I hate these Natrelle 410cc's; I am regretting changing and wish I went with silicone rounds. How long should I wait? (Photos)
Doctor Answers 9
I hate these Natrelle shed breast implants. = Consider sientra round implants #breastimpants #gummybearimplants
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.
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Timing of revision surgery
Breast Implants / Breast Augmentation/ Breast Fat Transfer/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery
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!
Board Certified Plastic Surgeon
Director-Beverly Hills Breast and Body Institute
Time for a Revision
Wishing you all the best,
Steven Camp MD
How long to wait before undergoing additional breast surgery?
Although I cannot provide you with specific advice, some general thoughts may be helpful to you. You may also find the attached link, dedicated to revisionary breast surgery (specifically breast implant rippling/palpability) concerns, helpful to you as you learn more.
Palpability and rippling of breast implants may be related to several factors. These include the amount of soft tissue and breast tissue coverage over the breast implants, the position of the breast implants (submuscular versus sub glandular), the type of implants (saline versus silicone), and the degree of overfilling of saline filled implants.
Correction of the rippling may involve further surgery including implant pocket exchange if possible (sub glandular to submuscular), implant exchange if possible (saline to silicone), and/or the use of allograft to provide an additional layer of tissue between the implant and the patient's skin. Specifically, given your photographs and concerns, I would likely recommend the use of acellular dermal matrix if I were seeing you in my practice.
I hope this, and the attached link, helps. Best wishes.
Time after implant exchange
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!