Replacing teardrop implants with smooth round - What considerations do I need to make?

Dear sisternoon,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello !

Smooth silicone implants tend to settle more quickly and naturally in the body, providing a natural-looking hang. They also tend to last longer than textured implants and have less risk of rippling.

Breast implants with a smooth surface located in the subfascial plane are associated with a four times higher risk of contracture compared to those with a textured surface in the same plane. Nonetheless, when both types of implants were placed in the submuscular plane, they exhibited similar risk levels for contracture.

It is possible to get a biopsy at the same time.

I would suggest to consult with an experienced surgeon well versed in breast revisions for the best results.