Breast Augmentation: Q&A
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Very Asymmetric, Tubular Breasts. What's the Chance of My Implants Rotating?
I have extremely asymmetric breasts. One is a mildly tubular A cup, the other a soft and saggy C cup which slightly points downwards. I'm thinking of having a breast lift on the C cup and breast augmentation on the A cup. I really want a natural look so I would like to have a tear drop shaped implant because I'm not too convinced that a round one can look natural. I know the tear drop or anatomical implant has a tendency of rotating. Is it more or less likely to rotate with tubular breasts?
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10 Doctor Answers |
Asked by
jojo1313
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Asymmetrical breasts are best treated with implants and a lift on both sides.
First of all, if you have very asymmetrical breasts (and a tuberous breast), you are best advised to have implants and a lift on both sides. Otherwise your larger breast will not have the nice upper pole convexity that your small breast will have after an implant is inserted. So we use a large implant on your smaller side and a small one on your C cup side. Next, you need a vertical lift on both sides, with removal of much more tissue on your saggy side and correction...
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Very Asymmetric, Tubular Breasts. What's the Chance of My Implants Rotating?
Having fixed a considerable number of malrotated anatomic implants from the previous generation (before the early 190ies), and hearing that the problems are coming back, I am not excited about their use when there is no real advantage to them.
Except for a small number of patients in trials, almost all implants used in the past 20 years are round, and most have excellent results. Best bet will be an in person consultation.
When you are ready for an in person consultation,...
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Tubular breast correction
Dear JoJo,
Your plan for your correction of asymmetric tubular breast deformity sounds very plausible. There is one flaw in your reasoning. Round implants have been the only shape implants available in this country for the last decade at least until the Sientra anatomic implant FDA approval this past year. There are many tens of thousands of women with round implants that look VERY natural. Good luck!
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Teardrop shaped implants and rotation
Dear jojo1313, Having placed over 700 anatomic teardrop shaped implants, the rotation issue is way overblown, particularly by those who had little experience with them. The newer generation teardrop implants if properly placed with precise pocket creation and hemostasis have very low roation rates and provide excellent long-term results. These implants also work well in tuberous breast deformities but as with all devices, the device only works as well as the surgeon placing...
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Anatomic Breast Implants
I am a big fan of "Anatomic" Breast Implants. However, you have to use the right implant. It has to be soft enough to shift with your position changes, including reclining, and it has to have a very good texturing so that it is incorporated into the body and does not rotate. There is one new anatomic implant available, but I have no experience with it yet. Presently I am using round silicone implants and getting very natural breasts. With the right implant, the fact your breast is...
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Highlands Plastic Surgeon
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Tubular breasts and tear drop shaped implants
I am not a big fan of tear drop shaped implants because they can flip. I prefer round implants for that reason.
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Tear drop does not mean natural
Hi there,
Naturalness of your final result is the consequence of a number of factors. Probably the least important is whether the implant is round or tear drop. Personally, I think the teardrop implants often lead to an unnatural appearance in certain positions, and the rotational problem is a real one.
There are certainly indications for a teardrop implant, but they are fewer than you'd think.
What is a breast? It is a symmetric, saucer...
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Anatomical shaped breast implants
In order to avoid the rotation of the tear drop shaped breast implants the original pocket of the breast implant needs to be precise and not large pocket as used when using smooth round implants. The form stable anatomical shaped implants are not for everyone but have a specific place for patients that want minimal fullness at the upper portion of the breast. Around the world these implants have been used for an extended period of time and only recently approved in the US for Sientra and...
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Round Implants or Anatomic Implants and Lift for Tubular Breasts
The round implants are preferred by most plastic surgeons as there is a rotational problem with anatomic. The lift is reasonable for the other side. Matching two breasts is an art. Find the plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast lifts each year. Kenneth Hughes, MD Los Angeles, CA
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"Teardrop-shaped" implants are NOT anatomic or "natural" (when reclining)!
You seem to be doing a lot of research on your own (good for you), but now you need to see one or more ABPS-certified plastic surgeons with lots of experience in breast surgery and get more information. Teardrop-shaped implants have the disadvantage of rotational malposition in all but the "perfect" position, as well as being teardrop-shaped when reclining, which is decidedly un-natural!
Smooth round cohesive silicone gel implants have NO rotational sensitivity, are teardrop-shaped when...
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