Do Tear Drop Implants Rotate?

asked 1 year ago by SueSueSue in London, SW11
Latest answer by John Burns, MD
Question viewed 730 times
Tags: comparison, rippling, rotation, tear drop

I'm a petite A cup, I'm trying to get fat transfer first to get more breast tissue and a better basis for implants. tear drop shaped implants or round implants? WANT: natural look, preferably large B or a small C cup. scared of wrinkling/rippling of the implants, it says that non textured, under the muscle silicon implants are the ones to prevent rippling. tear drop shaped implant will rotate if its not textured? does that mea it will wrinkle? do all tear drop implants rotate?

11 answers to Do Tear Drop Implants Rotate?

Tear Drop or Anatomic Breast Implants Can Rotate: Variables in Breast Augmentation

Anatomic breast implants or tear drop shaped implants must be textured to facilitate adherence to prevent rotation when placed in the breast pocket. The textured shell can be thicker and form more visible rippling. These factors introduce negative variables into a procedure which should have a very reliable outcome. A conservative smooth, round implant placed under the muscle can produce a very natural look which can be delivered with a high degree of predictability. I hope this helps.... more

Andrew P. Trussler, MD
Dallas Plastic Surgeon

www.drtrussler.com

Fat transfer and anatomical implants

Dear Sue, I am surprised by the lack of support for anatomical implants amongst the responses. I use both round and anatomical implants for breast augmentation. It is true that the round implants do not run the risk of rotation but when you only have a little natural breast tissue, much of the shape of the breast will be dictated by the implant. For this reason, patients like yourself (petite A cup requiring a natural look), I feel are best served with an anatomical... more

Jonathan J Staiano, MBBS
Birmingham Plastic Surgeon

Teardrop or anatomic implants

Teardrop or anatomic implants have a textured coating to promote adherance to the breast tissue thereby preventing rotation or movement of the implant. However, even with the textured coat, they can rotate which can result in a distorted appearance of the breast, especially in thin women with limited soft tissue coverage.

John Burns, MD
Dallas Plastic Surgeon

Fat transfer and form-stable teardrop implants

I would disagree with one of the previous commenters- fat grafting to the breast has entered the mainstream and it is a safe and reasonable way to add volume to the breast. As for teardrop shaped 'form stable' implants, I think there a few unique anatomic indications to use these shaped devices (constricted breasts, for example) - and they certainly appear to have a lower capsular contracture rate than our current round silicone implants (in the USA)...but the implant rotation is a... more

Scott Sattler, MD
Bellevue Plastic Surgeon

Tear Drop Implants for Augmentation

I do not use tear drop implants because when they are placed under the pectoralis muscle - they look the same as round implants, unless they rotate - then they look very awkward. Little benefit, big risks. Silicone implants are a good choice in most patients with small amount of breast tissue to cover the implants. You can get a very natural result.

Richard Greco, MD
Savannah Plastic Surgeon

Yes they can

Tear drop implants can rotate and become distorted even though they are textured. I have found that the round implants tend to provide the greatest amount of lift, fullness, and cleavage and due to the round shape, it does not pose the risk of implant rotation. I do not like tear drop implants

Gregory Turowski, MD, PhD
Chicago Plastic Surgeon

Teardrop implants rotate.

Anatomic implants may sound sexy but they are textured (and more likely to be palpable); they have also rotated resulting in an abnormal look. I generally avoid these but use them for breast reconstruction.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Tear drop implants

Tear drop implants CAN rotate and what that means is that the tear-drop shape can turn upside down! If this happens, your breast can look strange and un-natural. I like to use smooth round implants which I believe take on a tear drop shape naturally when you are standing up, due to gravity. Good luck!

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Rotating tear drop breast implants

The most natural breast implant is one that will enhance your natural breast shape, flow and move with the breast in a natural way and feel as one within the breast. Certainly a silicone gel implant under the muscle will ripple the least. A smooth implant will ripple less and wear longer. An anatomic or tear drop implant is most often textured to prevent rotation. We feel for augmentation the round is always best. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Tear drop shaped implants and rotation

All tear drop shaped implants are textured, but they can still rotate. What might look good in one projection, may look terribly wrong if they rotate. To re-rotate them requires surgery. I am not a fan of these implants and after a few months, often you can not tell the difference between round our tear drop shaped implants.

Steven Wallach, MD
Manhattan Plastic Surgeon

All Anatomical Implants Are Textured

First off, all anatomical ( tear-drop) shaped implants are textured. They are designed with the texturing to insure that they do not rotate at all. If they do, then the volume will shift and distort the shape of the breast. Fat trasfers to the breast are very controversial and you should proceed with caution. Any little bit of fat necrosis ( not all of the fat will live once replanted) will calcify and can mimic breast cancer. This makes mammograms and a... more