I had a mastectomy and was advised by my surgeon to go with silicon teardrop implants, but they feel heavy and rigid to me. When I felt the smooth, round implants they felt softer, lighter and more pliable, which I like. I am concerned that since I have no fat in my chest that the rounds might look too "severe" and have an obvious outline. My surgeon is also concerned that I don't have enough fat for fat grafting. My exchange surgery is in 8 weeks and I'm trying to decide between the two types.
Answer: Shaped or Round Implants, which is better? Hi Jphillli,
Helpful 1 person found this helpful
Answer: Shaped or Round Implants, which is better? Hi Jphillli,
Helpful 1 person found this helpful
September 5, 2016
Answer: Implant types in breast reconstruction This answer is always evolving as implants evolve. If you are thin, and your bones show right through your chest wall (check out the collarbone!), then chances are that you will have some rippling, whichis seeingthe implant through the skin. The advantage of shaped cohesive gel teardrops is that they really don't ripple much. The disadvantage is that they are really stiff and have an "edge" to them. Also, in real life, breasts don't have the same shape no matter what, as these implants do. Since smooth round cohesive gels came out (like Allergan's line SRF/SRM/SRLP etc) I've been using these on my skinny women often, and everyone seems very happy with them, as they ripple a little more but not as much as the old gels like style 10,15, and 20's. My current practice is to let the patients feel them both and decide for themselves, as well as telling them the information I just gave you. Everyone gravitates to one or the other immediately. As for your fat graft, if you can just get 20 or 50cc it would make so much of a difference. It will be better than the TE for sure!!! Best of luck!!!
Helpful 2 people found this helpful
September 5, 2016
Answer: Implant types in breast reconstruction This answer is always evolving as implants evolve. If you are thin, and your bones show right through your chest wall (check out the collarbone!), then chances are that you will have some rippling, whichis seeingthe implant through the skin. The advantage of shaped cohesive gel teardrops is that they really don't ripple much. The disadvantage is that they are really stiff and have an "edge" to them. Also, in real life, breasts don't have the same shape no matter what, as these implants do. Since smooth round cohesive gels came out (like Allergan's line SRF/SRM/SRLP etc) I've been using these on my skinny women often, and everyone seems very happy with them, as they ripple a little more but not as much as the old gels like style 10,15, and 20's. My current practice is to let the patients feel them both and decide for themselves, as well as telling them the information I just gave you. Everyone gravitates to one or the other immediately. As for your fat graft, if you can just get 20 or 50cc it would make so much of a difference. It will be better than the TE for sure!!! Best of luck!!!
Helpful 2 people found this helpful
September 6, 2016
Answer: Implant type I actually am not a fan of the anatomic implants especially in thin women. In my experience the upper pole of the implant is noticable and patients do find the implants to be too stiff. Lately I have been using "more filled" implants such as Natrelle SRF style. The higher fill volume minimizes rippling which can be a problem in thin women.Good luck,Dr. Luong
Helpful 1 person found this helpful
September 6, 2016
Answer: Implant type I actually am not a fan of the anatomic implants especially in thin women. In my experience the upper pole of the implant is noticable and patients do find the implants to be too stiff. Lately I have been using "more filled" implants such as Natrelle SRF style. The higher fill volume minimizes rippling which can be a problem in thin women.Good luck,Dr. Luong
Helpful 1 person found this helpful
September 4, 2016
Answer: Can mastectomy patients get a nice result with round implants or would "anatomical" teardrop shape be better? The final decision is definitely up to you and what you think you will be happy with. What I can tell you is I personally would choose an anatomic implant. They do feel rigid but soften with time. It takes ~3-4 months but they do soften and tend to feel more natural. They are also textured so they don't move, but look more natural versus a round implant.
Helpful 1 person found this helpful
September 4, 2016
Answer: Can mastectomy patients get a nice result with round implants or would "anatomical" teardrop shape be better? The final decision is definitely up to you and what you think you will be happy with. What I can tell you is I personally would choose an anatomic implant. They do feel rigid but soften with time. It takes ~3-4 months but they do soften and tend to feel more natural. They are also textured so they don't move, but look more natural versus a round implant.
Helpful 1 person found this helpful
September 6, 2016
Answer: Implant choice for reconstruction Go with the anatomic shaped implants. It will give you a nicer, more natural shape. Weight of the implant is the same for similar volume silicone implant regardless of shape. You will benefit from fat grafting of the upper poles and will only need about 20 to 30 ml per side. Potential donor sites can include abdomen, back, flanks, buttocks, or thighs. Best, Dr. Yegiyants
Helpful 1 person found this helpful
September 6, 2016
Answer: Implant choice for reconstruction Go with the anatomic shaped implants. It will give you a nicer, more natural shape. Weight of the implant is the same for similar volume silicone implant regardless of shape. You will benefit from fat grafting of the upper poles and will only need about 20 to 30 ml per side. Potential donor sites can include abdomen, back, flanks, buttocks, or thighs. Best, Dr. Yegiyants
Helpful 1 person found this helpful
