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?
Do Tear Drop Implants Rotate?
Doctor Answers (15)
Fat transfer and anatomical implants
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 implant and rotation is only a potential risk and by no means certain. A round implant will run the risk of giving too much fullness in the upper part of the breast and the so-called 'operated on' look.
With regard to fat transfer, I think this is a fantastic tool and I am using it a lot in my reconstructive practice. I personally, would put an anatomical implant under the muscle and this 9 times out of 10 gives a fantastic result. If the soft tissue cover is not sufficient despite the submuscular placement of the implant and you are unlucky enough to get rippling, I would then think about doing fat transfers over the implant to help to cover this. Good luck.
Teardrop 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.
The older shaped gel implants contained liquid silicone gel, and the shells had a high rate of failure and gel ‘bleed’ (i.e. some of the liquid silicone gel could ooze through tiny pores in the outer shell and escape the implant, without a tear or hole in the implant shell). The shaped saline implants felt firm and unnatural, had a tendency to rotate and also had a high failure rate.
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 (the reported rate varies by manufacturer).
The new generation of shaped, form-stable implants (available in the U.S. for less than two years now) are an ideal choice for particular patients. One type of patient that is well-served by these implants is the fit, athletic, A to small B patient who has very little lower pole tissue, needs to have the inframammary fold lowered, and who wants to transition up 1 or 2 cup sizes. This is one of the most challenging augmentation scenarios, as there is little natural tissue to conceal the implants. I get results with shaped, form stable implants in these patients that were previously not achievable with round devices. I have been placing shaped, form-stable breast implants for a year and a half and I have seen no cases of rotation / malposition, no cases of visible folds / ripples, and no cases of capsular contracture. Rotation of these implants should not occur if pocket dissection is meticulous.
Not every patient needs a shaped implant – plenty of patients do just fine with a pair of round implants. But for specific indications, in my opinion, there is not a better implant choice. Especially if the goal is a natural-appearing breast augmentation result.
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. Dr. Trussler
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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 problem- precise implant pocket dissection is essential to keep these devices from spinning around and changing the shape of the breast.
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.
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 diagnosis harder. This is why in the US it is still looked upon with scepticism and caution. Going under the muscle would be very advisable, but if you are extremely thin, then the chances of some rippling with any type of implant are higher, regardless of the placement and the size. I hope this helps.
Risk of rotation
Tear Drop Shaped Implants
Regarding your question concerning tear drop shaped implants, in order to minimize the risk of implant rotation, surgeons limit the size of the pocket they create. The textured surface of these implants further reduce the chance of rotation, however, that is one of the potential risks of shaped implants.
Anatomic implants and rotation
Yes, anatomic shaped implants can rotate if there is not proper adherence between the implant surface and the capsule. The risk of superior pole rotation is in the 8% range.
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.