Breast Implants, 270ml Teardrop Over Muscle, Unnatural Looking? (photo)

Thank you for the question and pictures.

You will find that plastic surgeons may  have different preferences/recommendations for you. This does not necessarily mean that one recommendation is better than the other.

My preference/recommendation for you would be round silicone gel breast implants  place in the partial sub muscular (dual plane) position.

I think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position.  This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look  of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability  of the implants (which may increase with time, weight loss, and/or post-pregnancy changes).
The submuscular positioning  also tends to interfere with mammography less so than in the sub glandular position. The incidence of breast implant encapsulation (capsular  contraction)  is also decreased with implants placed in the sub muscular position.

One of the known problems/complications associated with “anatomical” or "teardrop" breast implants is the possibility of shifting/rotation of the breast implant.  This rotation of breast implant may cause the breast shape to change,  potentially necessitating further surgery to correct.  For this reason, and with the goal of minimizing complications and need for further surgery, I prefer the use of round implants for almost all patients.

I hope this helps.

 You asked for an opinion, so here you go. As you can see from the physician responses stated below, results with breast implants are very surgeon specific, however, in my opinion there is no better option than a sub muscular dual plane  silicone implant for your frame. You will have a beautiful result with a smaller teardrop shaped implant underneath the muscle. Going too large or going on top of the muscle, will leave an unnatural and palpable result in someone in as good a shape as you are. 

Implants under the muscle statistically stay softer, have a more natural look, and one gets a better mammogram when implants are in the subpectoral position.  All anatomic implants (teardrop) are textured, and unfortunately textured implants which are thought by so many to stay soft, have a tendency to get hard, and at times, rotate.  All things being considered, I would have another consultation with your plastic surgeon to discuss alternatives to textured, teardrop implants in the superpectoral space.