Should I get teardrop moderate plus or high profile? Are round or teardrop implants suitable for my case? (photos)

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast augmentation with implant high profile in your case for best result you can apply for position sub muscular with technique inframmary , its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results.

Depending on the individual anatomy and desired results, estimations and measurements should be made for each patient individually along with the decision about the type of the implants to be chosen. The elements that form up the breast shape and size and the overall frame can be different in each person. It is best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Thank you for your questions. I can completely understand the confusion. With so many implant options out there, it can be overwhelming sometimes. Add to that the fact that several different surgeons have different opinions on what they think looks "best" and you are likely to (as you have done) get a long list of options. Rather than looking for the "best implant," I would suggest you find the "best surgeon." Find the plastic surgeon (ABPS certified) who is listening to your goals and desires and creating a solution (and choosing an implant) that is going to best achieve your unique goals. I would not suggest traveling overseas for surgery, find a qualified surgeon in your area.I find that with very small patients like yourself, a shaped (anatomic) implant can produce a very nice and natural result. However, you have to understand the limitations and disadvantages of a shaped implant as well. Go with someone who can have a detailed discussion like this with you so that you understand how to make the best decision for yourself.
On another note, something we find helpful in our practice is 3D imaging. We use Crisalix to render a 3D model of our patients during the consultation. Then we can place different implants of different size and shape on the 3D rendering to show the possible outcome. Perhaps this would help you narrow down the options and define your goals better.
Best of luck!
Dallas R. Buchanan, MD, FACS
Owner & Board-Certified Plastic Surgeon VIVIFY plastic surgery 

Dear HyeMee,I use both tear drop (shaped) implants and round implants in my practice. One has to understand the dimensions of the breast to determine which implant would work best. A shaped implant looks like a tear drop and like a natural breast shape. This may sound like it makes the most sense for breast augmentation but if a patient has breast tissue already, this tends to push out or project the bottom part of the breast more so than what is natural. Two things that look like a breast don't necessarily make for a more natural looking breast. A round implant often times has a more natural look than a shaped implant because it increases the breast size more evenly. I still use shaped implants in a few circumstances when patients have no breast tissue. Patients that are very flat or have had a mastectomy. Shaped implants also have the increased risk, up to 30%, of rotation so I'm very careful when using or recommending them. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  I recommend a smooth round moderate profile plus or high profile silicone implant.  Teardrop shape implants have a risk of malrotation, so I would not recommend that.  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.  
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

I would recommend you stick to a smooth round implant either saline or silicone.  Since you are thin, possibly silicone will give you the best feel.  You are narrow with a tight lower fold so a high profile implant would be ideal. 

Thank you for the question. I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery, assuming you choose your plastic surgeon carefully and communicate your goals carefully as well. I also think that your goal photographs are realistic, understanding of course that goal photographs are communication tools not guarantees of exact outcome.

These days there are a variety of breast implants available; the variety of breast implant available raise a lot of questions from women considering breast augmentation surgery. Personally, I think that for most patients considering breast augmentation surgery, careful selection of plastic surgeon and careful communication of goals, far outweigh the specific type of breast implant utilized (when it comes to the success of the breast augmentation procedure).
Anatomical breast implants were designed to better simulate the natural breast shape; the problem with these implants is that if they shift or rotate, the entire breast will change shape as well. This change in breast shape may require further surgery to correct. Round implants, under the hand, can shift or rotate without changing the shape of the breasts. Overall, I find that beautiful outcomes can be achieved with the use of round saline or silicone gel breast implants for the vast majority of patients.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural or perkier” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with. 
 

Hi there and thanks for posting,I think your surgical aims are certainly achievable.You have what we describe as a grade 1 fold, meaning that is is virtually non existent. This is helpful because it means that we can lower your fold without any ramifications. How much it is lowered though will depend on your chest:abdomen ratio. This means your fold shouldnt be lowered so much that your chest length becomes greater than your abdomen length, as it distorts your proportions. If you look at your "wish boob" pic, she has ideal proportions in that her chest is still relatively short compared to the length of her abdomen.So in short I would advise an anatomic implant - probably in the smaller range that you have suggested. Definately in a dual plane pocket to account for your lack of soft tissue and some moderate lowering of your fold to accommodate your implant.I hope that helpsRegards Richard

There are advocates of both types of implants, round and teardrop. Both may produce a good result in the appropriate patient. The perception of what is a "natural looking breast" is very individual and varies greatly from patient to patient and from doctor to doctor. The claim that the tear drop is more natural is debated by most of the plastic surgeons and in a panel presenting results to plastic surgery breast experts from around the world, they were correct in guessing which was round and which was teardrop shaped in only 50%, which is the same result you would get with a coin toss. So even experienced plastic surgeons couldn’t tell the difference which implant has been used. Most plastic surgeons feel that there are no cosmetic benefits provided by a teardrop (“anatomical”) implant.

Tear drop implants:

Textured.
Firmer.
Can rotate producing a distortion requiring additional surgery.
Don’t necessarily move as well and may not look as natural when lying down.
Being a textured implant there is an association with an increased risk of a very rare tumor, ALCL (Anaplastic large-cell lymphoma), that can occur in the fluid and capsule around the implant.
There is less fullness in the upper pole with a tear drop implant. Many patients use a bra to push the breast up to give that greater fullness superiorly which wouldn’t be achieved with a tear drop.
In the standing position, the round implant assumes a more tear drop shape because of gravity.
Shaped implants may produce a better result in some patients who have had breast reconstruction after mastectomies, but not in most breast augmentation patients.
What is more important than the specific type of implant is the experience and artistry of the plastic surgeon.

I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with who has all of the modalities of treatment available.If you live outside of the United States, the surgeon should ideally be a member of the International Society of Aesthetic Plastic Surgery (ISAPS). You should discuss your concerns with that surgeon in person.

Breast surgery needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you.

Robert Singer, MD FACS

 La Jolla, California

Hi. You do have enough breast tissue to undergo a Breast Augmentation with High Profile Silicone Cohesive Gel Round Implants under the pectoral  muscles. No need of teardrop since the muscles will give a natural form to the round implant (see below). Nipples needs a reduction, and implants should be place through the crease in your case.International Member of the American Society of Plastic Surgeons (ASPS)
Member of the International Society of Aesthetic Plastic Surgery
25 years experience