Which implants to choose - round or anatomical?

Mentor implants have been occupying first positions in the rankings in the field of endoprosthetics for decades. Many women are concerned about the issue of beautiful breast shape, and to achieve their goal they resort to breast correction. Mentor is an American company that offers implants for surgical interventions, with the use of which it is possible to achieve natural body contours. Each patient can choose the appropriate implant shape and size.

Implants Mentor

The year of foundation of the corporation is considered to be 1969; today the company has branches in several dozen countries around the world, and the products of this brand are accepted as the standard of quality throughout the world.

What types of Mentor implants are there?

The best way to recreate the profile of a woman's breast is with anatomically shaped implants - round or in the form of a drop; these are the types of prostheses produced by the company, and they enjoy a well-deserved reputation among patients.

A wide selection of sizes and shapes allows even the most demanding patients to get what they need to solve the problem. Mentor's research laboratories are constantly improving the texture of implant coatings, which has a positive effect on the installation of prostheses. It is important that when the prosthesis is attached, fibrous tissue grows around it, which arises by combining artificial and natural structures of the body.

Mentor has a wide selection of implants with different sizes and shapes

In order for the implant healing process to occur as naturally as possible and complications to be avoided, there must be a special structure on the silicone surface of the prosthesis. This textured coating allows for perfect adhesion and significantly reduces the likelihood of developing contracture.

Important ! Product quality control is very high - new features are constantly being developed to improve the product.

For example, in 1985, the so-called Memory Gel with an extremely thick and viscous dense structure was invented. Its functionality is as follows:

• the ability to repeat the shape and elasticity of the mammary gland;
• complete safety for the patient;
• wonderful aesthetic effect.

Memory Gel stands out for its advantages

In order to provide assistance to those patients who have undergone mastectomy surgery, special expanders have been produced - these are implants created specifically for this purpose. So women who have survived the fight against a malignant tumor can now not only restore the gland itself, but also make its shape much more attractive.

Implants with polyurethane coating

The main difference between polyurethane-coated implants is the structure of their shell, which ensures reliable fixation of the implant and due to this:

• Implants with polyurethane coating are installed immediately as needed and there is no need to wait several months for them to fall into their natural position.
• Polyurethane-coated implants cannot move down or move apart several months or years after surgery
• Polyurethane-coated implants do not turn over
• Polyurethane-coated implants help cope with congenital deformities. For example, straighten asymmetrical, crooked or upward folds under the breasts and securely fix them in a new position.
• Polyurethane-coated implants help eliminate mild ptosis (sagging) and sagging breast tissue without unnecessary scarring.
• Polyurethane coating reduces the risk of seromas (fluid accumulations) around the implant both in the early postoperative period and several years later
• Implants with polyurethane coating do not interfere with active sports and do not limit the load on the hands
• Polyurethane-coated implants do not interfere with breastfeeding
• polyurethane-coated implants is much less common than textured and smooth implants
• Ripping (waves visible through the skin on the surface of the implant) is less common with polyurethane implants
• Polyurethane coating prevents the formation of a dense, hard capsule around the implant (contracture)

Implants with polyurethane coating have been produced since 1989, i.e. It is still a relatively new technology. And like everything new in surgery, it will take many years before polyurethane-coated implants occupy their niche.

Initially, polyurethane-coated implants appeared as a way to solve the problem of contracture and rotation (turning implants), and were used only for repeated operations, but over time, plastic surgeons began to notice other positive qualities of polyurethane-coated and use them immediately, without waiting for problems after installation of implants of previous generations.

