New Gummy Bear Tear Drop Silicone Impants - anyone have them?

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  • tangles
    tangles Member Posts: 508
    edited April 2013

    I think my PS only carries the allergan gummies. I did get on the allergan web site and did a ton of reading. ALl the % of indication for everything from infections to all sorts of odd stuff I didn't know could happen. I didn't get too worked up about most of it, but there was one thing that concerned me. It gave the % of patients getting these implants who had their cup size increase 18 months after surgery. 38% increased one cup size, 54% increased 2 cups sizes,6% more then 2 cup sizes and 3% had no increase. It said revision augmentation patients did not undergo a measurement of cup change due to them replacement of an existing breast implant. OK now This worries me a bit. If it is true I need to stop my fills now. I am 450 now and would like to be a tiny bit larger, but if this is true YIKES> This was right off the allergan website. There were like 75 pages of information and I came across it.  Anyone ever heard of this?? It also said the % of women not happy with their upper pole fullness was 0%. Not sure if these women did not want upper pole fullness or if they just got an implant with more projection so they had some.

    Because the implants just were released last month my PS does not have any before and after photos to show me. HE had a patient he just did last week and said he would give her my email address if she is willing to share information but she has not emailed me so shoot!

  • SimplyAudrey
    SimplyAudrey Member Posts: 242
    edited April 2013

    I had the sientra oval hp 370s put in last November.  Sientras and Natrelle 410s are similar - it just so happened Sientras were it on the market when I had my BMX.....and I searched for a surgeon who had placed them.

    I did require fat grafting (done April 1) at the upper pole on the left - he grafted to both for symmetry....and wierdly, after the fat grafting they feel less like implants!

    I went from an A+ to a C......no more push-ups or pads needed. I like how I look after considering it was a "total renovation".........

    Honestly, if you don't have alot of tissue on your chest wall the "profile" implants are great.

  • LAS123
    LAS123 Member Posts: 28
    edited April 2013

    SimplyAudrey, how do the Sientras feel? I felt them in my PS's office and they felt soft, not hard like some people say about "gummies". Can you wear a push up bra and get more upper pole fullness if you wanted? What was the reason you and your PS chose Anatomicals?

    Thank you :)

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited April 2013

    I think semantics is the culprit here. Gummies originally referred to the Allergan 410 teardrop style which were in clinical trials for a long time prior to approval. They are considered "true" cohesive gels as opposed to highly cohesive gels that are now used in all silicone implants. I suspect gummy has now become the nickname for all true cohesive gels, Allergan or other brands.

    Caryn

  • SimplyAudrey
    SimplyAudrey Member Posts: 242
    edited April 2013

    Caryn, You are right.  It's actually more "fun" to refer to an implant as a gummi bear than a round smooth blob, no?

    LAS....With the Sientra shaped, I would say a push up bra would not achieve the greater fullness I think you are looking for.  I played with them in the office...and actually 2 weeks ago got to compare the feel of the sientra with a brand spanking new Natrelle 410.  I liked the feel of the sientra better.  The implant seemed more fluid but held its shape just as well.

    I can tell you as I lean over the fullness follows (if you can picture it), but I am 4 months out from exchange and havent gone near an underwire bra (per my surgeon's instruction) to know if I'll be able to "prop 'em up".

    I can also tell you that folks cannot believe I had a bilateral mastectomy.  When not at work I'm in a shelf-bra tank top or t-shirt......and I have a natural appearing profile.

    That was my desire when I started this wild carnival ride.  I just wanted to look as natural as I could knowing my breasts wouldn't ever be "real"........... For folks who are thin of tissue up top investing the time in finding a PS who does "shaped" implants is more than worth it. I wasn't willing to settle for round smooth saline.

    I'll have to do an updated pic and link to it. 

  • tangles
    tangles Member Posts: 508
    edited April 2013

    Well tonight I spent HOURS doing research. I now understand why my PS said I may not be able to use the gummies he carries. Allergann410. He measured me and said if you want to go any larger then you are, we may have to go with the other silicon. I didn't understand but looking at the allergan charts I see with my measurements they only come in a projection of like 5.2cm . I have asked several family and friends and they all say well you are about what you were pre surgery but a tiny bit larger would be nice. I do agree with them. I went through this HELL It might be nice to get some nice boobs out of the deal although I wasn't one to really ever wish for a boob job. I know a gal who also has thin skin and got the other silicone implants and hers are already rippling after 6 mo which make me want to use the gummies. I guess I need to decide if size is important or the fact they can ripple. I also think the gummies may hold up better in radiation. So much to think about.............

  • lilithmoon
    lilithmoon Member Posts: 177
    edited April 2013

    Tangles, my PS is very excited about the gummies exactly because of the ripple issue which I'm having with the Natrelle silicone implant- they ripple quite a bit.  And I don't think it's just because he did a subglandular placement. I can't wait for a more normal looking breast.  I know that you'll get it figured out - I too never though that I would have a boob job either but might as well get excited about it. Our boobs will never sag!! 

