Round and anatomical implants. Round or anatomical implants. Which ones are better to choose? Safety and predictable results

In 1961, a breakthrough in plastic surgery steel endoprostheses - round bags with saline solution, fully compatible with the human body. But too soft, tactilely detectable, with a tendency to rupture, saline implants were replaced by silicone ones in the mid-90s. These gel-filled elastomers are safe for the patient and remain stable even if damaged. Silicone implants with different fillers most accurately imitate natural breasts, do not stand out and are not felt to the touch.

Types of implants by shape

Round implants- the optimal choice for severe ptosis. They lift the breasts, making them full and voluminous in the upper part. Endoprostheses of this shape are most suitable for patients with a wide chest and rounded contours of the “native” bust. They are easier to install for the surgeon and cheaper for the patient. But for many, a significant disadvantage is their unnatural appearance.

Invention teardrop-shaped (anatomical) implants changed the view on mammoplasty: visually they repeat the natural shape of the female breast. Drop-shaped products with a cohesive filler and a textured surface are well fixed in the pockets of the glands and grow into the patient’s tissue. These implants retain the softness and smoothness of the contours of the breast, but at the same time keep their shape in horizontal position. Anatomical implants are ideal for enlarging very small breasts and ensure proportionality and naturalness of the breast. Sometimes the pectoral muscle unfolds the implant. Such an “incident” with a round implant will be invisible, but with an anatomical endoprosthesis, the breast deformation will be visible. For a surgeon, working with “droplets” requires a lot of experience and skill.

Implant profile

For patients with various types different shapes require implants of different profiles. The profile - the ratio of the size of the projection of the implant to the width of the base - can be low, medium and high. Round implants have equal width and height, while teardrop-shaped implants differ in both height and width. It is this parameter of anatomical implants that allows the doctor to choose the most suitable option for a woman and give the breast an ideal shape. Teardrop implants are also versatile for eliminating sagging and filling the upper pole of the breast.

Which stars have had their breasts enlarged with anatomical implants?

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Which doctor enlarges breasts with anatomical implants?

There is no absolute unity in the use of certain types of implants among plastic surgeons. Each specialist focuses on the wishes of the patient, the structural features of the mammary glands and chest, your own vision of beauty. As you know, breast augmentation with anatomical implants has a higher cost and requires a doctor special knowledge and skills. Alone plastic surgeons They do mammoplasty expensively and well, while others do it cheaply and poorly. When it comes to your own appearance, it is important to find a middle ground in the price/quality ratio. The plastic surgeon knows exactly which implants will highlight the patient’s advantages and hide the shortcomings (for example, curvature of the spine, asymmetry of the breast or nipples), and will make the mammary glands the most natural and harmonious for her body type. Maxim Leonidovich’s professionalism is evidenced by his enormous employment: four plastic surgery and 40 consultations per day, a planned work schedule for months in advance. And what is most important is an individual approach to each, because in the matter of choosing an implant universal council it can not be.

Currently, breast correction with anatomical implants from plastic surgeon Maxim Leonidovich Nesterenko costs 190,000 rubles.

Anatomical implants are drop-shaped endoprostheses. They were first used for breast reconstruction after mastectomy. Thanks to the closest possible natural breasts form they have gained popularity in aesthetic surgery.

Description

The shape of the female breast resembles a drop. The flat slope of the upper zone smoothly transitions into a voluminous protruding lower zone. The point of maximum projection of the endoprosthesis is fixed in the lower part of the implant, below the middle of its height. Most of them also have uneven base widths and heights. With the same base width, implants differ in height and projection size. Therefore, anatomically shaped implants have a large number of options and combinations in height, projection, and width. Manufacturers offer wide choose models of endoprostheses of the same style. This is where their name “anatomical” comes from. The doctor has the opportunity to select the most suitable shape prosthesis for any type of breast.

Main characteristics of anatomical implants:

lack of symmetry;
full, projected lower pole, conical upper pole;
the difference in horizontal and vertical diameters makes it possible to choose between narrow and long, wide and short models.

