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Cohesive Round or Cohesive Teardrop Breast Implants?

asked 2 years ago by Breast Aug. surgeon consideration in Germany
Latest answer by Steven Wallach, MD
Question viewed 4,118 times
Tags: breasts, full, round, tear drop

I am aiming to obtain full nice round breasts with fullness in the upper poles but not that extreme that they will look not natural. I also would like tough some fullness at the bottom so that the breast will hang a little bit.

My worries are that with teardrop Breast implants I will be completely flatten the upper poles after let say 6 years. On the other hand, with a round implant, I am scared that I will look fake. Would be great to know your opinion!

14 answers to Cohesive Round or Cohesive Teardrop Breast Implants?

Round Cohesive Gel Implants Give a Natural Appearance

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... more

David L. Mobley, MD
Sarasota Plastic Surgeon

sarasotaplasticsurgery.com

Constricted Breasts

I think that the best result will be obtained by addressing your breast constriction. Notice how the lower half of each breast is tight; the breast mass appears to herniate out through the areola. Whether you use a smooth, round implant (my choice) or a tear-drop-shaped implant is less important than a thorough release of your tissue itself. Additionally, smaller implants (especially lower profile or moderate profile implants, rather than high profile) may give a more natural result... more

Michael C. Pickart, MD
Ventura Plastic Surgeon

Round versus anatomical (tear-drop) shaped breast implants

You have asked an excellent question! Most surgeons in the United States use smooth, round breast implants. Why? First of all, it is important to realize the final shape of the augmented breast depends on several factors. First, if you start with nice looking breasts, the chance of achieving nice looking augmented breasts are much higher. The shape of the operated breast is very technique dependent. One can achieve bad results with either style implant if the implant pocket is too tight... more

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Round vs teardrop

After a few months, it is difficult to tell which patients have round implants and which have teardrop, unless the teardrop turn and then breasts look kind of wide.

Steven Wallach, MD
Manhattan Plastic Surgeon

Teardrop versus round implants

Hi, I generally recommend round implants for cosmetic augmentation cases and teardrops for reconstruction. If the implant is placed beneath the muscle, it should look fairly natural. The implant will be able to fill both the upper and lower poles on you. Good luck, /nsn.

Nina S. Naidu, MD
New York Plastic Surgeon

Round seems to be the consensus of this panel

Since 9 of us here have leaned towards you using round shaped over tear drop shaped breast implants, I guess your question has been addressed.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Would I look better with round or anatomic (teardrop) breast implants?

Hi there- While I have used anatomic implants in the past, I am not a big fan. The outcome is not as natural as it can be with a well done augmentation using round implants (contrary to what would seem to be the case), and there was even a well-done study that showed that in the body, the benefits of the implant being teardrop shaped are eliminated. If that's not enough, in the course of normal daily life, there usually comes a time when the implant will flip.... If you have a round implant, gue more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Choosing round or teardrop breast implants

Generally for a breast augmentation, the round implants give the better look and eliminate the possibility of having one implant heal in a different orientation which can happen with teardrop implants. As has been said, you do not have an entirely simple starting point because of what looks like lower pole constriction.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast implants: "Gummy Bear" aka "Form stable" aka " Cohesive: Round or anatomic (tear drop) shape

SEE VIDEO BELOW:In Germany, you have many more options available to you then we do here in the USA. Form stable implants, anatomic or round, are not permitted for use other than in a study. My recommendations are based on the cohesive memory gel used by Mentor corporation. In my experience, I have preferred the use of round rather than anatomic implants unless the paitent has undergone a mastectomy and even in some of these instances I still use the round devices. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast tissue release is more important than choice of breast implant.

Hi. 1) The bottom of your breasts is very tight and constricted, and needs to be surgically opened up before implants are inserted. What you need is more complicated than just a breast augmentation. 2) After releasing the lower poles of your breasts, I would personally use round, smooth walled, cohesive silicone gel breast implants.

George J. Beraka, MD
Manhattan Plastic Surgeon

Cohesive round or teardrop implant

In Germany I believe you have the form stable, highly cohesive silicone implants. If this is true, either round or teardrop should be OK. They both maintain upper pole fullness. If you have the less cohesive silicone gel implants, the teardrop shape is better at maintaining upper pole fullness in my opinion. Round implants that are not high profile generally look very natural but do not maintain upper pole fullness as well as the teardrop. Ask your surgeon to hold up the implants like... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Cohesive breast implants: round or teardrop?

When talking about cohesive implants, we first need to be clear on terminology. the term "cohesive" means that the gel holds together. The shaped "teardrop" implants were originally called cohesive but the gel in round implants is also cohesive, but softer. The teardrop implants are now called "form-stable." For upper pole fullness, round is usually better.

Richard Baxter, MD
Seattle Plastic Surgeon

Round vs Teardrop Implants

I personally am not a fan of teardrop implants. You (like most women) are seeking upper pole fullness, which seems anathema with teardrops. I feel that I obtain "naturally appearing" results using only round implants. The secret is to avoid an implant which is too large for your breast.