Do Tear Drop Implants Rotate?

I would disagree with one of the previous commenters- fat grafting to the breast has entered the mainstream and it is a safe and reasonable way to add volume to the breast. As for teardrop shaped 'form stable' implants, I think there a few unique anatomic indications to use these shaped devices (constricted breasts, for example) - and they certainly appear to have a lower capsular contracture rate than our current round silicone implants (in the USA)...but the implant rotation is a problem- precise implant pocket dissection is essential to keep these devices from spinning around and changing the shape of the breast.

All teardrop implants are textured to reduce the risk of rotation, which does exist. However, this risk is very small. 

Teardrop or anatomic implants have a textured coating to promote adherance to the breast tissue thereby preventing rotation or movement of the implant.  However, even with the textured coat, they can rotate which can result in a distorted appearance of the breast, especially in thin women with limited soft tissue coverage. 

Anatomic breast implants or tear drop shaped implants must be textured to facilitate adherence to prevent rotation when placed in the breast pocket. The textured shell can be thicker and form more visible rippling. These factors introduce negative variables into a procedure which should have a very reliable outcome. A conservative smooth, round implant placed under the muscle can produce a very natural look which can be delivered with a high degree of predictability.  I hope this helps. Dr. Trussler

I do not use tear drop implants because when they are placed under the pectoralis muscle - they look the same as round implants, unless they rotate - then they look very awkward.  Little benefit, big risks.

Silicone implants are a good choice in most patients with small amount of breast tissue to cover the implants.  You can get a very natural result.