Best, most natural feeling implant; what one is the best? Mentor, Natrelle or Sientra? (Photo)

Question

I want to know what one is the most natural feeling and natural looking. Please tell me all the pros and cons of the different brands and what one you reccomend most (please go into detail about this). What one has the least complications and usually last the longest? Thank you! (:

Kirk Moore, MD · Answer

Most surgeons have there own preference, but after years of trying all 3 major brands, I can tell you that by far the best one I've used so far is the Sientra 'gummy bear' implant. It's also about planning. And your own body measurements, but implant to implant, the best one I've seen is the Sientra 5th generation silicone implant. It has the lowest rupture rate and the lowest capsular contracture rate, especially when textured implants are used. Best wishes.

Marshall T. Partington, MD, FACS · Answer

It
is not our role in real self to promote specific products. Having said that, I
use Sientra.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question.  For the most natural feeling implant, I suggest that you go with silicone as compared to saline.  During a consultation with a board certified plastic surgeon, you should be given the opportunity to do a more in-depth analysis of implant manufacturers as well as the implant size to determine what would look most natural on you.All the best,Dr. ResultsMiami, FL

David S. Motoki, MD · Answer

The general consensus is that silicone gel implants feel more natural than saline implants. As to which brand of silicone gel implants feel more natural depends on the individual. You should arrange for a consultation so you can feel the implants and learn more about breast implant selection and the procedure for placing the implants.

Sugene Kim, MD, FACS · Answer

Hi, alikatt36.  All three implant companies have good implants - they are well studied and they are safe.  The fill volume (within the implant shell) is different and consistency is slightly different. It depends on what kind of "feel" you like the best.Each implant company will say that their implants are the best.  However, there has not been a randomized study to compare different implant companies at the same time.  Good luck with your search.

Terrence Murphy, MD · Answer

I typically spend 10 minutes during a consultation reviewing the pros and cons of each type of implant. The better question is "which implant is best for me?"  Basically all of the available implants have good safety profiles. The decision as to which implant us best for you is a balance of feel versus shape and longevity. I find that once my patients sit at my desk and feel each plant their decision is easier. Seek out a surgeon who will allow your to feel implants to make your decision easier.

Tom J. Pousti, MD · Answer

Thank you for the question.All three companies are reputable with good products (similar characteristics and warranties).  Every patient's anatomy and goals are different;  each patient may  benefit from the use of a specific size/profile of breast implant. In my practice, I have used  breast implants from all 3 different breast implant manufacturers with very "natural looking" outcomes.Ultimately, more important than the specific breast implant company utilized will be careful selection of your plastic surgeon. Careful preoperative communication, careful intraoperative sizing ( including the use of temporary sizers and dimensional planning/measurements)  and careful execution of the procedure will be key.  Generally speaking, much of the final look and feel achieved after breast augmentation surgery depends on several factors:

1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal.

2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.

3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. In other words, if a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.

4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” etc
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. I hope this, and the attached link (dedicated to breast augmentation concerns), helps. Best wishes.

C. Bob Basu, MD, MPH, FACS · Answer

First, I would suggest you consider a silicone implant to achieve the most natural look and feel.   In terms of implant size, generally speaking I consider two 
factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional
 planning – The measurements of your chest wall are taken. Also, the 
breast dimensions including the height, width, and current dimensions of
 each breast form the basis of dimensional planning. Based on these 
measurements, the implant size is recommended. This will give you a 
unique breast implant that is suited for your body frame. However, there
 are some limitations of what size we can recommend. For instance, some 
implants may just be too big for a narrow chest wall. Your surgeon can 
review this with you during the consultation.Gel Implant Sizing 
system – During the preliminary breast implant consultation, you will be
 provided with an option to “try on” a variety of implant shapes and 
sizes. You can also visualize the possible outcomes of your surgery 
which helps you to get that perfect size to give you the shape that you 
longed for. This way your preferences are known and you can then pick a 
range of implants that will “fit” just right to give a soft natural 
fuller look. Hope this helps.Dr.BasuHouston, TX

Brooke R. Seckel, MD, FACS (retired) · Answer

Your most important decision is the choice of your surgeon. All FDA approved silicone breast implants are soft. Find the best surgeon you are comfortable with and let the surgeon use the implant he or she is most comfortable with.

Ronald V. DeMars, MD (Retired) · Answer

For the most natural feel, silicone iws vastly superior to saline. I personally like the Sientra product but I am sure you will find each surgeon has their own favorite so hard to say one is better.

Best, most natural feeling implant; what one is the best? Mentor, Natrelle or Sientra? (Photo)

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