Do anatomical implants look bigger compared with rounds despite being the same cc size?

In my experience over 10 years as a coinvestigator for anatomical form stable highly cohesive gel implants or gummy bears, the tear drop shaped implants do appear to be slightly smaller than there round counterparts even though they might be the same size volume.  It is because the tear drop shape is more stable, does not collapse and places more of the implant volume over a larger surface area than does the round less stable counterpart. In our practice, because of the improved appearance of the breast as a final result, shaped gummy bear implants, particularly those from Sientra, have been the most popular implants.  Additionally, the Sientra round based shaped implants have a very youthful yet natural shape for those who have had implants previous and desire an exchange or upgrade.

Thank you for the question. These days there are a variety of breast implants available; the variety of breast implant available raise a lot of questions from women considering breast augmentation surgery. Personally, I think that for most patients considering breast augmentation surgery, careful selection of plastic surgeon and careful communication of goals, far outweigh the specific type of breast implant utilized (when it comes to the success of the breast augmentation procedure).Anatomical breast implants were designed to better simulate the natural breast shape; the problem with these implants is that if they shift or rotate, the entire breast will change shape as well. This change in breast shape may require further surgery to correct. Round implants, under the hand, can shift or rotate without changing the shape of the breasts. Overall, I find that beautiful outcomes can be achieved with the use of round saline or silicone gel breast implants for the vast majority of patients.Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “very natural” or "B or C cup" etc means different things to different people and therefore prove unhelpful.Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Hello and thanks for your question.An exam would be needed.Perhaps you would need different implant selection and different pocket creation in order to achieve best results.There are several factors that are very important in determing the shape:-Pre-operative shape-Pre-operative dimension and diameter of the breast-The amount and quality of breast tissue and skin-Implant size, shape and profile-Careful dissection of the pocketIn our office, we use actual implant in the pre-operative period to determine the size.Best Wishes,Dr Sajjadian