Natrelle Implant Choices
Natrelle® Collection of Breast Implants
It’s hard to miss the display of Natrelle® breast implants in the waiting room when you arrive at Cape and Islands Plastic Surgery.
Many patients and their friends are drawn to this display. They enjoy the ability to examine actual samples of both saline-filled and silicone gel-filled breast implants while they wait to consult with Dr. Loffredo or Dr. Jones.
The Natrelle® Collection of implants offer a variety of implant styles of saline-filled and silicone gel-filled breast implants. The Natrelle® Collection of breast implants are currently manufactured and distributed exclusively by Allergen Corporation, which also sells Botox® and Juvederm®, two of the most popular cosmetic products used by physicians. This brand of breast implants had previously been sold by Inamed Aesthetics Corporation and previous to that by McGhan Corporation. Improvements to the products have been made throughout the decades that they have been available. The Natrelle® Collection of breast implants is very popular and comprises approximately 50% of the breast implants sold in the United States.
Natrelle® Breast Implants are FDA Approved for Sale and Implantation in the United States
All of the Natrelle® breast implants that are currently available commercially in the United States have received approval from the FDA. The saline breast implants received approval from the FDA in May of 2000. The silicone gel-filled breast implants received approval from the FDA in November 2006. Breast implants are often considered “the most studied devices in the history of the United States.” Allergan Corporation has conducted studies on more than 50,000 women with silicone gel-filled implants for nearly 10 years. The initial study that resulted in the FDA approval of what is currently the Natrelle® saline-filled breast implants involved almost 1000 patients and ran for three years. Dr. Jones and Dr. Loffredo are very comfortable with the safety of both the silicone gel-filled implants and the saline-filled implants.
Natrelle® Breast Implants – Saline-Filled or Silicone Gel-Filled – What choice is best for you?
Our surgeons allow most patients to choose which type of breast implant (saline-filled or silicone gel-filled) that best fits their needs. Other than the fact that patients need to be 22 years of age to be implanted with silicone gel-filled breast implants, almost all patients are candidates for either style of implant. Dr. Loffredo or Dr. Jones will explain the advantages of each type of implant and let the patient decide which one is best for her.
In addition, the FDA is recommending that women who have silicone gel-filled breast implants have an MRI at 3 years post-operatively and then every two years after that. This is because a rupture of the silicone elastomer shell is usually undetectable with silicone gel-filled implants, and it is thought that the best course of action would be to replace the breast implant if in fact a rupture has taken place. This revision surgery is usually successful and uneventful. The rupture rate is very low for the Natrelle® silicone gel-filled implants and has been reported at 2.7% for patients having a primary augmentation (first breast augmentation surgery) who have been implanted for 4 years.
The Natrelle® saline-filled breast implants also have an excellent record. The deflation rate for the Natrelle® saline-filled breast implants has been reported to be 2.07% at 7 years. Because a deflation with a saline-filled breast implant is readily apparent and the body simply absorbs the saline that has leaked, no periodic MRI screening is necessary or recommended. While the silicone gel-filled breast implants are a little more expensive and periodic screening is recommended, our surgeons find many women are choosing the silicone gel-filled breast implants because the implants have a much more natural feel.
Choosing your Natrelle® Implant Size and Profile – Your Breast Implant Sizing at Cape and Islands Plastic Surgery
Our surgeons have a very extensive collection of Natrelle® breast implants which assist patients in choosing their size and profile of Natrelle® breast implants. Dr. Loffredo or Dr. Jones will first examine the patient in order to determine what her maximum size choice can be. Safety dictates that an implant must fit comfortably within the cavity created during surgery, and that there is enough breast skin and tissue to cover the implant and allow the incision to be easily sutured closed.
