David L. Mobley, MD

 Hi patient in Germany,

I began my career 15 years ago convinced that an anatomical (teardrop) implant was the best choice to give patients a natural appearance.  The more I used these implants the more I realized they offered no advantage over round implants and several disadvantages. 

Disadvantages of shaped teardrop implants:

1.  They can flip or spin leaving you with an asymmetry which sometimes requires surgery to repair

2.  They are textured so they more easily show ripples and don't move and slide like a natural breast.

3.  Because they are textured they are fixed to surrounding tissue (at least until they decide to spin or flip) making them for more easy to feel under the skin

4.  The chance of needing revision surgery is higher because it is easier for the implants to heal in two slightly different positions on each side.

5.  They cost more

If this has not convince you, then consider the fact that after 15 years of practice,I use almost all smooth round breast implants.  They look just as natural especially in a sub-muscular position (under the pectoralis major muscle)  and when appropriately sized for the patient (not way too large).  

You do appear to have a slightly constricted(tight) lower pole (lower part of the breast below the nipple) so make sure your surgeon has experience with this type of breast augmentation.  It can be a little more tricky especially since you want fullness in the bottom and for the breast to hang a little.  

Don't worry about round implants looking fake.  A round implant placed in the proper position with some radial scoring of your lower breast tissue (ask your surgeon about this) should give you an excellent result that looks natural.  

One key point is because you are young and have a little tightness in the lower part of the breast it may take a few months for the implants to soften and drop into a good, more natural appearing position.  So be a patient patient.  Good Luck and I hope this helps.