Various options for diameter and projection make anatomical implants universal. They are prescribed to women with non-standard characteristics of the chest, minimal volume of the mammary glands. Breasts with anatomical implants acquire volume, a beautiful, anatomically ideal shape. The teardrop-shaped elongation forms a smooth transition between the upper and lower poles.

There is one more characteristic of implants. The profile is the ratio of the size of the projection of the implant to the width of its base, expressed as a percentage. A high-profile endoprosthesis is characterized by a less wide base and a large projection. Endoprostheses are divided into high-profile (more than 38%), medium-profile (from 32 to 38%), low-profile (up to 32%). A mid-profile implant creates the most beautiful shape mammary glands. The concept of profile type differs somewhat among different manufacturers, as different materials are used.

The most common implant manufacturers: Mentor, Allergan/McGhan, Nagor, Polytech. The Mentor company is the most frequent supplier of endoprostheses to Russia. Anatomical prostheses from this company have three types of heights and projections, which contributes to the optimal choice. They are characterized by the most accurate curve parameters corresponding to the natural shape of the mammary glands.

Indications

Breast augmentation with anatomical implants is recommended in the following cases:

if you want to have a natural-looking bust;
after breastfeeding;
in the presence of asymmetry of the mammary glands;
with small breasts;
with hypersthenic and asthenic physique;
for the correction of severely sagging mammary glands;
if desired, do a breast lift and augmentation at the same time.

Mammoplasty with anatomical implants is performed in accordance with the body type, which directly affects the shape of the mammary glands. A hypersthenic physique implies a predominance of the width of the mammary glands over their height, while an asthenic physique has the opposite characteristics. Round implants, with their equal width and height, are not suitable. Among teardrop-shaped endoprostheses, you can choose both high and wide models.

The structure of the anatomical endoprosthesis is represented by a silicone shell, the volume of which is filled with a special filler:

Saline filler is a saline solution that is safe for surrounding tissue. Allows you to make the incision minimal, as it can be inserted directly during the procedure through a special hole. Some of them can be adjusted after the procedure. But they are vulnerable to mechanical damage. Too soft to the touch, making gurgling sounds when moving. Validity period is limited (about 18 years).
The gel filler is as natural as possible upon palpation. It is resistant to damage and almost does not seep into fabrics. Sterile, resistant to ptosis. The disadvantage is the need for a large incision, as well as a magnetic resonance imaging procedure. The service life is lifelong.

There are several types of gel filler:

hydrogel - soft, capable of leaking during injury, has the property of biodegradation;
highly cohesive - has the most high density, does not leak, feels solid;
“Softtouch” - natural elasticity, does not leak.

The volume of filler is used to determine the size of the implant and is measured in milliliters. One size equals 150 ml. The volume of the natural breast is also added to this figure. The implant volume of 300 ml corresponds to breast size 2. After adding the volume of the patient's natural breasts, the result is size 4.

The surface of endoprostheses is produced in two types:

The smooth surface is stable, soft, and costs less. Capable of displacement, can provoke fibrocapsular contracture.
The textured surface has micropores, is better fixed in the pockets of the mammary glands, and creates a reliable fixation of the endoprosthesis. Does not provoke fibrocapsular contracture. Characterized by a denser structure, high cost, and shorter service life.

The highest price is for an anatomical implant that has a textured surface with Softtouch filler. A highly cohesive gel that retains the shape of the endoprosthesis is also popular.

The difference between an anatomical implant and a round one

Anatomical and round implants - which is better?? The choice is determined by the anatomical characteristics of the structure of the breast and rib cage (volume and proportions of the breast, the area of its base, the distance to the submammary fold, the shape of the ribs). The structure of the skin, the presence of tissue volume around the mammary glands, and the degree of ptosis are also taken into account.

An important role is played by the qualifications of the specialist and his experience. To do right choice, all parameters of round and anatomical endoprostheses should be analyzed. To choose the ideal implant, you need to decide what effect should be achieved. To obtain the most natural result, anatomical implants should be preferred. If you need a large volume and elevation, then you will need round endoprostheses.

The disadvantage of a round implant is the unnaturalness of the breast when large implants are introduced. The slope at the top of the chest looks crowded. Round implants give good result only with a sufficient amount of glandular tissue. If there is a lack of it, it is advisable to install anatomical type implants.

A significant advantage of an anatomical endoprosthesis is the low probability of capsular contracture formation. This complication occurs when the body does not accept the foreign body and hard, painful scar tissue grows around it. Round implants are more likely to cause complications. Another important factor is cost. The price of an anatomical implant is higher than a round one.

The disadvantage of an anatomical endoprosthesis is its fixed shape. If a slight displacement occurs, the shape of the breast is deformed. To fix this defect, you need reoperation. Round implants remain invisible when moved or turned over. The rigidity of the shape of the anatomical prosthesis creates a slightly unnatural appearance if the woman is lying down. In a horizontal position of the body, round prostheses take the shape of a natural breast, flattening slightly. Anatomical endoprostheses are the most acceptable option for breast asymmetry and small volume.

Anatomical and round types of implants are characterized by approximately equal numbers of advantages and disadvantages. Unambiguous opinion about better type There is no implant among surgeons. For acceptance the right decision You can consult several surgeons.

We welcome readers to our website for whom the issue of anatomical implants is relevant. Complete unity in use different types endoprostheses are not observed either among plastic surgeons or among patients. And today we will look at one of the types of improving bust shape - increase breast anatomical implants.

Types of implants - “anatomists” and criteria for their selection

Anatomical differences:

dimensions (or height and base/base or diameter);
shell texture;
filler material and shell.

The doctor can and should describe all the features of endoprostheses to you during the consultation. Focusing on the advantages and disadvantages.

Profile

The main difference between this type of endoprosthesis and hemispherical implants is the profile. To be precise, a profile is usually understood as the height from the base (base) to highest point implant. Endoprostheses are usually classified according to height or profile:

with high;
average;
low profile.

Some companies, for example (Germany), offer patients ultra-high profile breast inserts.

It is the profile, as a parameter, that allows a specialist to select the ideal prosthesis to improve a woman’s bust. When choosing a particular implant, the doctor is guided by:

on own experience;
aesthetic taste;
client's wishes;
her anatomy;
and the current state of the tissues.

in the process of eliminating mastoptosis;
and to add volume to the upper pole of the chest.

This form The prosthesis makes the breasts look as natural as possible, but less voluminous compared to end inserts of the same size.

Texture

You can choose an implant based on texture:

with a smooth surface;
textured (porous).

The former are cheaper, the latter are less prone to displacement and other unpleasant movements inside the pocket prepared for it. The presence of texture allows tissue to grow into the pores of the shell and fix the prosthesis.

Fillers and shell

Most modern breast prostheses are made of elastomer as a shell. Many companies specializing in the production of breast prostheses prefer to make multilayer capsules increased density. Such endoprostheses can be stretched almost 10 times without tearing the capsule.

Less commonly, manufacturers offer double-layer or double-shell lumen implants. In this case, the space between the layers of the shell is filled with physiological solution, and the inner capsule contains the gel.

Modern implants are filled mainly with silicone beads and gels:

cohesive;
mobile;
dense cohesive (cross-connected) with “shape memory”;
hydrogel;
biocompatible filler, etc.

The latest offerings from breast implant companies are dual-gel breast implants.

New products in the breast implant market

It’s worth stopping at micropolyurethane implants. Polyurethane endoprostheses were developed for reimplantation in patients who developed pain after the first endoprosthesis. Over time, plastic surgeons began to recommend this prosthetic option to all potential clients.

The surface of these implants allows for minimal growth connective tissue around a foreign object (prosthesis). This virtually eliminates the risk of developing contractures after mammoplasty.

Most implants have a shell with a fairly significant thickness. Micropolyurethane shells are thin, that is, their thickness is no more than a few millimeters. But judging by the number of micropolyurethane bubbles, if you stretch them in one line, you can get “beads” several kilometers long.

Connective tissue will grow into the cavities formed by them, securing the prosthesis. Due to this, the layer of connective tissue will be thin, but firmly hold the prosthesis in “its embrace,” negating the risk that the anatomical implant will unfold, ruining the surgeon’s work.

This same feature of the endoinsert allows one to minimize the risk of such unpleasant complication like ripples. Such prostheses allow plastic surgery to remain at the peak of popularity.

Advantages of modern “anatomists”

High quality and the reliability of such endoprostheses is ensured by:

high aesthetic indicators, which can be assessed in the photos of patients who underwent the procedure;
reliability and tear resistance;
safety in case of damage (modern gels are either biocompatible or practically do not leak through a rupture);
sterility;
pleasant tactile sensations (when in contact with female breasts it is almost impossible to detect the implant).

Wherein anatomical shape endoinserts provide a natural appearance of the breast, which eliminates the visual recognition of plastic surgery.

Disadvantages of anatomical endoprostheses

When inserting a prosthesis, surgeons may not use all access points. To implant a micropolyurethane implant, a higher qualification of a specialist is required than to implant an ordinary anatomist.

If the prosthesis flips, it will be clearly noticeable and a repeat operation will be required, unlike the flip of a round endoprosthesis. The average anatomist may take on a rounded shape over time due to growth fibrous tissue.

Breasts corrected by anatomists cannot be corrected using underwear. And, of course, unlike their round “brothers,” anatomical endoprostheses retain their shape even in a lying position, which is not entirely natural. This is easy to see in the pictures before and after implantation.

This concludes our short review According to you, we are waiting for you at ours again. If you find something interesting for yourself in our articles, be sure to share this information with your friends via social networks.

Women who decide to improve the shape of their breasts or increase their size are wondering: what is the difference between round implants and anatomical ones and which ones to choose? Indeed, the shape of the implants plays an important role and allows you to achieve a natural-looking breast. So which implants are better: round or anatomical? Does shape matter? And how to achieve the desired result?

What is the difference?

As can be easily understood from the definition, round implants have a round shape. The anatomical ones follow the contours of a young woman’s breast; their teardrop-shaped shape begins with a flat slope at the top, which gradually increases in volume. Thanks to this, anatomical implants are successfully used not only for aesthetic purposes, but also for breast reconstruction.

A plastic surgeon will help you choose round or anatomical implants based on the width and shape of the chest, as well as the patient’s build. Round implants will allow you to get larger volume and raise your chest higher. Thanks to them, the neckline will look simply amazing. However, many women do not like the large volume of the breasts in the upper part - for them it does not look natural and attractive enough - so they choose anatomical implants. In favor of round implants, it is worth saying that they can make the contours of the breast unnatural only in two cases:

when positioned too high;
if the patient does not have sufficient volume of her own breast tissue.

So the shape doesn't matter. If selected incorrectly, even anatomical implants can look unnatural. That is why, when selecting, the individual contours of the patient’s body and her complexion must be taken into account.

Where to choose?

young patients with well-developed mammary glands;
women who have sufficient volume and slight mastoptosis of the breast;
patients who want a more balanced breast shape.

POLYTECH® implants

Modern plastic surgeons note a number of advantages of German-made POLYTECH® implants. They have a modular structure, thanks to which a base with a width of 70 mm to 158 mm is available to patients in different projections and in each type of implant:

Même® - dome-shaped with a round base, following the contours of a young woman’s breast;
Replicon® - anatomical with a round base that follows the contours of the breast adult woman;
Opticon® - anatomical with a shortened base, suitable for overweight women With curvaceous;
Optimam® is anatomical with an oblong base, suitable for slender women with an athletic build.

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Discussions and disputes regarding the choice of implant shapes are ongoing on various forums. But p Correct selection of an implant is one of the components of success, both in the final perception of the patient new form breasts, and minimizing possible complications and negative surgical consequences operations.

“Round or anatomical?” – this is precisely the choice thousands of women who decide to undergo mammoplasty, breast augmentation surgery with implants, face. There is an opinion that the use of anatomical implants allows the bust to look natural, both to the touch and in shape; round dentures do not give such a result. Offhand this statement seems true, but in reality it is not entirely true. Let's try to figure it out.

Implants vary in:

form
projections
volume
surface texture

When choosing an implant, the surgeon takes into account many factors, such as surgical goals and techniques, anatomical features and, of course, the personal preferences of the patients. According to the surface texture, implants can be smooth or textured; we will consider this issue in more detail in a separate topic.

