Anatomical Vs. Round for a Protruding Chest Wall? Opinions?

asked 1 year ago by implants2010 in Seoul, Korea
Latest answer by Eric Swanson MD
Question viewed 1,099 times
Tags: 110-129 lbs, 5 ft 4 in to 5 ft 7 in, silicone implant, 250-299cc, A cup, choices, protruding, round, smooth, tubular

5'5, 127. Tubular breast issue on the right. Also a protruding chest wall. I am a 34A now and am looking for a more full look but not very large. Discussed a smooth round cohesive silicone ~250cc. Doctor said he may use textured to minimize complications if he needs to cut too much on the right. I would like a nature full but sloped look and don't want it overly pronounced on the upper chest. So he told me to consider anatomical but the before/afters I see are not less full on top. Thoughts?

10 answers to Anatomical Vs. Round for a Protruding Chest Wall? Opinions?

Anatomical implants not used much any more

We tend not to use "anatomical" implants any more. The name sounds good, but there is really no practical advantage for these implants, that are shaped more like teardrops. In the human body, their shape turns out to be similar to a round implant shape. A disadvantage is they are often textured. We don't use many textured implants anymore because they seem to have a higher risk of deflation (and they don't really reduce the risk of capsular... more

Eric Swanson MD
Leawood Plastic Surgeon

Breast implant size/type?

The more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saiine/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling of the... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Anatomic Breast Implants vs. Round Breast Implants

Anatomic implants can result in complications such as unwanted rotation. In addition, most surgeons who use anatomic implants use the textured ones, which patients tend to feel more and which also have more rippling. I would recommend a smooth round silicone gel implant.

Ankit Desai, MD
Jacksonville Plastic Surgeon

A natural looking breast implant result.

I have written a brief article on "Natural looking breasts" under my profile on Realself. I would call your right breast a constricted but not necessarily tuberous breast. My primary concern is the width of your cleavage which will result in widely separated breast implants if a modest size is used. I would suggest round smooth silicone rather than the anatomic. Textured will keep the implants in place but may feel more rigid than a smooth surfaced implant. more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Anatomic versus round implants

Thank you for your question and the photo provided. The first point is that I do not appreciate a tubular breast deformity on the right breast. Without lateral views, it is difficult to see any chest wall deformity either. The difference between anatomic and round implants is negligible in most patients for augmentation (although in reconstruction it often makes a big difference). To avoid a "full" upper pole, the use of a moderate or moderate plus implant profile is a better... more

David Bogue, MD
Boca Raton Plastic Surgeon

Gel vs form stable for asymmetric chest wall

Thank you for your question. Couple of things. I do not see that you have a tuberous breast, although perhaps photo does not show. For prominent ribs or asymmetrical chest contour, I find that using different size implants will usually solve almost all of this. There is usually some minor residual asymmetry. Also, I think an anatomical implant would be nice for you because of its sloping shape and if you have prominent ribs in the upper pole, it can really... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Anatomical vs. round implants

Anatomical implants in my opinion are no great shakes. I prefer round implants. Anatomic implants can shift in position and look funny.

Steven Wallach, MD
Manhattan Plastic Surgeon

Round vs Anatomic Breast Implants

I rarely disagree with other surgeons on this site, but, this is one time I definitely do. Without an actual examination, I would use an anatomic textured implant in someone like you. I would prefer a silicone one, but they have not yet been fully released to the market. Also, there is a difference between implants by different manufacturers here in my experience. I have used Natrelle’s textured anatomic implants for many years and have never had a problem with them. ... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Anatomical Vs. Round for a Protruding Chest Wall? Opinions?

Thanks for the great posted photo! Your issue is your anatomy not a ruberous right breast. I recommend HP implant smooth round NOT textured, Not anatomics. From MIAMI DR. Darryl J. Blinski, 305 598 0091

Darryl J. Blinski, MD
Miami Plastic Surgeon

No

You will gain nothing by anatomical implants. The only thing you will gain is the chance for higher complications. Anatomical implants can rotate and then you need surgery to fix. Furthermore anatomical will not give you the look you seek. Also textured is of no benefit either. I am sure your doctor is good and means well but my experience is that the expertise for what youw ant in Europe and Asia is not as good as here. Try to come here if you can.... more