Would anatomical implants give me better end results vs. round? (Photos)

I appreciate your question.



The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  

Silicone will give you a fullness at the top (upper pole fullness).



Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.



Anatomic gummy bear implants might be a good choice to give you volume.



These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.



During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!





Dr. Schwartz



Board Certified Plastic Surgeon



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon



#RealSelfCORESurgeon

Thank you for your pictures and questions. This is a very common question I get from patients regarding implant options for breast augmentation. And I bet you are going to get a wide variety of answers here. While either implant type is an option for most patients, I really think the anatomical implants are best in patients who are very thin (like you) or who are not looking for much upper pole fullness. You need to really zero in on what you want....you say that you want a "natural" result, but then you say you want cleavage and volume "especially in the upper chest area," and in my opinion, neither of those goals are "natural." Based on my evaluation of your pictures, if you are really looking for truly natural results, someone like you would get an excellent outcome with an anatomical implant. However, if you are just saying you want it to be natural but you really want upper pole fullness and cleavage, then you just need to admit to yourself that those are really not natural type goals and go with a standard round implant that will give you those results.Best of luck!

Thank you for the question.You have good baseline anatomy and should do well with breast augmentation. There are downsides to shaped implants, such as rotation and a textured surface that decreases the natural movement of the implant. The gel is typically firmer also.You can have a nice result with both implants, but I typically use a smooth round silicone implants. An implant that is sized based on your breast measurements and tissue characteristics will give you a more natural appearance. Unfortunately, cleavage depends on your natural anatomy and cannot be created during a breast augmentation surgery, when the implants are placed under the muscle. After surgery, a push up bra can be used when cleavage is desired.

Thank you for your question about implant shape.  Some patients have a choice of implants because their breasts make them good candidates for either.  Other patients are a better candidate for one implant shape over the other.In your case, you can have a beautiful result with either round or shaped implants.  The round implant will give you more fullness in the upper breast area, but you can maintain a natural look depending on the implant size and profile you select with your doctor.  The shaped implants will look quite natural with more volume in the lower breast.  The best approach is to see a plastic surgeon who is skilled at both types of implants and can show you results of patients with your breast shape who have achieved results which you like.   Know the advantages and disadvantages of each type of implant.  Best wishes!

Yours is a great question. Your new breast shape will be influenced by the type and size of implant chosen combined with your own tissue. For more modest implant sizes, patients with your anatomy are better off with a round implant placed into a partially sub-pectoral or "dual plane" pocket. The difference is shape between round and shaped devices for smaller implants are very subtle once you have completely healed. For larger devices, there would be some final shape differences that you should understand. Complication rates for all implants increase with larger implants. For round devices, you now have three choices and three different manufacturers. Not all manufacturers products are equivalent. A thorough consultation should give you the information you need to feel confident with your decision.Regards,Dr. Mosher

I do not recommend anatomical implants do due the problems of rotational deformity. Moderate plus implants under the muscle will be safe choice 

Thank you for your question and providing photos. Based on the photos provided I believe you are a very good candidate for breast augmentation surgery. I believe you would be better served with sub muscular placement and a silicone implant. Both round and non round implants can give you a natural look to the breast. I would recommend you consult with a BC PS who could discuss the pro's and con's of each type of breast implant with you. Best of luck

Hello and thank you for posting your question and photos!Choosing the proper breast implant to achieve natural results in our patients is one of the most important aspects of breast augmentation surgery. Your plastic surgeon should take into account your unique measurements (base diameter is the key word here), the quantity and position of your existing breast tissue, and the quality of your skin.  Recommendations for implant styles and sizes from this point should be very much determined by the above and then by your desires for look. Anatomically shaped implants are advantageous in patients who are thin with less native breast tissue because they can, theoretically, create the natural breast shape . They require special procedural considerations and, usually, the use of a drain. They can create a very natural shape as well. I have attached a web reference for your review.Best of luck in finding a reputable, board certified, plastic surgeon to undergo your journey with!

Thank you for the question. I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery, assuming you choose your plastic surgeon carefully and communicate your goals carefully as well. 





These days there are a variety of breast implants available; the variety of breast implant available raise a lot of questions from women considering breast augmentation surgery. Personally, I think that for most patients considering breast augmentation surgery, careful selection of plastic surgeon and careful communication of goals, far outweigh the specific type of breast implant utilized (when it comes to the success of the breast augmentation procedure).







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, under the hand, can shift or rotate without changing the shape of the breasts. Overall, I find that beautiful outcomes can be achieved with the use of round saline or silicone gel breast implants for the vast majority of 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 “very natural” or "C or D cup" 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 for an outcome that you will be very pleased with. 



 

Hello. Thank you for your inquiry.
You may be an excellent candidate for breast augmentation surgery. Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind