Round or anatomical implants are better. Features of breast correction with anatomical implants. Benefits of round implants

Women who decide to enlarge their breasts with round or anatomical silicone implants must first of all solve a number of very difficult issues. Their list includes not only the size of the desired breast, but also the type of the implant itself. The final result, the duration of maintaining the shape of the breast, convenience and many other indicators depend on the choice.

At the moment, the market offers several types of implants, which differ in the following characteristics:

Shape (round or anatomical). Here, in most cases, preference is given to round implants, as they are cheaper, and additionally allow you to achieve a push-up effect.
Texture (smooth or porous). The porous texture is more convenient, since such implants are practically not subject to displacement.
Filler (silicone or saline). Doctors recommend giving preference to silicone implants. They are more elastic and at the same time there is a choice among different degrees of rigidity.

What to choose and how these characteristics affect the final result? In this difficult matter, doctors come to the rescue, who can easily model the final result, taking into account the anatomical features of the patient. In this case, all the wishes of the patient are taken into account.

Round or anatomical implants?

Among all the questions when choosing a breast implant, women spend the longest time thinking about its shape. So, at the moment two options are offered: round and anatomical forms. What is the difference?

First of all, it should be said that round implants differ from anatomical ones in price. The latter are more expensive. Also, anatomical implants are drop-shaped and perfectly repeat the natural shape of the breast. Round ones, on the contrary, change its appearance. But these are not the main reasons why the latest type of breast implants has become the most common in the world. Here the matter lies elsewhere.

And the first reason for the prevalence of round breast implants is to provide the largest projection. They make the chest more rounded and allow you to easily achieve the effect of "push-up". Anatomical implants do not change the shape of the breast, but are only aimed at increasing its size.

It is also worth noting that when using round implants, the risk of capsular contracture is reduced. If the implant turns over, it will be completely invisible from the outside. When using anatomical implants, the situation is slightly different. Breast asymmetry becomes noticeable even with their slight displacement, which brings a number of inconveniences. To align the implant, you need to contact the surgeon, who will prescribe the technique.

What you need to know before the operation?

To achieve the desired effect after the operation to increase the patient must necessarily conduct a thorough preparation.

The list of required items includes:

Choice of clinic and plastic surgeon. It is mandatory to have certificates and licenses for this type of operation, positive reviews and experienced doctors who have already earned a good reputation.
Choosing the manufacturer and type of implant. This procedure is performed in conjunction with the doctor who will perform the breast augmentation.
Providing the doctor with the opportunity to examine the breast and determine the implantation site, taking into account its shape, size and motor activity of the patient.
Familiarize yourself with the methods of anesthesia used, the features of the operation and rehabilitation in the postoperative period.
Before making a final decision, be sure to take into account possible changes in the breast under the influence of changes in body weight, pregnancy, lactation, gravity, etc.
Pass all the required tests and do an ultrasound of the mammary glands.

A full consultation with a specialist is mandatory. Together with him, you need to choose the prosthesis itself, determine its size, type and place of implementation.

How is breast augmentation surgery performed?

As a rule, breast augmentation with round and anatomical implants takes from 40 minutes to 2 hours, and is performed under general anesthesia.

During this time, the surgeon makes an incision in one of four places:

Under the breast. This approach allows you to minimize the likelihood of damage to the breast and is one of the most popular.
From the armpit. This place is not used very often, since there is a high probability of damage to muscle tissue, the suture itself is noticeable after healing, and it is difficult to form a pocket for the implant. But, in the case of implantation through the armpit, it holds very well and is almost completely invisible in any position of the body.
Along the lower edge of the areola of the nipple. Used for small implants. But, the use of this method is fraught with the possibility of damage to the duct and a slightly noticeable seam remains around the areola. Additionally, this method is fraught with a visual determination of the implant itself in a horizontal position of the body.
An incision in the navel. This method is used less often than all the others, since after the procedure there is a noticeable scar on the abdomen.

Once the implant has been placed, the incision is sutured. At the same time, the doctor can perform a breast lift procedure if this is required to achieve the most aesthetic shape.

Complications in the postoperative period

Since breast augmentation with implants is accompanied by damage to soft tissues, breast swelling is observed in the first week after the operation. It almost doubles. In this case, the implant can be located above its intended location for a long time until the body adapts to the foreign body in the body.

