Round v Tear Drop Implants for natural appearance. Petite build 5'5. (photos)
Doctor Answers 8
#Breastaugmentation #BreastAug #Implants #Breastimplants
Round v Tear Drop Implants for natural appearance.
You appear to be a good candidate for breast augmentation. With the superior hollowing of your breasts and thin tissue I would recommend round implants placed under the muscle. This will give a natural "flow" to the implant as native breast tissue looks round when laying flat and tear dropped when standing. Round implants will do this. Anatomic or tear drop implants will always have the same same shape regardless of position and can shift months or even years after placement.
Implants on top of the muscle in your case will likely show visible rippling where the submuscular placement will give an added buffer of tissue to eliminate this rippling in the upper part of the breast.
I realize this is confusing, but find a surgeon with whom you feel comfortable and has photos of results of his/her work that you like.
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Round v Tear Drop Implants for natural appearance.
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 (again), 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. You will find a separate page, on the same website, dedicated to breast augmentation for petite patients. Best wishes for an outcome that you will be very pleased with.
Breast Augmentation - Size Selection
Breast augmentation round vs shaped implants
During your consultation I like to find out your goals(i.e. What cup size you would like to be ).
Its important to measure the width of your breast to determine which implant you need. There are four different profiles of round silicone implants. They are moderate, moderate classic, high and ultra high profiles.
Shaped implants also also come in different profiles. Both implant types would work well with you. It depends what your goals are. The shaped implants are firmer . They give you a more natural superior slope to your breast. The round implants are softer and give you more fullness on top.
I go on top of the breast muscle and below the breast muscle on patients. If someone has very thin breast tissue especially over the upper pole of the breast I like to go under the muscle . If the patient has good soft tissue coverage then the patient is a candidate to go on top of the muscle. The key is good soft tissue coverage over the implant. ( btw it is Normal for plastic surgeons to have different opinions).
I like to to use breast sizers that are made specifically to try out before surgery . Mentor has a good set. The patient puts on a bra and she can place various sizes over her breast . She then looks in a mirror to see which size she likes the best.
During surgery I like to use intraopereratve breast implant sizers to confirm the size.
I use use the bloodless breast technique which I invented. Bleeding is minimal, typically there is no bruising after surgery, and recovery is a lot quicker versus traditional technique .
I hope you find this information useful. For more information please watch the enclosed video.
There is no "right answer," just opinions
Ultimately, incision placement is up to you and will have little affect on your outcome. Implant placement will have a huge impact on you down the road -- they may look good for awhile, but you will eventually need them fixed (implant visibility, increased risk of capsular contracture, bottoming out, etc). Please reconsider going over the muscle! As for implant type, I prefer round silicone -- they are very soft, will never deflate, and you don't need to worry about rotation of the implant. Tear-drop implants are not new -- they get reintroduced every so often to try and convince women they are better. They are not. A round submuscular implant looks very natural and just like a tear-drop. As for size, you are limited by the width of your breast. Most "34 inch" chests will use an implant that is 12.5cm wide. In a low profile implant, that's 250cc. In a moderate plus profile implant (I prefer Sientra), that's 355cc. For you , 150cc is about a cup size, so either will bump you up 1.5-2 cup sizes. You'll be buying D or DD cup bras. In my opinion, less is better! I think you should go get a third opinion. Make sure your surgeon is a member of either ASPS or ASAPS. Good luck!