Should I get a round implant instead of Ergonomix? (Photo)

Question

I had a breast augmentation done in January 2020, at first I was happy with the outcome. I had cleavage and I had some side boob. They appear to be shrinking and flattening out still. They are motiva ergonomix 340cc demi. The pictures I showed my surgeon were about the cleavage I wanted. I no longer have cleavage and even with push-up bras I do not get the desired shape. Can breasts shrink over a cup size between 6-12months post op? Should I have chosen a round and wider implant?

Daniel Barrett, MD · Answer

Dear GUEST4,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Donald R. Revis Jr, MD · Answer

Good morning,
Yes indeed for your desired results you need a round implant, a little wider, with more projection, which also likely means a little larger.

Damien Grinsell, MBBS, FRACS (Plast) · Answer

Hi
I assume your surgeon would have had a full discussion about the pros and cons of the different implant choices. They all have their pros and cons. It is common with smooth round implants for them to bottom out over time and motiva type of gel is similar. This gives a more natural result with less upper pole fullness. If you want upper pole fullness then a mentor textured round is the best but it comes with a very rare risk of ALCL.  In addition you will probably need to go up a cup size as well as changing the type of implant.
Regards
Damien

Rob Choa, FRCS Plast · Answer

Hi,
There are a few things to consider. Cleavage in my opinion is dependent on the patient’s shape prior to surgery - if the patient has a wide gap between the breasts beforehand, it is more difficult to achieve cleavage than in a patient whose breasts naturally meet more closely. The plane of implant placement can be a factor as well - in some of the photos you’ve included the implants are probably placed above the muscle - don’t know what plane was used for you.
It is common for the initial swelling following surgery to subside over the first year, and in addition as the implants settle into a more natural position - this could equate to a cup size difference from early after surgery. 
A larger, round implant could give you more upper pole fullness and cleavage, but whether this is a good choice for you depends on your natural dimensions and the goals you are trying to achieve.
Hope this helps

Connie Hiers, MD, FACS · Answer

Over the years, I have tried many kinds of implants and have found that smooth round implants give the best results and fewest complications over the long run. I only use smooth round implants for all my augmentation patients. go back to your surgeon and discuss your concerns. Placing the implants behind the muscle will help keep the upper breast fullness and have less sagging from the implant.

Should I get a round implant instead of Ergonomix? (Photo)

Answers (5)

Answer: Round vs Ergonomix

Answer: Round vs Ergonomix

Answer: Implants

Answer: Implants

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Should I get a round implant instead of Ergonomix? (Photo)

Answers (5)

Answer: Round vs Ergonomix

Answer: Round vs Ergonomix

Answer: Implants

Answer: Implants

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.