The natural shape of the breast is certainly not round. It is truly teardrop-shaped - starting from a flat slope at the top, the breast gradually increases in volume and protrudes forward (rises) at the bottom.

Therefore, an anatomical implant, which imitates the effect of gravity on the breast, looks at first glance more natural and is ideal for creating a breast shape. By the way, its original purpose is the reconstruction of an amputated (for example, in patients with breast cancer) or injured breast.

Despite the seeming logic of placing anatomical implants, most surgeons and patients prefer round ones.

Round implants, when compared with anatomical ones:

give more volume
lift the chest higher
create a beautiful neckline (Victoria's Secret bra effect).

But not all women like large volume in the upper part of the breast; they consider this shape to be not entirely natural, and prefer anatomical implants as more natural.

An anatomical implant looks more natural than a round one, is that right?

Yes and no.

A round implant, indeed, can sometimes make the contours of the breast unnatural and artificial. For example, if it is placed too high on the chest, or in patients with insufficient volume of their own breast tissue, but who insist on a large-volume implant.

That is, it is in no way due to its shape. An implant of any shape can look fake. It only depends on how well the implant matches the individual contours of the patient’s body. And in some cases round implant looks more "anatomical" than anatomical.

But all the discussions above apply to implants that “lie on the table.” How will they behave when they are implanted into living woman, of flesh and bones?

Implanted in mammary gland, round implant in general, it “behaves” more naturally than the teardrop-shaped one. IN vertical position, when a woman stands or sits, under the force of gravity it independently acquires a natural, anatomical shape.

And of course, a round implant absolutely wins in a horizontal position. A woman's natural breasts when she lies down naturally"blurs". Anatomical implant, the shape of which is rigidly predetermined in advance, will remain sticking up in its lower part - contrary to all the laws of gravity, giving itself away; a round implant looks quite natural in a lying position. A round implant looks more natural and active movements body - running, jumping, intense dancing, etc.

Before performing breast augmentation surgery, the doctor must take into account a whole list of factors, which begins with the patient’s wishes about the size and shape of the bust and ends with the doctor’s aesthetic vision of the need for one or another approach. It is important to listen to the opinion of your operating doctor, because he is the one who knows how to make the right choice.

The surgeon is always the patient’s ally, and it is successful work in tandem with him that gives consistently good results and satisfaction from the work performed. Based on many years of experience, the doctor provides informed decisions regarding the brand of implant, its size, access for surgery and many other components of mammoplasty.

Basic Concepts

A. Width (base) of the implant.

B. Height (base) of the implant.

C. Projection of the implant.

Round implants

Round implants are characterized by the fact that the width of the implant base is equal to its height. In this case, the point of maximum projection is located above the center of the implant base. Thus, round implants with the same base width can differ from each other only in the projection size.

For a round implant, the width and height of the base are equal. The point of maximum projection is located in the middle of the height of the base.

Round implants with the same base width may differ from each other only in projection.

While in the patient’s tissues (provided that the patient is in an upright position), the round implant, to one degree or another, acquires a certain “drop-shaped” appearance. This degree depends, first of all, on the density or pliability of the shell and filler of the implant, and the properties of the patient’s tissues. If a round implant is placed under the pectoral muscle, then due to the pressure of the muscle on the upper pole of the implant, this “teardrop shape” will be slightly higher than with a supramuscular location.

Round implant in horizontal and vertical positions.

Teardrop implants

Teardrop-shaped implants are also called “anatomical” because, according to many, this shape most closely matches the natural shape of the mammary glands. They are characterized mainly by the fact that the point of maximum projection of the implant is located below the middle of its height, that is, in the lower half of the implant. In addition, the vast majority of teardrop-shaped implants have different base widths and heights.

Thus, teardrop-shaped implants with the same base width can differ from each other not only in the size of the projection, but also in different heights. This greatly increases the number of different width, height and projection combinations, allowing manufacturers to create wide, versatile model series implants of the same style.

For a teardrop-shaped implant, the width and height of the base are almost never equal. The point of maximum projection is located below the middle of the base height.

Teardrop-shaped implants with the same base width can differ from each other in both base height and projection.

This variety gives the surgeon the opportunity to select the required implant shape for almost any type of breast anatomy.