Due to the quick and good fixation of polyurethane-coated implants , it turned out that it was possible to solve the problem of displacement of implants laterally (to the side and towards the armpit), downwards (on the stomach), and to eliminate synmastia (displacement of implants towards each other with the formation of a common cavity). Polyurethane implants allow for good (and most importantly reliable!) positioning of the submammary fold if it is necessary to move it, more clearly give the shape of the breast with various deformations, and compensate for moderate breast ptosis without additional scars. Many surgeons report a lower percentage of gray (fluid accumulation around the implant) in the postoperative period when installing polyurethane implants . Polyurethane implants have a greater chance of engraftment if there has already been polyacrylamide gel (it is impossible to remove polyacrylamide gel 100%) or rejection of silicone implants. Breasts with installed polyurethane implants are less prone to animated deformations (deformation and displacement to the sides when the pectoralis major muscles are tense), which makes polyurethane-coated implants more preferable for women actively involved in sports. The slightly different consistency of polyurethane implants reduces the frequency and severity of ripping (the visibility of waves on the surface of the implant through the skin in places where the thickness of the soft tissue above the implant is insufficient).

Currently, polyurethane-coated implants are increasingly being used not only for cases of implant replacement due to problems, but also in complex cases, cases of increased risk of problems, and even simply for prevention in relation to the occurrence of the problems described above.

The disadvantages of using polyurethane implants include the greater technical complexity of their installation. They need to be installed immediately as needed. Of course, polyurethane implants have no place in the hands of novice surgeons. The incision for installing an implant with a polyurethane coating is on average 0.5 cm larger than for a classic implant with a textured coating. It is extremely difficult to place a polyurethane implant from the axillary approach. The slightly different consistency and size range of polyurethane implants also adds complexity to surgeons who are accustomed to working with classic implants. And, of course, the price... The purchase price for clinics for polyurethane implants is approximately 2 times higher than for classic ones, which affects the cost of the operation, but is compensated by an order of magnitude reduction in the most common risks of breast augmentation with implants. A significant reduction in the number of problems after breast augmentation when using polyurethane implants compensates for their higher purchase cost, and allows you to keep the price of breast augmentation within an acceptable range.

So, what is a “ polyurethane implant ”. This is practically the same silicone implant, only in a different polyurethane shell , which during surgery is fixed to its own tissues and does not allow the implant to move/turn over and programs the formation of a different capsule structure around the implant, less prone to contracture. After several years, the polyurethane shell of the implant dissolves and the same silicone implant remains, but in a capsule with a different structure.

Implants with polyurethane coating are produced in the world by only two companies (Polytech and Silimed), which were originally one company Polytech - Silimed, but split up.

Polytech's production and headquarters are located in Dieburg, Germany.

The Silimed campaign is located in Rio de Janeiro, Brazil.

The lines of polyurethane implants from both companies have some differences in shape, size range and consistency, as well as in terms of warranty programs.

The ranges of sizes and shapes of both companies are very diverse. The differences in the shape of round implants from Polytech and Silimed are negligible. Differences in the anatomical shape are more significant; the differences are mainly in the shape of the upper slopes (the part of the implant that forms the décolleté area). It's up to who likes what more. With anatomical implants from Polytech, this part goes more in a straight line, creating a classic straight line of the neckline.

Anatomical implants from Silimed have forms of anatomical implants with a straight and even slightly concave upper slope (Natural and Enhance), but the Nuance form deserves special attention - anatomical implants with a convex upper slope, allowing you to create the effect of a full neckline.

Cost (price) of breast augmentation using polyurethane-coated implants

Sincerely, Your plastic surgeon, Natalya Vyacheslavovna Zelenova

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How it works?

A specialized silicone container containing physiological saline solution is inserted into the breast. Over time, the breasts gradually begin to recover.

As a rule, a special cohesive gel is used, the peculiarity of which is the ability to perfectly maintain its shape, it does not flow, and has a structure as close as possible to the natural one for the mammary glands. Depending on which model and size was chosen, the price is calculated. The plastic surgeon provides detailed consultation, helping to determine the most suitable shape and size. The patient is also involved in choosing the implant.

The implant contains a special cohesive gel

Important ! Round implants are not used so often - in nature, women's breasts usually do not have a perfectly round shape.

