Smooth implants or textured? Round or tear drop? Under muscle or Biplane?

For women with small breasts, I recommend smooth round implants placed behind the muscle for better upper breast fullness and coverage, and fewest long term risks.

Hello and thank you for your question. It is highly recommended to use smooth implants to avoid concerns of anaplastic large cell lymphoma associated with textured implants. I recommend a round implant as it avoids future issues with cosmetic deformity when the implant rotates. Under the muscle or above the muscle just depends on your anatomy, skin quality, physical activity levels, body habitus, and measurements. All of these things need to be taken into consideration during a consultation.
Alex Zuriarrain, MD, FACSQuadruple Board-Certified Plastic/Cosmetic SurgeonCleveland Clinic Trained

There is so much to consider when selecting the right implant and the questions you mentioned are just a few. There is also the type and profile to consider. Breast implant selection is always best when done in person. During a consultation you'll be examined by your board certified plastic surgeon and discuss your goals for surgery. Together you will select the implant that is best for you. Based on the information given in your post you will likely have a nice outcome from a smooth, conservatively sized implant placed beneath the muscle.