Dual plane teardrop implants? (Photos)

Hi.  You are starting from a very good place and should achieve a beautiful result with whichever technique or implant you choose.  I don't believe you have tuberous breasts.  For any given volume a teardrop will give a more natural result than a round especially looking at the 'visible in clothes' upper pole.  Similarly under the pec muscle will soften this area.  Teardrop implants have a small rotation rate and are firmer so they do have downsides.  If you are going for a modest augment then a round would be fine.RegardsDamien

I usually recommend anatomical breast implants, either sub-pectoral or dual plane. Hope this helps, Dr Steve Merten, Sydney

Hi,
It is true that Dual plane augmentions will take advantage of using the pectoralis muscle to cover the upper part of the implant so giving a more natural look. the combination of an atomic implant and dual plane is my preferred option when looking to achieve a natural result.
Tuberous breasts will fall into a classification system and based on the photos, and without an examination, I can only suggest that the tuberous breast deformity is very mild if present at all. This is good news for you, as it makes the surgical procedure a little less technically challenging and the result more predictable.
I hope that  is of some help
Jeremy Hunt

Hello, there are many ways to correct tuberous breast shape, including the recommendation by your surgeon.  There are many other options depending on the degree of shape correction needed.

Hi there and thanks for posting.Whilst the advice you have been given is sound, the justification I don't believe is correct. That being you do not have tuberous breasts.Your breast shape is quite normal.The advice to place your implants in a dual plane pocket will help soften the upper pole given that you don't have much soft tissue in this region.As to whether you should have anatomic or round implants, depending on the size you wish to achieve you could get a nice natural result with either round or anatomic. Overall I think anatomic implants do give a more natural result particularly with larger implants. The other thing I consider in helping women decide which style of implants is how tall their breast foot print is relative to the width. If your chest is wider than it is high, then an anatomic implant will give you more options.Best wishesRichard

Thanks for your question and for providing the images.
I think you will get a nice result from a dual plane breast augmentation. In terms of cup size, it is impossible to predict exactly what cup bra you will end up wearing, as the sizing changes with different bra manufacturers.

Thanks for getting in touchWhilst you don't have true tuberous breast deformity I would still recommend anatomical implants in a dual plane pocket.The gel is more form stable therefore maintains its shape better in the lower pole.Meaning more reliable long term results.I wouldnt recommend smooth round implants.I hope this helps 

Thank you for the question.  Yes, I think that you have been given good advice in terms of implant positioning.
 I think it is in the best interests of most patients seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position.  This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look  of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability  of the implants (which may increase with time, weight loss, and/or post-pregnancy changes). The submuscular positioning  also tends to interfere with mammography less so than breast implants in the sub glandular position. The incidence of breast implant encapsulation (capsular  contraction)  is also decreased with implants placed in the sub muscular position. 
On the other hand,  sub glandular breast implant positioning does not have the potential downside of “animation deformity” ( movement/ distortion of the breast implants  seen with flexion of the  pectoralis major muscle)  they can be seen with breast implants placed in these sub muscular position. 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 the hand, can shift or rotate without changing the shape of the breasts.
 
I personally prefer the use of smooth  and round implants for most 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” or "1-2 cups bigger" 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 (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes. 
 

Based on what I can see in your photos, you do not have a significant tuberous breast deformity.  The augmentation you describe is a standard augmentation procedure and does not elucidate what maneuvers the surgeon would plan to perform to address a tuberous deformity. A tuberous deformity is characterized by all or some of the following characteristics: bulging of breast tissue through the nipple (called pseudoherniation), a constricted breast base, and an elevated breast fold. Often times, the deformity is only on one side. Apart from adjusting the position of the breast fold if needed, the main maneuver to correct this is radial scoring of the breast parenchyma which can be performed through a number of incisions and approaches, including a dual plane position. Now after all that "shop talk", my experience leads me to believe that you could get a great result from a dual plane anatomic (tear drop) implant. However, there are other approaches that could also give you a great result. Much of this is surgeon dependent. If the surgeon has had great results with this in the past, I think it's a reasonable plan. Good luck!

Your breasts do not show the typical elements of tuberous breasts, just breasts that are smaller than ideal. A standard breast augmentation with smooth walled round gel implants under the muscle would be best IMO.