Hi! I'm a 19 year old girl who is petite build, short about 150cm (4'9"), breast size about an A cup and is going to get Breast implants but I'm not sure which style to go for. I was told the tear drop as it is more natural and due to my petite built. I just wanted to know if I were to get round implants would it look that bad?
Tear Drop Vs Round Breast Implants for Petite Build?
Doctor Answers (45)
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The best implant for you?
Without photos or a physical examination Its difficult to guide you. Each style of implant has pros and cons. Round implants are the mainstay of most cosmetic breast augmentation. Choosing the correct proportion and size is necessary to give a good result. Teardrops can sometimes rotate and be more feelable because they are textured. The new 410 gummy bear that was approved this week by the FDA is firmer and heavily textured. It can require a larger incision.
In my own practice I favor the smooth round cohesive implants, But I always go over the options with my patients. In your meeting with a board certified plastic surgeon her or she can evaluate you and help to select your best option.
Anatomical Breast Implants - The New Generation of Shaped Breast Implants
The newest shaped or ‘anatomic’ breast implants are completely different medical devices than those that were available twenty years ago. Previous generations of shaped implants were both silicone gel and saline implants, and none of them performed well over the long term.
Is implant rotation a problem with the new generation of shaped or tear dropped breast implants? The answer is absolutely and unequivocally no. Rotation was a problem with the older generation of shaped implants available about 20 years ago. There were other problems as well which led to those implants being taken off the market.
The older generation of shaped implants came in both saline and silicone gel versions. The saline implants had a high rotation rate and also had a fairly high failure rate. The implants also felt firm and unnatural and fell out of favor pretty rapidly. The silicone gel devices that were briefly available also had a high failure rate. The shell of the implant was fairly thin and the gel could actually bleed through the surface of the implant without the implant failing; and those implants quickly went off the market as well.
The new generation of shaped form stable highly cohesive implants has a number of advantages over the ones that have been previously available. These implants are not only shaped but they are form stable and highly cohesive, so if you cut one of these implants in half you’re holding two halves of a solid device. The implants are available in a wide variety of shapes and sizes and a custom fit can be therefore found for just about any patient. The implants have a much lower failure rate than what’s seen historically and they also have a lower capsular contraction rate and of course that varies by implant manufacturer.
Don’t let concerns about rotation that was the experience with the older generation of breast implants steer you away from the new generation of shaped implants, which does not have that problem. Actually one of the shaped implant manufacturers’ has reported a series of almost 1800 patients in which the rotation rate was zero. These are great devices, they’re not the perfect breast implant for everyone but if you would benefit from a shaped device don’t worry about rotation. If the implant is placed by a skilled, experienced, board certified plastic surgeon the rotation rate should be close to zero.
Breast implant technology has advanced considerably since the days of the first ‘anatomic’ implants, and the new generation of shaped silicone gel implants has many advantages over the older versions:
1.The new ones are highly cohesive, meaning the gel is in a semi-solid state. Cut one of these implants in half and you’re holding half of a solid implant.
2.The shells are much more durable, producing lower implant failure rates.
3.A wide variety of shapes and sizes are available, meaning a ‘custom fit’ can be found for each patient.
4.The rates of capsular contracture are much lower (varies by manufacturer).
Women seeking a natural look should find a plastic surgeon with experience and expertise creating a natural looking result in women with very limited breast tissue.
Round implants preferable for breast augmentation
I only use round implants for breast augmentation. By selecting the correct volume and profile, they can give a very natural look. I always like to hold a round implant at the top to demonstrate that the saline or silicone inside sinks to the bottom with gravity. This helps create more fullness at the bottom - like a natural breast. Unlike your natural breast tissue, breast implants move around in the pocket we create. Tear drop breast implant manufacturers try to reduce this by "roughing up" or contouring the outside of the implant. This texture encourages your skin and muscles to adhere to the implant and help hold it in place. Either way, it creates problems. If you skin doesn't adhere to a tear drop shaped implant, the implant can rotate giving you an oddly shaped and asymmetric breast. This can be visible even through clothing. If your tissue does stick to the implant, this can lead to rippling and make the implant very visible under your skin. In my opinion, tear drop shaped implants are best reserved for breast reconstruction.
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Pros & Cons for Each Shape
Breast implant shape
Round breast implants, when placed under the pectoral muscle, can look quite natural regardless of your body type. Anatomic, or teardrop shaped implants, can look quite natural also. However, these implants are typically placed in front of the pectoral muscle (subglandular). These are appropriate in certain patients who need slightly more projection in the lower aspect of the breast, or who have a thinner body.
The one concern with the anatomic implants is they have a tendency to rotate, where the heavier "bottom" portion of the implant could move and end up on "top" where it doesn't belong. Often times the patient can shift it back into place, however this may be a problem which needs surgical correction in the future.
Discuss this further with a board certified plastic surgeon prior to your surgery.
Teardrop vs round breast implants
As a plastic surgeon in the USA without the ability to use teardrop shaped or anatomical silicone gel implants, I can't give you an opinion on this one. I can tell you that I don't recommend saline anatomical due to the rippling and wrinkling in a thin patient. I also believe it is the experience and expertise of the surgeon that helps to determine the result and I only use round implants at this time.
I do think that as the anatomical silicone become available in the USA they will be used more often in selected cases.