![]() If the breast has a tight soft tissue envelope, such as in a young woman who has never been pregnant and has small breasts, the implant will tend to be compressed more and have more upper fullness that when that same implant is placed into a lax breast where there is minimal compression of the implant. The other key factor is the interaction between implant and breast. These implants also are subject to collapse of the upper portion of the breast if the gel is not adequately form stable. Remember, this comes at a price – the implant (and the breast) will be firmer. The more form stable the implant is, the more it will maintain fullness at the upper portion of the breast. And it is the behavior of the specific silicone gel and the surrounding shell that will determine the shape of the implant once it is within the breast. However, we do not use solid blocks of silicone as breast implants – they are unacceptably too firm. If you placed a teardrop shaped solid block of silicone into the breast, it is my belief that in most cases, the breast will look more natural than if one placed a round solid block of silicone. The overall shape of the implant once it is implanted into the breast and is in a vertical position (patient standing upright) will determine its influence on the shape of the breast. Breasts with teardrop shaped implants typically excel in appearance in women who have loss of fullness and stretching secondary to pregnancy and lactation. For women who want more naturally shaped teardrop breasts, these implants may be the ideal choice. The teardrop-shaped implants often provide greater projection by volume. The degree of tilt requires more attention if the degree of symmetry is to be optimized. When inserted, they are often tilted to better follow the natural contour of the breast. They require much more care in placement. There is greater preservation of the contour and fullness of the upper portion of the breast, and less overstretching, also known as “bottoming-out”. Teardrop implants better resemble the natural shape of the breast. Breasts attain a more gently sloping contour with teardrop breast implants. As the name indicates, a teardrop breast implant, also known as a contoured or anatomical breast implant, is shaped like a teardrop. If the implant should rotate, and I expect that all smooth round implants do rotate, the shape is still exactly the same, round. Due to a round implant’s symmetrical shape, the shape of the breast is not compromised should the implant rotate. Some women may prefer the “artificial look” and want to look like they have implants – this is the minority of my patients. Some women, however, feel that the results produced with round implants appear artificial, so they seek out more natural-looking alternatives (anatomical or “teardrop” implant)*. All of these situations have nothing to do with the implant shape – it has to do with filling the breast envelope with too large an implant, or overfilling the implant itself, both situations of which will cause distortion and produce an unnatural breast with a very high, rounded look on top. If a saline implant is used and it is overfilled, then the same result will occur. It has absolutely nothing to do with the shape of the implant itself. If you have a breast that is small, with a tight skin envelope such as a young woman who never had children, then any implant, round or teardrop, will tend to give a very full, high, unnatural look especially if the implant is too large for that breast. Many women choose round implants because they believe that round implants tend to provide the greatest amount of lift, fullness, and cleavage. ![]() If a round implant is turned, it is still round. Round implants are easier for the surgeon to work with. Of the two breast implant shapes, the round breast implant is the most common type used by most plastic surgeons for breast augmentation. Next I will address profile and surface (smooth versus textured). Let’s discuss the difference in shape, round versus teardrop first. Breasts differ greatly from woman to woman, so the ideal breast implant shape for each patient must be determined with care. The two basic breast implant shapes are round and teardrop. When choosing breast implants, shape is an important consideration. Currently, both saline implants as well as silicone gel implants are available in round (Allergan Natrelle, Mentor, Sientra) and anatomical shapes (Sientra). The anatomical implants are also known as teardrop implants. Implants come in basically two shapes, round and anatomical. Gynecomastia Male Breast Reduction in Long Island.Lipo-Abdominoplasty (Liposuction & Tummy Tuck).4D VASER/PAL Hi-Definition Liposuction (Liposculpture).
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