We offer all three standard profiles—low (Style 10), moderate (Style 15), and high (Style 20) profiles—of Natrelle® implants to patients. The low profile implant (Style 10) has the lowest projection (distance) from the chest wall. The high profile implant (Style 20) has the highest projection (distance) from the chest wall. The moderate profile implant (Style 15) has a projection (distance) from the chest wall that is in between the projection of the low and high profile implants. In addition, Dr. Loffredo and Dr. Jones also offer the recently introduced Natrelle® Style 45 breast implant. The Style 45 offers even more projection than the standard Natrelle® high profile (referred to as Style 20). The Natrelle® Style 45 also has a narrower implant base than the Style 20. The Natrelle® Style 45 has been designed to offer a woman with a narrow chest wall the opportunity to have a larger size implant and more projection. Patients do need to understand that there would still be a size limitation on the Style 45 as there is with all breast implants.
Because the size and projection of the implant also dictates the base width of the implant, patients with smaller chest walls (size 32 bra) will tend to choose the high profile or moderate profile. A patient with a larger chest wall (size 36-38 bra) will tend to choose the low profile or moderate profile in order to spread the implant adequately over the surface of the chest wall. Dr. Moss is also available during a patient’s implant sizing to offer any advice or answer any questions concerning implant profile choice.
The extensive collection of Natrelle® breast implant samples at Cape and Islands Plastic Surgery provides patients an opportunity to examine and try the different sizes and profiles in sizing bras and t-shirts. This collection of breast implant samples/sizers include two of each of the popular sizes, so that a patient can try on a pair to more closely simulate what she might look like after surgery. The staff at Cape and Islands Plastic Surgery allow each patient up to one hour for their initial breast implant sizing, so that she has time to experience, in a pleasant and unrushed manner, what she might look like after surgery. Every patient is also provided a second sizing at her pre-operative visit, where she will make her final selection.
Natrelle® Pre-Consultation Kit – Your Chance to Try a Few Implant Sizes at Home
Allergan Corporation has recently made available The Natrelle® Pre-Consultation kit, which allows a woman to try on 4 different size sample breast implants, in the privacy and comfort of her home. While this selection of implants is by no means as extensive as in our office, it does provide a patient a stepping stone from researching online to setting up a consultation with a plastic surgeon such as Dr. Loffredo or Dr. Jones. In addition to the 4 sample implants, there is a bra to facilitate the implant sizing, as well as an educational DVD and booklet. This kit is ideal for the patient who is trying to decide whether she wants to seriously investigate breast augmentation. The Natrelle® Pre-Consultation Kit is attractively priced at $39.95 plus $5.00 shipping. Patients can order this kit by calling 1-888-884-9150. This kit also includes $170 in rebates, one of which is a $50 rebate for Natrelle® Breast Implants.
Natrelle® Breast Implant Warranty Options
Currently, when Natrelle® Saline-Filled Breast Implants are implanted, they are automatically covered under the ConfidencePlus® Warranty. This provides for a lifetime replacement of the implant if it has deflated and provides the patient with $1200 towards any costs incurred in the surgical replacement of the device if the device has sustained a deflation within the first 10 years after implantation. Currently, when the Natrelle® Silicone Gel-Filled implants are implanted, they are covered under the ConfidencePlus® Premier Warranty. This provides for a lifetime replacement of the implant if it has ruptured (as well as a free replacement for the contra-lateral side) and provides the patient with $3500 towards any costs incurred in the surgical replacement of the device, if the device has sustained a rupture within the first 10 years after implantation. A patient who has been implanted with Natrelle® Saline-Filled Breast Implants has the option, within the first 45 days after implantation, of increasing their ConfidencePlus® Warranty to the ConfidencePlus® Premier Warranty, by enrolling in the ConfidencePlus® Premier Warranty plan for a cost of $100. For saline breast implants, the ConfidencePlus® Premier Warranty provides the patient with $2400 towards any costs incurred in the surgical replacement of the device (if the device sustains a deflation within the first 10 years). The staff at Cape and Islands Plastic Surgery will explain the warranty during consultation and provide all patients with a brochure on the Natrelle® Breast Implant Warranty Options.
*Individual results may vary from person to person.