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?
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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.
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Anatomical Breast Implants - The New Generation of Shaped Breast Implants Rotation is NOT an issue with these breast implants
Is implant rotation a problem with the new generation of shaped or tear dropped breast implants? The answer is absolutely and unequivocally no Actually, one of the shaped implant manufacturers’ recently reported a series of almost 1800 patients in which the rotation rate was ZERO. Using careful pre-operative planning and meticulous surgical technique when creating the implant pocket, I've encountered no cases of implant rotation in the years I've been using these devices. 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.
Patients are best served by selecting a plastic surgeons who are interested in, and have an open mind about new technology, but who evaluate all new technology with a critical and scientific eye. Not everything new is necessarily better. But, for some patients, this new generation of shaped, form stable absolutely provide superior outcomes.
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.
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. 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.
The following are a few things that can distinguish some surgeons from others
1) Graduating from a top tier medical school at the top of their class.
2) Membership in Alpha Omega Alpha. This is the medical honors society. Alpha Omega Alpha is to medicine what Phi Beta Kappa is to undergraduate universities
3) Formal surgical training from prestigious medical universities. The minimum number of years of surgical training for plastic surgeons to be board certified is five years. Some physicians have as many as ten years of formal surgical training. There simply is no substitute for stelar academic and practical surgical training.
4) Very experienced surgeons with meticulous surgical technique and natural looking outcomes will have photgraphic evidence of their work. Patients should be able to view many photos of the surgery of interest, photgraphed from three different perspectives all with similar lighting, distance from the camera and cropping
The elite experience extends beyond the surgeon to the facility, and the surgical team. You should be able to see the surgical theater and know who else will be in the OR with you during surgery. The Joint Commission (JCAHO) is an organization that provides certification to hospital OR's. The Joint Commission and AAAASF are two of the organizations that can provide certification to surgical suites. Some plastic surgeons elect to have their surgery centers dually certified.
The anesthesia experience is critical to a safe and comfortable surgical experience. A board certified anesthesiologist can administer general or MAC anesthesia. My preference is to have a board-certified anesthesiologist at the bedside of my patients for the duration of surgery.
Plastic surgeons who cater to high profile individuals who place a high value on privacy will have a private first floor entrance and exit so patients never need to be in a public lobby or elevator for pre-operative or post operative visits.
In defense of shaped implants: The doctors who advise against shaped implants are generally those with no experience using them
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Tear drop breast implants versus round implants
1- Round breast implants are softer than anatomic implants when palpated.
2- If a tear-drop implant rotates or migrates over time, the breasts are no longer symmetric. If a round breast implant rotates, there is no change in appearance.
3- Beautiful, natural results are achievable with round implants because they take on a tear-drop shape when a woman is standing.
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.
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.
Round vs Tear drop shaped breast implants
When considering whether a shaped or round implant is ideal, there are multiple factors to consider. First of all, round implants tend to give more fullness in the upper part of the breast resulting in more cleavage. If you do not want this and prefer a breast with more fullness in the lower part of the breast, shaped implants may be for you. Please understand that shaped implants tend to be a bit more firm, so that they can hold their form stable shape. With shaped implants, there is an added complication of implant rotation. As you can imagine, a round implant can rotate with no concern; however, a shaped implant needs to remain in a certain position as there is directionality to the implant. If the implant rotates, the breast will look lop-sided and odd, necessitating a revision.
These shaped implants are often used in the setting of patients who have some mild ptosis (drooping), and are trying to avoid having a breast lift. The shaped implant places more volume in the lower part of the breast and can help to elevate the nipple without the scars of a mastopexy.
You plastic surgeon should review all your options to help you choose what's best for you.
Tear drop vs round implants
The tear drop anatomical implant is a textured implant and seems to be most useful, in my practice, in patients needing breast reconstruction or with very droopy breasts.