In addition to the above defects, patients may experience the following complications:

Prosthesis contouring. Its contours are especially visible in the prone position. This disadvantage is noticeable only if the prosthesis was installed under the gland. With implantation in the armpit, this effect is not observed. Also, when installing a prosthesis under the gland, the implant can be easily palpated.
Fibrocapsular contracture. This consequence is observed when using implants having a smooth shell. The main reason for the development of fibrous capsular contracture is an incorrectly created pocket for the prosthesis. Often, inexperienced surgeons form a small pocket. This, in turn, leads to tissue necrosis, suture separation and disruption of the healing process.
Displacement of the endoprosthesis. This happens in cases where the surgeon has formed a large pocket. To control the size during the operation, the doctor must have special sizers on hand.

Advantages and disadvantages of implants

To make a final decision, you need to weigh all the pros and cons.

So, among the advantages of breast augmentation with implants, in particular round shape, we can distinguish:

The ability to increase breast volume and achieve a "push-up" effect.
Harmonious appearance of the chest in any position of the body.
Maintaining the symmetry of the breasts even with the implant deployed.
No access restrictions.
Affordable price for both the prosthesis itself and the operation.

Unfortunately, breast augmentation surgery with silicone implants has a number of disadvantages.

In particular, these are:

With the wrong selection, there is a high probability of achieving an excessive effect and the occurrence of a number of complications.
In some cases, breast asymmetry persists.
Complications that develop as a result of rejection of the implant by the body.
High probability of gland damage.

There are also a number of contraindications in which it is impossible to carry out the operation at all.

These are:

oncological diseases;
diabetes;
disorders in the thyroid gland;
problems with blood clotting;
breast-feeding.

How long do implants last?

Well-known manufacturers of implants, as a rule, give a lifetime warranty on their products. Moreover, if it breaks, then a free replacement is made. Accordingly, it can be argued that breast augmentation does not require repeated surgical intervention. But it is not. There are a number of factors under which a reoperation is performed.

These are:

sharp fluctuations in body weight over a wide range;
increase in size and change in the shape of the breast after pregnancy and breastfeeding;
implant defects.

Fortunately, most patients who have undergone a breast augmentation procedure do not experience any consequences and do not need to undergo a second operation.

One of the most popular plastic surgeries today is breast arthroplasty or mammoplasty, which brought a real dawn to cosmetic medicine.

Statistics show that plastic surgeons perform more than 100,000 operations per year related to changing and correcting the size of the mammary glands.

What are implants?

These are endoprostheses made of high quality biocompatible material that give the breast a larger size or change its shape.

Advantages and disadvantages of breast prostheses

Advantages

The advantages of using any endoprostheses include:

It is important to know that there are cases when, due to mechanical impact, the implant still breaks, then it can be replaced at the expense of the manufacturer of this prosthesis. As a rule, this item is specified in the product document in the warranty section.

Flaws

Deficiencies mainly occur when unforeseen cases occur, for example:

Classifications of implants

Of course, the advantages and disadvantages can make up a long list when viewed by filler, installation options, form or technical characteristics. The information above refers to generally accepted factors.

By filler

Silicone

The world met them in 1991. They look like a silicone bag with a multi-layered elastomer shell and a gel inside. The filler can be:

Why are silicone implants better than others?

The most natural and best breast implants are silicone ones. They perfectly imitate the female breast, have a wide range of models, and look natural. Installation over the pectoral muscle is possible, as there is no wrinkling effect.

If the prosthesis is damaged, the internal filling will not enter the mammary gland, but will remain in place. It is this factor that recognizes silicone implants as completely safe. Therefore, they have gained the greatest popularity in cosmetology medicine.

The disadvantages include a large incision during the installation of the prosthesis and regular (1 time in 2 years) passage of magnetic resonance imaging to exclude the presence of an implant defect, since the problem cannot be detected by touch.

Salt

Anatomical

Working with anatomical forms is more labor-intensive and they are more expensive than round ones. This implant can move and deform the contours of the breast. But, this can be avoided by opting for a textured surface of the prosthesis. It should also be noted that anatomical implants are quite dense in structure, and even in the supine position, the chest keeps its shape, which looks unnatural.

