Breast Implant Shape

Round vs. Tear Drop Breast Implants
One of the more recent choices in breast enlargement involves the option of having either round or teardrop-shaped implants (also called anatomical implants as they resemble the anatomy of the breast). The importance of the tear drop or anatomical implant shape relates to creating a natural looking breast and in particular the slope of the upper pole of the breast. In patients who are slim, have little breast fat or in whom there has been some droop following children or weight loss the tear drop (anatomical implant) produces a more natural look which also gives more lift to the nipple. Round implants can be used but they suit patients who are younger and have little or no droop in the breast and who also have a reasonable amount of breast tissue to start with (at least b or c cup).

Before and after photos of patient operated on by Rajiv Grover using tear drop implants to achieve a natural look despite her slim physique

One risk associated with tear drop (anatomical) implants is that they will only look natural if they remain in the position they were inserted and do not rotate. Round implants because they have the same profile in all directions (i.e dome shaped in profile) will look the same despite any rotation of the implant. The national published risk of rotation for tear drop implants is 2% although this does depend on the techniques used by the surgeon performing the operation. In 2009 Mr Grover presented his series of 500 consecutive patients treated with tear drop implants in which he had only 3 instances of rotation (2 of which were rotated back manually and only one which needed surgery). His personal risk of rotation for tear drop implants is therefore 0.6% and risk of reoperation for rotation is 0.2%. This is lower than the national average as the risk of rotation relates to various factors which include how accurately the pocket is surgically dissected to match the implant size, the type of texturing on the surface of the implant and the presence of any anti rotation pads on the back surface of the implant. Mr Grover uses a meticulous technique to dissect the pocket for the implant so that it fits as snugly as possible and therefore there is less chance of movement. His preferred manufacturer of tear drop implants is Silimed which have a special texturing on the surface which reduces rotation and they also have four anti rotation pads on the back surface which help to reduce any movement. As with all the implants Mr Grover uses Silimed have cohesive silicone gel (so they do not leak) and they come with a lifetime guarantee against rupture.

Before and after photos of patient operated on by Rajiv Grover using round implants. This is a typical patient who is suitable for round implants as she is young and already has quite a full breast without any droop.

Mr Grover will advise you which type of implants will suit you best at your consultation although as most of his patients want a natural look he uses the tear drop (anatomical) implants most frequently and has a very large experience of their use in over 500 patients. He has lectured internationally on the use of tear drop implants and has refined techniques to improve outcome and reduce risk (Results presented at the IMCAS meeting–International Master Class in Aesthetic Surgery Paris 2009).

Improving outcome in Breast Augmentation: A Personal analysis of 500 consectuive patients treated with anatomical implants Rajiv Grover 2009

Rajiv Grover

IMCAS meeting Paris 2009

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