I used anatomic implants a lot many years ago and really learned to hate them. They add complexity and subtract predictability. I ended up doing a lot of revisions on these patients and often switching them to round implants.
Also, I think most of us would be hard pressed to identify patients with round vs anatomic implants. There was a paper to that effect presented by a resident at the Northwest Society of Plastic Surgeons annual meeting...
What Are the Benefits of Anatomical Breast Implants over Their Round Counterparts?
As you can read the posts of the previous experts the majority are against use of the "A" implants. As am I. Also the coverings are used for fixation and decrease capsule formation but the textured implant ripple more.
The intention of anatomical implants was to mimic the shape of the ideal breast. They are supposed to enhance the lower half of the breast greater than the upper pole of it. Similarly, because they have an upper pole to their design, it is intended to a lesser degree to be an area of enhancement. They are textured so they don't rotate. Most of us don't have accest to these breast implants yet, so in my mind, they're still controversial.
Most anatomic implants are not available any more.. for the limited benefits they have had many downsides and most surgeons do not use them anymore. different profile implants well chosen can usually meet the need
I am not a big fan of the "anatomic" or biodimensional implants. First they have a polarity or an up and a down. This means that if the implant turns it will look funny, and it usually requires surgery to turn them back. They are also textured which can cause more ridging. After a few months if they are in proper position, they will be difficult to distinguish from round implants. Oh yeah, they are also more expensive then the round ones.
I used to use primarily the anatomical implants in my practice 15 years ago but quit. Because of their shape they tend to give too much superior fullness in many patients creating a "step off". Because they can shift in position and give a bad appearance they are textured to hold them in position. Because of the texturing the shell is thicker and this makes them firmer to the touch. The texturing also increases the chance of visible rippling. I would...
Because anatomic implants have a very specific shape, they must have a textured surface which allows the body's scar tissue to adhere to them preventing movement. A good study was done years ago asking plastic surgeons to examine patients without knowing which implant was used in their augmentation. They could not tell a visible difference unless the anatomic implant had failed to adhere and rotated to a distorted look. Even on mammograms at one year radiologists could not tell the...
The primary advantage of the anatomic implants(which are all textured) is for the patient who has some minor breast sagging but wants to avoid the added scars from a lift can get more fullness in her lower pole of her breast. This advantage is best seen in the gummy bear implants( not yet FDA approved gel filled implants) and not as much in saline filled implants. For me the textured saline filled implants do not have as much control of the lower pole and have much...
Thank you for the question.
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.
Smooth and textured surfaces refer to the breast implant surface...