Are tear drop implants better than smooth round when there is very thin breast tissue, skeletal, and muscular asymmetry? (photo)
Doctor Answers 24
The problem isn't the implant.
several years ago, we published the first series and defind a new technique in breast surgery called Composite Breast Augmentation. this utilizes breast implants and your body's natural fat, harvested from areas of liposuction and placed over the implants to give you a more natural look. This is the operation you need. When composite is done, there is less dependence on which type of implant is used, because the natural look will come from the fat not the implant below.You should try to find a surgeon was had a large experience with this operation – someone was performed over 100 of these would be a good place to start.I have attached a link to the paper that we wrote for your review.Best of luck,Dr. Delvecchio
Are Tear Drop Implants Better Than Smooth Round When Breast Tissue is Thin?
On the other hand, you don't appear to be as lacking in breast tissue as you suggest. The tissues in the upper part of your breast may be thin, but if the implant is placed under the muscle then that should not be a problem. Yes, a smooth round implant will be somewhat softer but that is obviously not the only consideration. Shaped implants do not shift if your surgeon knows how to do the operation properly. This is a false concern that is repeatedly raised by surgeons who do not know how, or do not want to take the time, to do the operation properly.
In your situation I think the decision on type of implant should revolve around what sort of breast shape and implant position you would prefer. Your photos suggest that your breast sits lower on your chest wall and thus the distance from your sternal notch to nipple may be somewhat long for your height. If that is the case, then a smooth round implant can look somewhat low and round without the fullness many women desire in the upper chest. There are shaped implants which are taller than they are wide so they actually provide extra fullness higher up your chest wall. So this type of implant is very well suited to the person whose breast is located lower on their chest wall. In general it is true that a shaped implant will create a more gradual and hence more natural slope off the chest wall, however some women prefer the slightly more augmented appearance of a round implant. So there are no completely right or wrong answers here.
In your situation I would be concerned that a smooth round implant would look a little low and unnatural and only the very upper portion of the implant would be covered by the muscle. In this sort of configuration a smooth surface implant will tend to slide out from under the muscle when it is contracted and thus cause the implant to move down and out over time. On the other hand, a shaped implant which has a textured surface so that it adheres to the tissues so as not to rotate, will be more stable and predictable, and more durable over time. So on balance I would say that your PS suggestion of a shaped implant is very reasonable and potentially preferable based on your anatomy.
Autologous fat transfer is certainly another useful technique to deal with issues of thin or inadequate tissue coverage, and it can be a great way to "fine tune" the results of breast augmentation. The problem is that it adds complexity and significant expense to the operation that most women are unwilling incur for a variable degree of improvement. Today we have an extensive array of implant sizes, shapes, and profiles which can be thoughtfully applied to the various breast tissue and chest wall anomalies to achieve aesthetic outcomes in breast augmentation. I find that autologous fat transfer is only needed in the most challenging cases.
Asymmetric pectus deformity
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Tear drop versus smooth round?
I would use a smooth round implant for you. You lack upper pole fullness which needs to be replaced with a round implant. You may not achieve this effect with a shaped implant.
I have been using textured implants almost exclusively for 4-5 years and my incidence of rippling is no higher than it was before, and it was negligible then.
If you are looking for a larger size, though, not sure you will get that with shaped implants, whereas round high profile implants will probably be more likely to achieve a larger size.
On the other hand, it's not realistic to have a 'natural D' with your body shape...it will always look augmented with your thin shape, your size and overall body shape.
Best advice is to try on sizes with a bra and t-shirt, tank top, and look in a full length mirror; don't pay any attention to CC size/volume, but go for what YOU like--the look you are going for. After finding that 'look' that you like, look at the size of the implant, add about 10% and use that size, if its appropriate for your breast width---I only let my clients try on implant sizes that are within their breast width, just for that reason.
Breast Augmentation with tear drop implants
Size of implant important in getting a natural result.
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