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

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

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