Yes, and you have to forget about corrective and breast-lifting bras. Even the best teardrop shaped breast implants often deform into round shapes!

Both forms are available with different profiles: low, medium, high and extra high. The height is selected by the plastic surgeon after analyzing the client's physique.

Size of endoprostheses

In addition, the anatomical features of the patient should be taken into account:

natural breast size;
skin condition and tissue elasticity;
chest size (asthenic, normosthenic or hypersthenic);
body proportions;
breast density.

After analyzing all the data, the plastic surgeon advises the patient on the shape and volume of the implant, which will look as natural and beautiful as possible.

Even if the patient has a flat chest, an increase will help to acquire beautiful forms. Special measurements are taken to determine the exact size and volume of the prosthesis. For this, indicators are determined not only of the volume of the chest, but also the thickness of the chest, the location of the nipples, the distance between the mammary glands.

The nuances associated with the incision for the implant are also discussed. In modern clinics, you can simulate the result on a computer. Of course, the wishes of the patient are always taken into account, but the decisive word remains with the doctor.

Lifespan of a breast implant

Theoretically, the implant does not require replacement, except in unforeseen cases. Re-operation may be required only if the breast is deformed after pregnancy and breastfeeding, after a significant change in weight and if a defect in the prosthesis is detected.

The manufacturer of endoprostheses gives a lifetime guarantee without harm to human health, and if an implant needs to be replaced, it is made at the expense of the manufacturer!

Implant companies

Arion is a French company that produces anatomical and round implants with hydrogel and silicone filling.

Allergan— an American manufacturer offers implants with a special pore size of a textured surface. This allows the connective tissue to dissolve deep into the prosthesis. They sit in the chest like a glove. Filled with a soft gel that allows you to look natural breasts. The company also offers saline-filled implants.

According to the reviews of plastic surgeons, the implants of this company have a very small percentage of cases with complications, only 1-4%.

Nagor- British implants with a huge selection of shapes and sizes. Producing prostheses since the 1970s. Within 5 years, the percentage of gaps was 0%! Products are textured and filled with gel content. The product has a special casing.

Polytech— implants with memory effect from Germany. A product with a highly cohesive gel does not change shape at all, and the shell consists of many layers. May be smooth or textured.

Mentor- An American manufacturer has been producing one of the elastic prostheses in both anatomical and round shapes since 1992. The shell is strong and textured and filled with a highly cohesive material. This company also offers saline implants that can be adjusted during the operation.

A professional plastic surgeon in a good modern clinic will always help you choose the right implant and tell you which breast implants are the best for today.

Implants have been modified many times over more than 50 years of history. Modern products represent the fifth generation. The fifth generation is the result of a number of innovations, including changes in parameters such as:

Filler material (form-stable gels);
Forms (round and anatomical forms);
Surface structure (different forms of texturing).

These three key properties are worth looking at when choosing an implant for, in addition to the specific size of the implant.

First of all, you need to understand that there is no perfect implant for everyone and everyone. But in the hands of an experienced surgeon, both round and anatomical implants can lead to the desired aesthetic result. The choice is largely determined by a combination of three factors:

Your wish. We are always trying to make your body the way you want it to be.
your anatomy. This factor includes breast width and shape, skin quality, physical characteristics, possible breast asymmetry, distance from the inframural fold to the nipple, and the amount of soft covering tissue in the upper pole.
Your surgical history: Previous surgeries may influence the choice of implants, especially in patients with existing replacements.

Let's analyze each of the factors in more detail:

Wish.
The desired appearance is extremely subjective. For example, natural-looking breasts and the appearance of 2 different people are completely different. However, according to statistics, anatomical implants are preferred in patients who want to achieve a natural appearance. These implants better mimic the shape of a normal breast, especially when creating a straight or slightly convex upper pole, which is one of the key characteristics of an aesthetically pleasing breast.
Patients who want the appearance of "enlarged" or simply large breasts are more suitable for round implants. Round-shaped implants have a large volume and can emphasize the upper pole. However, one should always take into account the second characteristic - anatomy. For example, in case of inferior pole constriction, round implants are not recommended.
Anatomy.
A number of anatomical factors may influence the choice of implant shape. Firstly, it is the shape of the breast and the covering tissues. If the non-operated breast is not full and therefore lacks form, then anatomical implants can help add form. For the same reason, anatomical implants are preferred in patients with thin overlying tissues. However, in patients with good soft tissue coverage and/or a good basic breast shape, round implants can also be used with excellent results. Thus, round shaped implants may be a logical choice as there is no risk of rotation and they may also be cheaper and easier to use.
Breast asymmetry. All patients have some breast asymmetry and in most cases this will not necessitate the use of different implants on each side. However, when indicated, anatomical implants offer more potential to improve the shape of each breast and correct asymmetries.
surgical history.
Recurrent implant rotation (eg more than two or three times) is a contraindication to anatomical implants and round implants should be used. In the primary case of rotation, if this does not resolve itself, round implants should be considered, but anatomical implants can also be used. Recent techniques such as the use of a new axillary pocket - first introduced by Heden in 2000 and published by Maxwell and colleagues in 2009 - may help to minimize rotational risk with anatomical implants in such cases.
In other cases of secondary surgery, round or anatomical implants may be preferred depending on the present specific situation. When using anatomical implants, the surgeon must be experienced and aware of the best techniques such as repositioning and fine pocket calibration to prevent recurrence. Round implants may be preferred in some cases, especially if the patient has had many previous surgeries, because round implants reduce the risk of problems (particularly rotation) when the surgeon does not have good control of the implant pocket.

Conclusion: The appropriate choice of anatomical or round implants is one of the many important decisions that must be made during the breast augmentation process. It is important that the factors described above be taken into account. This choice should be carefully considered and discussed with your surgeon.

Author Reviewer: Update: 04/05/2018

Men will not let you lie - the female breast is the most attractive part of the body. Of course, many women strive to give this paired body a perfect shape (we do not take into account man-haters, feminists and persons with a non-traditional orientation). But what is the ideal shape, or, in other words, the anatomically shaped chest - what is it?

Let's just say - the perfect chest does not exist. There are millions of women and their mammary glands each have their own characteristics. However, plastic surgeons use a few parameters just to give them a starting point in their work. This is called "breast aesthetic criteria". These are the options:

the distance between the nipples and from each nipple to the jugular notch is 21 cm (an equilateral triangle is formed);
the distance from the nipple to the middle of the collarbone on the corresponding side is also 21 cm;
distance from the nipple to the submammary fold - 5.9 cm;
the outer edge of the mammary gland protrudes somewhat beyond the chest;
the distance between the outer edges of the mammary gland is equal to the width of the hips.

Is it possible to achieve the parameters of the ideal breast

Given the desire of many women for the ideal, one should not be surprised at the efforts that they make to make their breasts perfect. Everything comes into play: exercise, not breastfeeding, traditional medicine, Chinese tightening products, etc. Unfortunately, the only thing that somehow improves the appearance of the breast is exercise. By increasing the volume of the pectoral muscles, they raise the glands, making the chest somewhat higher. It looks like an increase in its volume, although in fact it is not.

The only really effective way to enlarge the breast and give it an ideal shape is augmentation mammoplasty. In other words, the installation of implants. And here the most interesting begins.

Breast augmentation with implants: anatomical or round

We want to say one thing right away that works everywhere in medicine: what suits one patient may not suit another. If you know a woman whose breasts have become perfect after installing an anatomical (more correctly, teardrop-shaped) implant, this does not mean that the same one will suit you. It doesn't mean he's better. It doesn't mean anything at all. Everything is individual and the selection of the implant is carried out, taking into account many factors:

the presence of ptosis (pendulous breasts);
nipple position;
breast volume;
potential capacity of the "case";
the presence of asymmetry;
the shape of the chest;
the presence of tubularity (narrow base of the cone of the mammary gland);
the presence of micromastia (exceptionally small breast sizes), etc.

The difference between round implants and anatomical

Round implants are spherical or elliptical in shape, while anatomical implants are drop-shaped. The top of the latter is narrow, the implant expands downwards. There is an opinion that anatomical implants are better than round ones, as their shape repeats the shape of the breast.

The practice of plastic surgeons shows that, with rare exceptions, drop-shaped implants do not have any advantages over round ones. Moreover, the cost of anatomical surgery is much higher, the operation technique is much more complicated, which also increases the price of the intervention.

Finally, round implants do not have such a complication as rotation - the rotation of the implant around its axis. This complication severely deforms the mammary gland and is an indication for repeated expensive surgery. Breasts with round implants look no worse, unless, of course, an experienced doctor deals with it.

Features of preoperative preparation

First you need to determine exactly what a woman needs. Readiness for the result is the main component of success. It should be remembered that sometimes you have to “pay” for beautiful breasts with the appearance of pain, impaired skin sensitivity, etc. Yes, the endoprosthesis is simply felt to the touch. Is the woman ready for this? Here's an important question.

It should be understood that there is no “perfect” implant. For example, when using a dense endoprosthesis that retains the shape of the breast when the woman is standing, her breasts will also "stand" when the woman lies down. This is unnatural, and this is a "fee" for the result. A softer implant will not hold the shape of the mammary gland so clearly in a standing position, but lying down it will look perfect.

There are other subtleties that a surgeon should talk about, and this is a criterion for assessing his professionalism and “sharpening” for the result, and not for simply making money. The decision is still made by the woman, she just needs to be given all the information for this.

Before the operation, an imitation of mammoplasty is carried out, putting special inserts into the cups of the bra for this. This is done so that the lady can determine in front of the mirror what her breasts will look like. Most often, it turns out that a woman is not so important breast augmentation as the improvement of its contour.

After determining the volume of the prosthesis, a decision is made on the location of the incision. There are also nuances here. For example, with a mild submammary fold (SMC), an incision cannot be made in it, and then they resort to axillary access (armpit), in which the scar can be noticeable for six months, and the course of the operation is more complicated. On the contrary, with severe SMS, a submammary incision is made, which provides more opportunities for reviewing the surgical field. But it also has disadvantages: a longer scar, and in case of problematic healing, the implant can slip out of the incision site.

The location of the implant can be subglandular (introduced between the mammary gland and chest muscles) and subpectoral (introduced under the pectoral muscles). The latter method is considered more correct, because it achieves a more natural shape of the breast and reduces the likelihood of contracture - the most common complication of mammoplasty.

My question is: do Allergan anatomical implants provoke breast cancer?
Neither Allergan (correctly called Natrelle), nor any other implants increase the risk of developing malignant tumors. Moreover, in women who have undergone implantation, the likelihood of developing breast cancer is about one and a half times lower. The reason: such women are much more attentive to any processes in the mammary gland and identify and treat precancerous conditions earlier.

Before the operation, most doctors photograph the woman in different projections. This is done for that. to study the situation “before” and “after”, to make a prognosis of the postoperative period, and simply to “please” the patient with how her breast shape has changed.

After that, the marking of the mammary glands is carried out. This is necessary for the convenience of the surgeon, who must know how and where to insert the implant to achieve the desired result.

The operation is performed under general anesthesia using local anesthetics. No endoscopic methods are provided here, because the implant cannot be inserted through a thin tube! Before this, antibiotics are administered to prevent infectious complications. At the end of the operation, drainage tubes are inserted into the wound, through which the wound discharge flows out for 2-3 days. This is a normal process, the tubes are removed on the third day (usually).

After discharge, the patient should continue to take antibiotics for another three days, painkillers - if necessary, and if the slightest complications occur, she is advised to call the doctor at any time of the day.

Good afternoon. Tell me, which breast implants are better to put - round or anatomical? Emma, 34
Hello Emma. Experts believe that in the vast majority of cases, neither anatomical nor round silicone implants have any special advantages. Moreover, the researchers show that there are more problems from anatomical ones, the operation technique is more complicated, due to which their cost is also higher. Do not fall for marketing promotions, listen to the opinion of your surgeon ..

Ask a free question to the doctor

Properly selected breast implants adorn a woman and give harmony to her entire body. The natural appearance of the mammary glands after endoprosthetics is the decisive argument in choosing the shape of implants. The discussion and debate about the best shape for breast implants will never stop. Meanwhile, in addition to an attractive appearance, a properly selected implant can minimize the risks of various postoperative complications. Therefore, when choosing endoprostheses, it is worth listening to the opinion of the surgeon.