The following profile options can be installed:

• average;
• average+;
• high;
• super high.

After the silicone implant is installed, the breast shape becomes almost ideal. Typically, anatomical prostheses are recommended for women with a thin build and initially small breasts. In this case, they can usually recommend a drop shape - it looks more natural.

Depending on the shape of the breast, a specific type of implant is selected

Silicone implants give very good results. Here are the cases in which the use of these prostheses is useful:

• correction of asymmetrical breast shape;
• elimination of deformation that comes with age;
• correction after breastfeeding;
• aesthetic restoration.

There are a number of different contraindications in which the use of silicone prostheses is prohibited. These include:

• diseases associated with blood vessels and heart;
• history of allergies;
• respiratory diseases;
• diabetes;
• skin dermatological diseases directly on the chest;
• mastopathy.

There are certain indications for installing implants

How is the breast implant shell constructed?

The shell consists of several layers. This guarantees strength, eliminates “leakage” and even minimal evaporation of its contents. The surface of the implant shell can be smooth or rough.

For round implants this does not matter much, but for anatomical ones it is very important.

The rough surface prevents the implant from sliding and turning, keeping it in the correct position.

But not all textured (rough) surfaces fix the endoprosthesis in the tissues equally well. Implants from the world's leading manufacturers, used in the Doktorplastic clinic, are distinguished by good quality of fixation, so situations in which the implant moves are practically excluded.

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What are the main differences between Mentor implants?

Firstly, this is Siltex - it has a special moderate structure, which allows us to put an end to the debate about which surface is better - smooth or textured. Supporters of a smooth structure usually pay attention to the fact that an aggressive texture leads to unnecessary complications, and those who prefer a textured texture pay attention to the fact that in this way the prosthesis can be prevented from rotating.

Siltex shell is now often used in the production of implants

The texture of Mentor implants allows us to solve these problems - complications after the intervention are minimized, the implant takes root well, and the risk of side effects is minimal in comparison with analogues.

Important ! In addition, such a special shell allows one to avoid such a rare complication as rupture of the prosthesis.

Secondly, a special patented filling substance is used - Memory Gel. It allows the gland to recover instantly after any deformation (impact, compression). This substance has shaped memory, is integral and does not allow the filler to leak out of the prosthesis even if the shell is damaged.

Memory Gel

The successful combination of components in this gel when using various types of prostheses helped to expand the range of implants. Typically, a high-viscosity gel is used to create anatomical prostheses, when it is especially important to preserve the shape of the breast as accurately as possible.

Important ! The curvature, or bend, of Mentor implants is almost ideal. Due to this, their use allows you to achieve the most natural form after performing the appropriate intervention. The curves accurately convey the ideal body shape.

The curves of Mentor implants are similar to natural ones

Characteristics of breast implants

Breast implants differ in more than just their shape. They have many characteristics, and the choice of each of them depends on many components. Let's look at the main ones.

Form

The shape of the endoprosthesis determines how natural the breasts will look after plastic surgery. There are two forms of implants:

• round (hemispherical) - the highest point is located in the center of the implant;
• anatomical - they have a teardrop shape, as close as possible to the natural female breast.

Size

Sometimes patients mistakenly believe that only volume affects the size of the implant, but this is not true. Breasts with implants of the same volume will look different on patients with wide and narrow chests. Therefore, the size is determined by three parameters of the endoprosthesis:

• volume - measured in milliliters or grams;
• projection - its height from the base to the top of the dome;
• profile - the relationship between the projection and the width of the base.

Profile

The profile is the ratio of the projection of the implant to the width of its base. It is divided into four categories:

1. Low (mini).
   This implant has a wide base and a small projection. Low-profile implant models are rarely installed in women undergoing augmentation mammoplasty. They often perform minor corrections for ptosis.
2. Medium (demi).
   This implant profile is chosen when they want to ensure that the breast after mammoplasty looks as natural as possible. Sometimes it is installed as a temporary option in order to then switch to a high profile.
3. High (full).
   The most popular option among those who want beautiful and high breasts. This option is suitable for women with a narrow chest, as well as significant prolapse of the mammary glands.
4. Extra high (corse).
   The highest profile is unnaturally large in size. It is chosen by those who like to attract attention, for example, artists and show business divas.

