With the introduction of Natrelle® 410 breast implants into the U.S. market, Aesthetic Surgery of Virginia has received great patient interest in what the silicone implants have to offer. We recently sat down with our board-certified plastic surgeon, Dr. Enrique Silberblatt, to discuss the details of the newly available breast implants. Below are his answers to questions regarding the increasingly popular breast enhancement option.
Question: Why did you decide to start offering Natrelle® 410 implants?
Dr. Silberblatt: Some women seeking breast augmentation have a very short distance from their inframammary fold to the nipple. If a round implant is used to augment a breast like this, most of the mound lies above the nipple and results in an artificial, unattractive appearance with the nipple placed well below the point of maximum projection. The Natrelle® 410 implants are shaped like a natural breast and are fullest closer to the inframammary area, offering a more aesthetically pleasing and naturally appearing result for patients with a short nipple to inframammary fold distance. I started using the Natrelle® 410 implant for these patients.
Q: What are some reasons you’ve heard your patients give for choosing or upgrading to Natrelle® 410 implants?
DS: Patients are always interested in the newest developments in plastic surgery. The Natrelle® 410 implants have received wide publicity and much of it has centered on the more natural appearance they can provide. This promotion has induced many patients to request information and possibly request exchange of their implants. I always advise patients who have good results to not exchange their implants unless something has happened to alter or degrade their appearance.
Q: If I were a patient interested in implants, how would you describe the Natrelle® 410 implants to me during my consultation?
DS: I would first tell you that not everyone is a good candidate for the Natrelle® 410 implants. The manufacturer states that only 25 to 40% of women seeking breast augmentation will receive an appreciable benefit from using them. I measure every patient’s breasts in various dimensions, and if your distance from the nipple to the inframammary crease is short, then I would discuss the 410 implant as an alternative. I also consider the 410 in some women who are thin and should have their implants placed under the muscle but are reluctant to do so because of concerns about implant motion or muscle damage. Because the implant is shaped, I need to create the pocket for it with utmost care. The implant needs to fit exactly into the pocket so it will not rotate afterwards and result in an odd shape. It is firmer than round, smooth implants when felt outside the body, but, once in place, you will not be able to tell the difference. It is more expensive than other implants so we must justify that added expense. Also, the incision for introducing this implant measures about 5 cm (infra-mammary), whereas round implants can be introduced through 3.5 cm incisions.
Q: Besides their look, feel, and reduced chance of rupture, are there any other main benefits that the Natrelle® 410 implant has over traditional silicone and saline?
DS: There are three other benefits afforded by the 410 implants. First, in thin patients who want their breast implants placed over the muscle, 410 implants are far less likely to show rippling. Second, because they are tapered, these implants are less likely to display a “shelf” in the upper pole where they begin, especially in thin patients. Lastly, because they are textured and promote tissue ingrowth, the implants are less likely to “drop” over time and therefore far less likely to result in a “ball in a sock” appearance.
Q: How do you help patients determine the proper implant shape and size for their wants/needs?
DS: Implant size, when using Natrelle® 410 implants, is determined by a patient’s measurements. I measure the distance from the sternal notch to the nipples, the breast height and width, the distance from the nipple to the infra-mammary fold, and assess the laxity of the tissue. These measurements will determine what size implants can actually fit under the breast. The size difference between the smallest and largest implant is rarely more than 100cc. There are also four configurations available that vary the fullness (moderate or full) in the upper and lower poles of the implant. Choice will depend on where a patient requires more fill. An older patient may have had some migration of her tissue away from the upper pole and require more fill there. A younger patient may have little projection at the nipple and require more volume lower down. All these considerations are discussed with my patients.
Q: Is there anything else you’d like patients to know about Natrelle® 410 implants?
DS: The Natrelle® 410 implants are not magical implants that will suddenly solve all the problems a patient may have. They are useful tools in our armamentarium to provide patients with a best possible outcome. In cases where too much skin causes drooping, the extra skin will still need to be removed in a breast lift, and additional scarring is unavoidable. In a patient with tubular breasts, simple placement of the implant will not suffice to correct the deformity. This implant has been used in Europe for the last ten years and has an outstanding record of safety. It is only now being used in this country and the full breadth of its use will be determined as more surgeons gain experience with it.
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To learn more Natrelle® 410 implants, or to schedule a consultation with Dr. Silberblatt, please contact us today.