Are anatomical implants a bad choice if you want soft breasts (tubular)?

Hello and thank you for your question. This is difficult t answer accurately without evaluating you in person.  I have used both anatomic and smooth round silicone implants for tuberous breast augmentation.  It depends on your individual anatomy and desired outcome.  The size and profile 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.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your question. It is difficult to answer without pictures, however, in general I find anatomic or shaped implants to be particularly good for patients with Tuberous breasts. I like placing implants under the muscle however to provide llongevity, decreased rate of capsule contracture and a more natural look. In terms of feel, I find Sientra shaped implants to have a particularly soft feel as compared to the other two manufactures very similar to round silicone gel implants.

Even for Tuberous Breast Deformity, I use a smooth round silicone breast implant.  Depending on how much breast tissue you have to cover the implant determines the degree of "softness" and natural feel. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with and who is a board-certified Plastic Surgeon certified by the American Board of Plastic Surgery.

Best wishes!

Dr. DesaiHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

I use round silicone implants and do not like the anatomic ones. The round ones work very well in my hands for tubular breasts. Without a full examination it is impossible to state for sure what is best for you. 

In the  majority of patients I prefer to place smooth round implants under the muscle. If you are not sure about anatomics then seek a  second opinion or discuss it with your surgeon. Good luck.