How much the breasts will stand out after correction depends on the profile.

Surface type

The first breast implants were smooth. The advantages of smooth models include softness, but they often change position inside the implant pocket. Capsular contracture often forms around them, that is, excessive proliferation of fibrous tissue.

Smooth ones were replaced by endoprostheses with a textured or rough surface. The embossed surface of the implant provides better adhesion to the tissues in the encapsular pocket, so such an endoprosthesis moves much less frequently. The fibrous membrane grows less around it. The only drawback of such an implant, which develops only in 0.6% of cases, is the occurrence of the “washboard effect.” In this case, the skin over the gland becomes folded.

Materials and safety

The implant shell is made of silicone. The first generation endoprostheses had a thick shell, then they began to use thinner silicone, which often led to rupture and an increase in the number of capsular contractures. To improve ingrowth into tissue and prevent the development of contracture, silicone was coated with a micropolyurethane foam sponge.

Patient safety is the main rule in plastic surgery. The leakage of filler through the shell (sweating) causes the body's immune response and chronic inflammation. To prevent this from happening, manufacturers of modern endoprostheses provide an additional barrier layer.

Today, implants with “shape memory” made of dense silicone are used, which quickly restore their original shape after compression.

Implant fillers

1. Water-salt,
   which is a 0.9% solution of sodium chloride (saline solution), is not a reliable filler, since it begins to crystallize after a year. The sharp edges of the crystals can pierce the shell. Saline solution was used in the first endoprostheses.
2. Liquid silicone
   is a liquid with a viscous consistency, softer to the touch than the mammary gland and with weak “shape memory”, sweating is possible.
3. Cohesive gel
   - close in density to the mammary gland. It is characterized by slight sweating and weak “shape memory”.
4. Highly cohesive gel
   - has the consistency of marmalade, practically does not deform, does not sweat through the shell, has excellent “shape memory”, is used in anatomical endoprostheses.
5. “Soft touch”
   is a gel, tactilely similar to the mammary gland, “shape memory” is average, does not sweat.

The advantages of modern shell and filler materials include their low allergenicity and ability to restore shape. Tactilely, they are not much different from the glandular tissue of the breast and practically do not cause capsular contractures.

Providing a lifetime warranty

Mentor offers a lifetime warranty with the possibility of a free replacement with the same product if an implant rupture is detected. In addition, free replacement is also carried out in the event of complex contracture development (in this case, the patient receives an additional ten-year guarantee). Absolutely any endoprosthesis produced by this company takes into account a large number of individual details that are inherent in any female body. The work of designers allows us to achieve the most realistic effect after installing the prosthesis.

provides a lifetime warranty on products

The production is equipped with the most modern automatic equipment, which operates under the control of high-precision electronics. Accordingly, only here are the most unique devices used, which make it possible to achieve the production of absolutely identical realistic implants.

Important ! You can always get a table from the manufacturer that will help you figure it out and decide on the right model. All products are marked for easy identification.

How long do Mentor implants last?

Replacement of such implants is performed only in rare emergency cases when there is no other option. Examples include incorrect breast shape after surgery, contracture, etc.

There is no replacement due to expiration date, as these implants have an incredibly long service life. They do not wear out and do not become thinner over time - which is why the corporation guarantees a lifetime warranty on any type of purchased product. This can be considered a real sign of quality for.

Implants have no expiration date

Comparative characteristics of Mentor and Motive

Women who decide to use the services of a plastic surgeon usually choose which manufacturer’s product they should choose. This issue should be addressed as carefully as possible, without neglecting consultation with a doctor. You can collect information about all available manufacturers and read in detail the reviews of women who have undergone correction before.