  • Andrea623
    Andrea623 Member Posts: 959
    edited April 2013

    I read that you shouldn't massage the 410's, because there's a possibility they'll become displaced. I thought massaging helped prevent contracture, so how will this be prevented in the 410's?

  • LAS123
    LAS123 Member Posts: 28
    edited April 2013

    Thank you, SimplyAudrey and everyone.

    I started with 375 rounds but had assymetry, thin skin and step off at upper pole. I went to a 2nd PS for fat grafting and smaller round implants (190 left, 250 right). I no longer have the step off deformity and skin appears better having a little fat between implant, muscle and skin, but have worsened assymetry with left being @ 1.5" lower and larger (elongated appearance), right is higher, has less fat and is rounder, smaller, firmer. Both have a saggy looking profile. I'm torn if I want the natural look which may keep me a bit saggy looking or take the chance of possibly going back to the "boob job" look I had. I'm hoping I can achieve the look of somewhere in between with nice upper pole but no step off that I see with great results from both round and anatomicals on women in the photo forum site. It's all so unpredictable. PS #3 suggested the Sientras anatomical shaped to go larger, achieve symmetry but not look like a "stripper" (her words) :) I wouldn't mind having stripper boobs but don't want to look like I had a bad "boob job" (how I looked before) or look like a granny. Right now my foobs naked look like bad breast reconstruction so I think I could be having just having matching breasts at this point ¿ I don't want to be too unrealistic but it's hard when seeing so many beautiful outcomes on others.

    Thanks again!

    Keep sharing your experieces, it's a big help!

  • kestrelgurl
    kestrelgurl Member Posts: 266
    edited April 2013

    Tangles,

    No nothing like flat surgery. My PS did two fat transfers; basically mini-lipo from tummy and outer thigh that was then injected throughout the radiated side to encourage new tissue growth and blood flow. Out patient procedures with little to no downtime. They have had very positive results in Europe with this technique.

    I do believe it made a difference in the response of the radiated tissue to the TE's. I have 250 cc TE's that are now fully inflated to 250. I do have more pain and muscle spasms on the radiated side, but overall keep hearing how fabulous things are looking. I can actually see the new blood supply developing.

    Radiation is tough. The process is easy and the visible damage heals quickly, but I am finding the internal damage seems to be the toughest part.

  • blanviper
    blanviper Member Posts: 108
    edited April 2013

    Gals- I found a website that discusses the pros and cons of all the anatomical implants, with pics to illustrate the points being made. If I was making a decision today, I would have found this VERY helpful. By clicking on the logos at the top, you'll find a page for each brand and the site compares them all, with MRI pics and everything.

    http://www.cohesiveimplants.com/types/

  • nesw
    nesw Member Posts: 81
    edited April 2013

    I'm getting Allergan 410 MX implants next month and they are still not yet FDA approved, so I'll still be part of a trial. I was wondering why some were approved and some weren't - it's on that link that Blan just provided:

    "The (cohesive gel) implants are now widely available with two exceptions. The first is that the Mentor CPG is still awaiting approval, so patients interested in receiving that implants must enroll in a clinical trial. The second exception is that the FDA only approved four of the twelve different shapes of 410 implants. This was not a safety issue, but rather at the time the study began only those four shapes were available. To receive any of the other eight shapes, a patient must see a surgeon who can offer these implants as part of the clinical trial."

  • LAS123
    LAS123 Member Posts: 28
    edited April 2013

    Thank you, blaniper! That is helpful. I still wish the tear drop ones had a little more roundness at top for upper pole.

  • MondaysChild
    MondaysChild Member Posts: 591
    edited April 2013

    Which four of the 12 shapes were approved?

  • nesw
    nesw Member Posts: 81
    edited April 2013

    I went to the FDA website and found that the approved shapes are the Allergan Natrelle 410FM, 410FF, 410MM, and 410MF.  I'm receiving the 410MX in May and my clinical trial paperwork appointment just got postponed because the PS is expecting more approvals within days, which would include the MX. If approved, the paperwork becomes a bit less cumbersome. I'm hoping my exchange isn't delayed to much longer.

  • violet_1
    violet_1 Member Posts: 533
    edited April 2013

    blanviper: thanks, that website was helpful!

  • Shellshine
    Shellshine Member Posts: 1,039
    edited April 2013

    Thank you nesw, I was looking at all of the 410's for my upcoming pre-op appt, so glad you pointed this out. I went on FDA website (used to work in research) and learned a lot.

    Do you have any idea when the MX will be approved?

    Thanks again! 

  • nesw
    nesw Member Posts: 81
    edited April 2013

    Hi Shell - I'm in research also, so I love looking through websites like that.  All I know is that my PS expects any day now.  I'm scheduled for exchange 5/17 and he's expecting it before that.  Of course, "expecting" is one thing.....I'm keeping my eyes on the FDA media releases.

  • lilithmoon
    lilithmoon Member Posts: 177
    edited April 2013

    My PS brings a large number of implants in the operating room and apparently tries many of them to try to get the best look and fit.  It might be good to know if they do this as a standard procedure.  You might also want to have a contingency plan if something doesn't work well to go with a different plan. (Size, shape of implant etc. )

  • lilithmoon
    lilithmoon Member Posts: 177
    edited April 2013

    I wonder what difference there is between TE's to gummies and one-step to gummies?

