Do Highly Cohesive Implants Feel Natural on the Inside and from the Outside of Your Body? Mentor vs. Natrelle vs. Sientra

The Sientra implants, when placed retro-pectoral, look and feel natural and are less likely to ripple.  The edges are not palpable and patients are comfortable with them.  Patients have problems with implants when physicians place larger implants then they can accommodate.  This results in inferior and lateral extrusion of the implant below the edge of the pectoralis major muscle, which results in rippling and palpable edges.  Unfortunately, you have not provided any photographs but you may require a simultaneous lift to allow the implant to be placed totally sub-pectoral.  There is a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to place the implant, reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant.  In the retro-pectoral position, the implant profile is irrelevant since the muscle compresses it.    

 

Best Wishes,

Gary Horndeski, M.D.

Speaking from my own personal experience with these implants - assuming you are a good candidate for form stable implants, cosmetic results can be excellent. I have found the Sientra line to be softer with more projection than the Allergan line.