Will teardrop/anatomical implants on an already teardrop breast shape create pointy boobs? 5'3", 110 lbs 32A/B (Photo)

Dear Petite990,  The question of which implant shape is better has been going since I was a resident in the early 90's. In my opinion you can achieve the results you are looking for with smooth round implants under the muscle. There are studies that compared round v anatomic implants under the muscle that show the round implant looks as "natural" as the anatomic implant. I also believe that a round implant feels softer. Anatomic implants are textured and if they rotate in the pocket, surgery to correct this problem is needed. Anatomic implants are usually more expensive as well. There are other new issues with textured implants that your doctor should discuss with you. To summarize, in my opinion smooth round implants will give you the results you are looking for without the added cost, and risks. Good luck. Dr. Gervais.

Round implants could give you a nice result. I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. After I measure and discuss goals with my patients, we then look at pictures of women with similar measurements with different size breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author  
RealSelf Distinguished Hall of Fame Inductee

Thank you for your question.  Patients that have more of a natural anatomical shape breast by adding a tear drop implant you can look a little droopy.  I would suggest addressing your concerns with your surgeon and possibly seeing if they offer 3D imaging to help show you what you may look like at the end of recovery.  Best of luck to you. 

Dear Petite990,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

You have very normal and youthful appearing breasts now with good symmetry. They also sit close together naturally, so I think you will have a beautiful result. Two hundred forty cc's is very conservative and will look very natural. Studies show that no one can tell the difference between a round implant vs an anatomic implant once they are placed behind the breast - not plastic surgeons or patients. So I don't think you are going to look pointy. I prefer smooth round implants so I don't have to worry about rotation and because I want to avoid the textured on the surface of the implant. Good luck!

The anatomic implants are textured to prevent post surgical rotation.  Make sure you are fully informed about ALCL and the risk of textured implants.  For a similar result you might want to consider a smooth round implant with a moderate or low profile.

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, on the other 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 "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. 

I think that surgeons are very divided on using anatomic or contoured vs round implants.  I use smooth round implants for several reasons.  First, you want the implant to be dynamic and move around in the capsule.  Anatomic implants are textured so that they don't rotate.  If they did that would require a second surgery and is a known complication of anatomic implants.  Second, round implants give a better upper pole fullness.  Not necessarily a lot depending on the profile.  But I feel that anatomic implants leave the upper pole too flat for the new breast size. Finally, if you hold a round implant vertically you'll notice that it turns into a teardrop.  So in essence a round implant has dynamic motion and is always in the teardrop shape.  The best of both worlds.  Finally, you should try on between 10 and 20 pair of implants to know exactly what you need.

It sounds like you are interested in a more teardrop shape.  Studies have shown that implants placed beneath the muscle will take on a more natural teardrop shape. Placing the implants submuscularly eliminates the need to use anatomic implants.  Recently there have been concerns about using textured implants like the anatomic or teardrop shaped implants.  I would discuss your options with surgeon.