It is necessary to consult a doctor

not so long ago announced itself, a feature of the implants of this company is the emphasis on creating the most realistic surface, which avoids encapsulation around silicone - this was a serious breakthrough in the field of plastic surgery.

Important ! Products from this manufacturer can not only recreate the absolutely natural shape of a woman’s breasts, but also have the ability to shift the center of gravity, which allows the shape to change naturally with body movements.

"Motiva" is an alternative to "Mentor"

Despite such obvious advantages, the products are extremely in demand among plastic surgeons and patients - specialists in the company’s laboratories are constantly improving prostheses and collaborating with leading specialists in the field of plastic surgery, harmoniously producing the most modern developments, based on practical experience in using certain products, through which is why new products are produced.

Mentor is extremely popular among surgeons and patients

Five main advantages of implants

Mentor implants are undeniably popular. This is justified by the fact that they have a number of obvious advantages.

Firstly, they have a very pliable, neat and soft texture, which allows you to avoid trauma during installation compared to other analogues and achieve the most natural breast shape. The prostheses are also equipped with a specialized barrier shell - this is necessary in order to increase reliability and prevent the gel from penetrating into the tissue.

The texture of implants is one of the advantages

The special patented casing features a moderately textured finish. Due to this, the implantation of prostheses occurs much faster and less traumatic, and the procedure is tolerated by patients with great ease. The Siltex shell of such prostheses prevents in most cases the occurrence of contracture, which seems inevitable when a foreign body enters the body tissue during plastic surgery.

Important ! Of course, this leads to a more positive aesthetic result and helps a woman maintain her health for many years.

The implant shell avoids injury

The shape of the prosthesis is determined by its curvature or curvature. There may be round or anatomical drop-shaped implants - due to this, the natural appearance of the mammary gland is completely reproduced. Typically, the surgeon advises women with a normal build or overweight to use round-shaped dentures, and for thinner patients, teardrop-shaped dentures are recommended. Such differences are dictated by the small amount of fat layer, under which the edges of the teardrop-shaped implant will not be visible.

Implant shapes affect the final result

Important ! For safety, a three-layer shell is used, which minimizes the risk of rupture and leakage of the gel. Some patients pay attention to the fact that this makes the new gland a little less elastic and soft.

External Component

• The Siltex shell, created using Inpriting technology, provides a special texture to the top layer of Mentor breast prostheses. This makes it as engraftable as possible inside the cavity of the muscle pocket, minimizing the risks of capsule formation and displacement.
• Motiva is available with 2 types of nanostructured surface: SilkSurface and VelvetSurface, which do not use foreign materials (sugars or salts). This increases the level of biological compatibility, reduces the risk of late seroma, the “double bubble” effect and contracture.

Myths about implants

Plastic surgery is developing dynamically, and surgical techniques and materials used are constantly being improved. Therefore, you can achieve a much better breast shape. Unfortunately, many women are wary of artificial silicone prostheses. They are afraid not so much of the intervention itself as of the body’s “accustoming” to the foreign body subsequently.

Myth 1. Mammoplasty is difficult and dangerous

No, this is a fairly common operation, which, if there are high-quality components (such as Mentor, for example), can be performed at an excellent level. Both the size and shape of your breasts will please you for decades to come. The appearance doesn't just change - it gets much better over time.

Mammoplasty takes place quite quickly and, as a rule, without complications

Myth 2. Plastic surgery can have a negative impact on breastfeeding

This is not so - the shells of the prostheses are made so tightly that they do not allow a single molecule of silicone to pass into the mammary gland, absolutely nothing gets into the milk, and the woman can breastfeed.

Myth 3. Correction leads to breast cancer

A common myth, but not true. The use of implants has a colossal clinical base; many studies have been carried out that allow us to say with confidence that the implantation of prostheses does not lead to detrimental consequences for women’s health.

Important ! After the implants are installed, breast cancer does not develop.

