Do you see a substantial difference in the Natrelle SCF and SSF?

Question

Other than the fact that the Natrelle scf is more cohesive (and slightly firmer) than the Natrelle ssf, do you see a big difference in patients that chose one style over the other? Will paying extra for the scf reduce the chances of rippling so much that it would be better to go with the scf instead of the ssf? My surgeon said either would be good I just want to hear what others have to say.

Dallas Buchanan, MD · Answer

Thank you for this really great and nuanced question. The bottom line is that even though there are some subtle differences in the implants when looking at them side by side, in reality when placed in surgery, the differences are very small. The SCF implant will be the least rippled and will hold upper pole shape the best, but will also be firmer and have less projection in the lower pole. I usually prefer this implant for patients who are very thin and we want to avoid ripples at all costs as well as patients who want to prioritize upper pole fullness. However, I have had patients with this implant where the implant can flip from front to back but this is rare in cosmetic breast cases. With the SSF, the implant is slightly softer and ripples just a bit more, while also providing more projection in the lower pole of the breast. This is a good implant for patients who are having trouble deciding because it is a "middle of the road" type implant in terms of benefits. 
In the end, you will likely be very happy with either choice as long as you have a board certified plastic surgeon helping you through the implant selection process.
Hope this helps!
Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Brian K. Reedy, MD · Answer

Thanks for your question!  I use a lot of the SS model and not as much of the SC.  I think the fully cohesive tends to be a little bit too firm for the cosmetic patient and the SS is a nice alternative with very little rippling.  Good luck!

Frank Agullo, MD · Answer

There is less chance of rippling with the more cohesive implants. Depending on your physical exam, the two implants might be good options. If your implants are going to be placed under the muscle and you have a good amount of breast tissue (more than 2 cm when you pinch your breast) and you plan to maintain your weight within 5 pounds, then both implants would give you similar results.#StayBeautiful #RealDrWorldWide

David Finkle, MD · Answer

I agree, silicone implants wrinkle and ripple less than saline.  I have not noticed any less wrinkling with the firmer silicone vs regular silicone gel implants.Good luck!

Francis (Frank) William Rieger, MD (retired) · Answer

I think that this is a good question and would be very comfortable in telling you that there isn't a great difference that you might notice.  The most cohesive implant(SCF) would have the least chance for rippling of the two, but both implants are superior to a saline style of implant .  The differences are only of any importance in the very thin patient with most limited breast tissue.  Use the advice of your Plastic Surgeon to guide your decision.Good luck to you!Frank Rieger M.D.  Tampa Plastic Surgeon

Do you see a substantial difference in the Natrelle SCF and SSF?

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