Can mastectomy patients get a nice result with round implants or would "anatomical" teardrop shape be better? (Photo)
Doctor Answers 6
Implant types in breast reconstruction
Can mastectomy patients get a nice result with round implants or would "anatomical" teardrop shape be better?
Shaped or Round Implants, which is better?
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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
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
Shaped vs round implants
This is always the main question to be asked. In my reconstructive practice I do tend to use the shaped implants more, but I'm flexible if someone has a preference. If you're still feeling the expanders, they are not indicative of how the final shaped implants will feel. The permanent ones are much softer. However, they are still a little more firm than a round implant. So there's a trade off. Based on how thin you are, I agree fat grafting is needed if possible. And for the same reason, I think the shaped will look better as they will come off your chest wall more naturally.
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