What other factors influence the choice?

Some people think that breast enlargement can be done indefinitely. This is wrong. Limiting the size of the implant depends on the individual characteristics of the patient. The volume of the mammary glands and the area of ​​skin above them should be sufficient to cover. If you choose a larger product, it will protrude noticeably and spoil the appearance. The calculation also takes into account the size and shape of the patient’s chest. In some cases, the localization is changed. Thus, an implant under the pectoral muscle is not as noticeable as under the mammary gland.

If the bust has to be reconstructed after surgery, expanders (tissue expanders) are used. These products have additional devices (built-in or remote ports) that allow the woman to change the volume of her breasts at her request.

You can get more information about Mentor products after registering on our website.

Questions and answers

If one of the implants moves to the side over time, is this harmful? Will any adjustments be necessary?

This is because the pocket stretches and falls apart over time. Surgery can be performed to suture it, but in general this does not cause harm even if no action is taken. To be sure, it is better to consult your doctor.

What to choose - silicone or saline solution?

Saline implants are smaller, more adjustable, leave a shorter scar, and can be used in women under 22 years of age. The advantages of silicone: it feels much more natural and safer. Well suited for thin patients with small breasts.

It is better to think in advance which implant to choose

“ uneven ” a couple of months after the intervention ?

This usually occurs in those who used the same implants for initial breast asymmetry. This cannot be changed - it is better to immediately consult with your doctor and agree on further recommendations with him.

Patient reviews

Sofia , Magnitogorsk

I got “Mentor” quite a long time ago - the doctor recommended a teardrop shape and an average profile for my figure. I don’t see any differences from natural breasts; silicone cannot be found even lying down.”

Evgenia , Irkutsk

“After I went through unsuccessful plastic surgery the first time, I collected my strength for a long time before performing the second one. However, the Mentor implants did not fail – even after several years the shape is excellent, others notice it.”

Patients enjoy the procedure

Valentina , Tomsk

“I specifically wanted these implants for their shape and texture. I saved for a long time for the operation, but finally my dream came true! After the intervention, I had to take care of myself for some time, wear special underwear on the doctor’s advice, but the rehabilitation is behind me, and I am very pleased.”

What do the experts say?

Opinion of plastic surgeon Katrin Hecher

“Mentor implants have been used for many years; they are absolutely safe and time-tested. You can choose the desired shape, profile and size, the desired texture. The choice is very wide and convenient. Any woman can make a choice based on her individual characteristics. There is also a wide range of various products for breast reconstruction, expanders, and special fabrics. "Mentor offers an excellent guarantee on its product."

How is the size selected?

Some women think that the product size corresponds to their bra size. This is absolutely not true. The size in this case is expressed in units of volume (cubic centimeters). To determine the size, the surgeon uses a set of sizers during the consultation. These are implants that are used for demonstration and sizing. They are applied to the breast to see what it will look like after surgery. Using a special measurement system, the doctor recommends one size or another to the patient. At the same time, he can use drawings and photographs illustrating breast enlargement and its shape.

Photos before and after

Photos before and after installation of implants Mentor No. 1

Photos before and after installation of implants Mentor No. 2

Photos before and after installation of implants Mentor No. 3

Price

We will indicate the cost of Mentor implants in different cities of Russia. It is important to take into account that during the operation you will also have to pay for the doctor’s services, stay in the clinic, and the medications used. In addition, the cost of the implants themselves may vary depending on the shape and size chosen.

Anatomical or round breast implants? Which ones to choose?

All manufacturers produce breast implants in two main forms. These are anatomical (drop-shaped) and round (resembling a hemisphere). The model line offers a huge selection of sizes and models, so it is not difficult to choose an option that meets the requirements of any patient. To determine the required shape and size, it is worth paying attention to certain nuances that the plastic surgeon must be well versed in. It is enough for you to accurately describe the shape and size of the breasts that you want to obtain as a result of the operation.