Profile

One of the most important characteristics The shape of the implant is the profile. The profile is a percentage ratio of the projection of the implant to the width of its base. The larger the projection and the smaller the width of the base, the more high-profile the implant is. In other words, the profile size tells you how “convex” (high profile) or “flat” (low profile) the implant is.

Each implant manufacturer has their own idea of what a high or low profile is, just as clothing manufacturers have a different opinion on what an XXL size is. This difference in perception is due to the fact that different manufacturers use in their products different types fillers and shells differing in density and other characteristics.

Because of this, the ability of implants from different manufacturers to maintain a profile while in the patient’s tissues (the properties of which, by the way, are also purely individual) varies and, apparently, by labeling their lines they strive to give the expected “final” value.

In general, you can focus on the following figures (the article discussed McGhan implants):

profile up to 32% - low-profile implant.
profile from 32 to 38% - medium profile implant.
profile over 38% - high-profile implant.

Choosing an implant shape

Round implants provide less fullness of the lower pole and greater fullness of the upper pole of the mammary gland compared to teardrop-shaped ones, all other things being equal. This is more pronounced the more dense the shell and filler of the implant is. In addition, the likelihood of visualization upper contour of a round implant in a patient with a thin layer of integumentary tissue is higher than when using a drop-shaped implant. Also, a round implant is more likely to form wrinkles or “corrugations”. The denser the shell and filler of the implant, the less pronounced this is.

Teardrop implants provide greater fullness of the lower pole and less fullness of the upper pole of the mammary gland compared to round ones, all other things being equal. This is manifested more strongly the higher the profile and the lower the height of the implant, the denser its shell and filler. This property of drop-shaped implants provides some “lifting” effect to the mammary gland, thereby giving them the opportunity to more successfully correct somewhat sagging breasts.

Teardrop-shaped implants, to a greater extent than round ones, retain their shape when changing body position. This property is more pronounced the denser the shell and filler of the implant. The cost of teardrop-shaped implants is usually higher than round ones from the same manufacturer, all other things being equal.

"Lifting" effect of a teardrop-shaped implant

For patients with different body types and different types of chest, certain types of breast shape are characteristic. The rounded shape of the mammary gland, in which the width is approximately equal to the height, is most often found in normosthenics, although there are exceptions to this rule. In patients with a hypersthenic physique, the width of the mammary gland often prevails over its height, and in asthenic girls there is often a predominance of height. In such cases, if the patient wants to maximize breast enlargement, it is advisable to use drop-shaped implants, among which there are both “wide” and “high” models, while round implants have equal width and height.

LEFT Breast with a predominance of width (hypersthenic physique) - a “wide” implant is required.

ON RIGHT Breast with predominant height (asthenic physique) - a “high” implant is required.

When choosing an implant profile, it is necessary to take into account that the higher the profile, the stronger the visual effect of enlargement, but the “naturalness” of the resulting result suffers somewhat. The most beautiful breast shape can be achieved by using medium-profile implants.

However, there are situations when the use of a high profile is unavoidable. For example, significant excess skin with sagging breasts, which must be adequately “filled” in order to achieve the lifting effect. In this case, with the maximum width of the implant base, the projection of a medium, and even more so a low-profile implant may not be enough to achieve the desired effect. The use of high-profile implants is also necessary in patients with a narrow chest who want to enlarge their breasts to the maximum extent possible.

Thus, there is no ideal implant shape. Drop-shaped implants can be called somewhat more universal in general, and most suitable for correcting sagging mammary glands. There is no alternative to round implants if it is necessary to greatly fill the upper pole of the mammary glands. In addition, round implants are preferable for axillary (through the axillary fossa) access.

At the same time, one should not lose sight of all the features, advantages and disadvantages of round and teardrop-shaped implants listed above. In any case, the choice should be made taking into account the wishes of the resulting breast shape, taking into account the characteristics of the original mammary glands, chest, the properties of the patient’s tissues and, of course, based on the aesthetic preferences of the surgeon and the patient.

Kirill Gennadievich’s article helped me better understand the issue of choosing an implant shape and determine what breast shape I want to get in the end.