri are all products that could potentially be utilized to add coverage over the implant.  You may wish to get a second opinion if your surgeon does not wish to consider a tissue product.  Also, fat grafting may be an option, but there is still some concern regarding the safety of fat for purely cosmetic purposes.  Good luck.

Jaime S. Schwartz, MD, FACS · Answer

Thank you for
your question.Best to wait 6 months to 1 year for a revision surgery.

The best way
to assess and give true advice would be an in-person exam.

Please see a
board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.Best of luck!

Dr. Schwartz

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Manish C. Champaneria, MD · Answer

Thank you for your question and for the photographs.The minimum amount of time I advise my patients to exchange breast implants is 6 months. This amount of time help reduce the swelling and allows time for the tissue to relax. With Natrelle 410s, they take about 6 months to 1 year to settle, and require more patience than the round implants. Based on your photographs, you do not have enough fat for a fat graft.Continue close follow-up with your surgeon. Best of luck!

I hate these Natrelle 410cc's; I am regretting changing and wish I went with silicone rounds. How long should I wait? (Photos)

Answers (9)

Answer: Breast Implants / Breast Augmentation/ Breast Fat Transfer/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery

Answer: Breast Implants / Breast Augmentation/ Breast Fat Transfer/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery

Answer: Time after implant exchange

Answer: Time after implant exchange

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

I hate these Natrelle 410cc's; I am regretting changing and wish I went with silicone rounds. How long should I wait? (Photos)

Answers (9)

Answer: Breast Implants / Breast Augmentation/ Breast Fat Transfer/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery

Answer: Breast Implants / Breast Augmentation/ Breast Fat Transfer/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery

Answer: Time after implant exchange

Answer: Time after implant exchange

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.