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.

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. 

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