Thank you for your
question and sharing your photos. It is in your best interest to find a
board-certified plastic surgeon, preferably one who is a member of the
American Society of Plastic Surgeons (ASPS). Most plastic surgeons have
before and after pictures that you can browse and compare to someone who
may have a similar body shape as yours. People with smaller frames
typically benefit from an anatomical implant rather than round, but it is
always important to follow the advice about surgeon recommendations, and
to let them know that you "don’t mind a little fake looking." Best of
What type of implant is best for you - anatomical or round implant?
The primary reason to choose anatomical implants is to get more of a teardrop shaped look. Because you commented that you "don't mind a little fake looking", I would most likely suggest a round implant. If you choose to have submuscular augmentation, the tissues and muscles will drape over the implant giving it a natural slope but will still give you upper pole fullness. I would suggest having another conversation with your plastic surgeon to be sure you are making the best choice for you! Good luck!
With normally shaped breast like yours you could have either round or anatomical and get a natural result. Even with round implants, size and profile can be altered to get a natural result.
I feel round silicone implants are the gold standard of therapy. Shaped implants do have some theoretic advantages long term. The literature reports a 2% rate of rotation that requires re-operation with shaped implants.
Studies that show consumers and plastic surgeons pictures of patients with round and shaped implants and ask which is which show that neither group is accurate in identifying the shaped implant.
Chose the implant that you want, you look to be an excellent candidate for any type of implant. Good luck.
Anatomical or round implants
All shaped implants are textured to avoid rotation. Sientra uses a proprietary method of texturing called True Texture that has a proven track record internationally over the past 20+ years. In the FDA clinical trials Sientra had zero rotations, and 4.9% rupture rate. Mentor uses a stamping method for texturing that has uniform shallow groves in the implant called Siltex. In the FDA trials Mentor had a 3.4 % rotation rate, and rupture rate of 10.6% .