Perfectly shaped implants will give the breast a natural and harmonious look.

Many women are sure that the anatomical shape of the implants makes the breasts feel more natural in shape, and round endoprostheses allegedly do not give such an effect. But is it really so? We will analyze the features of each type of implants, based on various criteria.

The form is chosen not only by the patient, based on her personal preferences, but also by the surgeon, who takes into account many different factors. Among them: the desired result, the features of the physical structure of the patient, and the surgical technique of the operation. Each form of implants has its advantages and disadvantages, the analysis of which can also help a woman make the right choice.

Benefits of Anatomical Implants

Of course, the shape of a woman's natural breasts is not round. The natural bust has a smooth slope, starting from its upper part and gradually increasing in volume towards the bottom. That is why anatomical implants look more natural and in most cases are ideal for many women.

Initially, anatomically shaped implants were used to recreate a missing breast, for example, due to cancer or injury. Therefore, theoretically, anatomists are a more logical option for breast augmentation. However, despite this, many surgeons and a significant number of patients prefer round endoprostheses.

For some women, round implants look more natural than anatomical ones.

Benefits of round implants

Large volume;
High chest rise;
More attractive décolleté.

If we are to enlarge the breast, then so that its volume is palpable and noticeable to everyone - this is how many patients argue. But not all the fair sex consider this form attractive. Excessive volume in the upper chest, according to some women, does not look natural.

Misconceptions about round implants

The round shape of implants, indeed, sometimes does not look very natural and not natural. However, the matter is not in the form. There are cases when endoprostheses are installed too high, or a patient with a small initial volume of the mammary glands insists on a large size. Implants of any shape can look bad, it all depends on the competent work of the surgeon. An experienced specialist always suggests the shape and size, based on the individual anatomical features of the patient. For some women, breast augmentation with round implants looks even more natural than teardrop implants.

Round implants are more mobile and natural when moving, so this shape is well suited for women who lead an active lifestyle.

Despite the fact that round breast prostheses look different in different patients, when moving they behave more naturally than anatomists. For example, when a woman is in an upright position, the implants under the gravitational force acquire an anatomical natural shape. If we consider the behavior of round implants during the horizontal position of the patient, then according to this indicator they are absolute leaders. The natural female breast, as you know, "spreads" in the supine position. When arthroplasty with teardrop-shaped implants in a horizontal position, they will stick up unnaturally in the lower part of the chest, unlike round specimens. If a woman leads an active lifestyle, goes in for sports, dances, then round implants are preferable for her, since they “do not give themselves away” when moving.

Characteristics of round endoprostheses

Round implants have equal width and height. The highest projection point of a round product is slightly above the center. Therefore, round implants can differ only in projections.

Characteristics of drop-shaped endoprostheses

The highest projection point for drop-shaped implants is in their lower zone. In addition, the height of the base and the width they differ. Thus, anatomical implants can differ not only in projections, but also in height. This advantageous quality increases the number of possible product combinations and enables manufacturers to expand the range of anatomical implants.

Anatomical medium-profile implants are in great demand among Russian women

Different profiles for every occasion

All patients have different types of figures and chests, each of which has its own shape of the mammary glands. Unlike round models, teardrop models come in a variety of widths and heights, which gives patients more options to choose from.

The higher the profile of the drop-shaped endoprosthesis, the more significant the increasing effect. Anatomists of an average profile are in the greatest demand among Russians. But there are times when only a high profile is acceptable. If a woman has a large amount of excess skin with ptosis of the mammary glands, then the breast needs more filling and lifting. In this case, low and medium profile anatomical implants may not give the desired effect. Also, a high profile is well suited for those patients who have a small chest volume.

Breast augmentation in twins

As part of the Omorphia project, an interesting competition was once held. Plastic surgeon Staisupov Valery Yurievich operated on the winner for free and installed anatomically shaped implants for her. He later enlarged her twin sister's breasts, but only with round endoprostheses. The professional mind of the surgeon was looking forward to the opportunity to compare the results of augmentation mammoplasty in completely identical sisters. However, he could not find out the best result, both girls had beautifully shaped breasts.