I like the natural look of teardrop implants but would round implants be more suitable w/ my lift? (Photos)

Hello,90% of American plastic surgeons have never used, nor intend to ever use shaped and textured implants. It’s an emotionally based decision that is unwarranted. The fact is that both older and newer data supports shaped and textured implants as having a lower risk of complications and re-operation than round smooth implants. So when you hear things like ‘shaped is for reconstruction and round is for cosmetic’ or ‘round works best’, you should know these responses are not factual. Go visit a few highly experienced ABPS certified/ASAPS member surgeons who have experience with both implants. They will corroborate what I’ve told you. 

There is no reason to choose an anatomic or tear drop shaped implant when considering a combination lift and implant procedure. In your shape of breast and chest, the implant needs to provide an expanded base for the breast with volume and a properly performed breast lift will shape the breast giving you the shape and contour you want.

I don't think you are going to find too many answers where an experienced surgeon is going to favor an anatomical or teardrop implant for a case such as yours.  The teardrop implants are an important part of breast reconstruction after cancer, but round implants are by far the best choice for nearly all cosmetic cases.As always, the best advice and the best implant can only come after you are seen, examined, and measured by an experienced surgeon.   

I recommend smooth, round implants.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, the best shape and contour could be achieved with an implant
and a breast lift.   A breast lift with an implant can result in a very nice shape if
good technique is used.   I prefer a round implant over a teardrop implant because a teardrop implant has a risk of malrotation with time.   The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon