What Implants Should I Choose to Replace my Teardrop Implants?

If you are looking to remove your tear drop shaped implants, it may be safer to replace them with round implants, especially if you want a smaller profile. It is difficult to control the size of the pocket in a breast revision which makes the rotation risk higher if you’re exchanging with a shaped implant. It may be possible to use a new shaped implant if you’re planning on placing a larger implant.

                  The
treatment of secondary breast deformities needs to be individualized and is
based on the patient’s specific anatomic findings and unique aesthetic goals.
It’s impossible to make recommendations without pre-operative pictures and a
physical examination. This is especially true when patients have underlying
chest wall deformities.

                  The
appearance of your breast has been impacted by multiple variables. These
include a pectus excavatum deformity, post-surgical changes, and changes
related to pregnancy.

                  Since
your goals include a natural appearance, increased breast size and more
cleavage, a moderate plus silicone implant would be a good option.
Unfortunately without more information, it would only be speculation.

                  It’s
important that you consult with your plastic surgeon and discuss these issues.
After being evaluated, an individualized treatment plan can be formulated
specifically for you. 

Unfortunately the most commonly used type of implants (high profile) and the most common type of placement ( submuscular/dual plane) cannot deliver the natural 'tear drop' effect or cleavage that you desire.  Leaving the origination of the pectoralis major medially intact in submuscular placement ensures that the implant cannot be medial enough to look natural, and a flat plateau is left centrally.  There are also big problems associated with anatomic implants placed in conventional planes( they work well in subfascial carefully designed pockets).  This is why I use a very unique methof of breast augmentation that I call 'cold-subfascial augmantation.'  the placement of the implants is not 'above the muscle' or subglandular, nor is it submuscular or dual plane.  A very strong layer of connective tissue is meticulously and atraumatically dissected from the pectoralis major muscle and this tissue is used to shape and support a lower profile implant into a gentle tear drop shape.  It is the surgical dissection and not the implant itself that gives shape to the breasts.  The results sit like natural breasts and do not move like submuscular implants do with arm motion.  The fascia also supports the implant giving it relative protection from gravity and aging.  
All the best,
Rian A. Maercks M.D.