  • ConnieGreene
    ConnieGreene Member Posts: 348
    edited April 2013

    my PS also takes more into the OR to see if there is a better fit for me but the tear drop ones are my first choice but she knows better than I do!

  • Robinsky
    Robinsky Member Posts: 1
    edited April 2013

    I'm new to this...although I have been reading as a non-member for several months.



    Two weeks ago I learned about the FDA approval of the 410 implants, and have been thrilled and nervous ever since. They would by far be my first choice.



    Just had my last fill yesterday, and am up to 340cc in both breasts with my TEs. They are bigger and fuller than I am comfortable with, like two hard balls protruding from my chest, although I have been fortunate to experience very little discomfort with them. Until the Allergan 410s were approved, I assumed I would have the round, gel implants the other women in my BC support group have, so my PS overfilled me. But the 410s seem to be a much better option for me because I am thin and want the natural look they offer. I would need to do a fat grafting to hide the other type implant, but don't have enough fat to pull from another part of my body...



    Like most, my PS has little to no experience with these implants, though he concurs with me that they would be the best option for me. He brought in samples of the natrelle round gel implants as well as the 410s, and the 410s are the obvious choice for me.



    My questions are:

    1. Does the fact that my TEs are expanded to 340ccs, though I want gummy bear implants that are smaller (275ccs) mean anything?

    2. Does wearing a bra address the concern about rotation of the implants? If yes, then for how long is it relevant? I don't want to wear a bra again, if I can avoid it...

    3. Where do I find the information on this site about the sizing of the implant based on the TE used?



    Thanks

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited April 2013

    I don't know of anyone who has had a gummy used in the one step procedure but from my non- medical point of view, it seems like it could be done. I could also be wrong :)

    Caryn

  • lilithmoon
    lilithmoon Member Posts: 177
    edited April 2013

    I had one step and my PS is going to replace mine with the gummy-bears.  He'll have to redo the pocket and add some alloderm as far as I understand.  I think he's doing direct to gummy-bears on other women.

  • violet_1
    violet_1 Member Posts: 533
    edited April 2013

    Soooo, WHEN will the FX/MX/& LX (all extra full projection) 410's going to be available apart from being in a clinical trial? Undecided

    violet_1

  • Shellshine
    Shellshine Member Posts: 1,039
    edited April 2013

    As much as the TE's were a major pain, I'm glad my PS placed them at time of BMX  and my pectorals were  stretched to accomodate the 410's I will be fitted with in a couple of weeks. Whippetmom, available by PM, helped me understand how my frame size, height, weight and goals would match up with different implant options. 

    Don't want to have to wear a bra unless working out, it gets so hot and sticky where I live, amd am willing to trade softness for less rippling and a more natural silhouette.  I don't wear clothes that show la lot of cleavage (prefere  a more chic/elegant look) , so I think that the 410's will be my best bet.

    I DO NOT EXPECT PERFECTION. My breasts were not perfect before BC! Then they went and developed cancer, poor things. Cancer is gone, so are they, and I'm ready to finish up this chapter of my life and move on. My heart goes out to those sisters who have had to endure a much more difficult road than I....infection, asymmetry, radiation, chemo, lymph node removal, metastasis, or losing their life.

    The way I see it, five months between diagnosis and complete recovery is a blessing I am truly grateful for. I very carefully have not obsessed about reconstruction, as I truly want to move on to a wonderful, rich, full and rewarding life that does not center around breasts, or lack thereof. 

  • mackmann
    mackmann Member Posts: 14
    edited April 2013

    Has anyone else had confusion over deciding what height they should have? At the moment, my PS and I have agreed that I have a choice of 2 sizes of Natrelle gummy bear implants, MF (moderate height) 295cc, or FF (full height 335 cc).

    I am worried that the full height may be too high and close to my collarbone, and the moderate height, too low.

    Has anyone gotten moderate height and found that their upper pole (chest )was too flat and generally lacking in fullness? I want my new breasts to look natural....but not that natural, if you know what I mean;)

  • lilithmoon
    lilithmoon Member Posts: 177
    edited April 2013
  • SimplyAudrey
    SimplyAudrey Member Posts: 242
    edited April 2013

    IMPORTANT!!!!!! FOR ANYYONE GEttNG TEXTURED IMPLANTS>>>>ROUND OR PROFILE!

    No massage is needed.  They are textured for a reason.....1:  to have less rippling, and 2, to develop with your own tissues so that contracture does not occur, or is less likely to.

    IF you have natrelle 410's or Sientra textured.....any textured....DO NOT MASSAGE THEM!  Especially the profile implants!!

  • SimplyAudrey
    SimplyAudrey Member Posts: 242
    edited April 2013

    Sientra really missed the boat.  It doesn't sound like many PS's place them.  Dang....those of us who have BMX and choose implants are the perfect patients to market to.  Shame on them.

    Thought sizes aren't as many, I truly like the profile I now have with them!  ANd...they come with a lifetime warantee.

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