Round or ergonomic Motiva or Mentor?

Question

I’m getting a capsulectomy with 20year old implants replaced and I don’t know whether it would be better on balance to choose Motiva round mentor round or Motiva ergonomics in order to reduce the risk of contracture, and also rippling as I have very little natural breast tissue. i like the softness of Motiva ergonomics so I can partner dance without feeling terribly self conscious about how firm my breasts are. But am I likely to get a lot more rippling ?

Mats Hagstrom, MD (license on probation) · Answer

Without seeing pictures, we can’t begin to make an assessment. Implant selection is something you need to do with your provider.
If you feel like your provider, isn’t guiding you through the process correctly, then consider getting a few in person second opinion consultations.
It would be inappropriate for us to tell you which implants to use.
Each provider will have their own way of helping patients or guiding the patients through the implant selection process.
Some providers ask patients to choose the implant with guidance. Other providers will make the final decision based on having a clear understanding of what the patient is hoping to achieve.
There are certain known causes or ideologies for patients developing capsular contractions.
It would be helpful to have complete information in order to understand what the most likely reason for your capsular contraction is.
Typical reasons for capsular contractions, include ruptured, silicon, implants, bleeding during surgery with blood left around the implant during the healing process, or contamination staphylococcus epidermidis of the implant. This bacteria is very slow growing, cannot be diagnosed on standard tests and cannot be treated with antibiotics.
It is one of the more common reasons one patients have recurrent capsular contractions, that keep recurring again and again.
Best,
Mats hagstrom MD

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