When considering breast augmentation, Nashville breast implants patients often ask about round breast implants compared to shaped breast implants.
Amy Ortega MD, female plastic surgeon in Nashville TN, explains some considerations when comparing round vs shaped implants in this video.
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Nashville TN Breast Implants: Round Implants vs. Shaped Implants
So, I get a fair number of questions about round implants versus shaped implants.
Sometimes people think that they have to get a pre-shaped implant to get a certain breast shape. And sometimes people think that the round implants will then make for a round breast.
And that’s not really true at all.
This is a round implant, and this is a pre-shaped implant. And both of these are silicone gel implants.
Round implants are softer than shaped implants
This smooth round implant is a little less firm than a pre-shaped implant which I kind of like. I think that it’s closer to the feeling of a natural breast, and when you take this implant and actually the patient stands up, like this, notice that the substance inside, the silicone gel actually goes to the bottom, just like a natural breast would. When you lay back, it goes flat like a natural breast. And of course when the patient stands on her head it goes to the other direction.
With a pre-shaped implant when the patient is laying back, the implant doesn’t actually go flat, it stays the same shape. When she stands up, it stays the same teardrop shape. And if she moves to the side, it stays the same teardrop shape.
Shaped implants do not guarantee a certain breast shape, due to possible rotation
One thing that kind of disturbs me about these is that if this implant were to rotate inside the patient, which can happen, then all of a sudden the breast is an odd shape. Whereas when these round implants naturally rotate like they do, the breast always can stay the same shape and will always maintain the ability of the implant shape to move just like a natural breast would.
And so when the shaped implants really were being used a lot when they first became available within studies back many years ago when I was in training, I had the opportunity to see a lot of patients that had pre-shaped implants. And unfortunately we had a fair number of people who would call and say “Hey, my breast is kind of a weird shape.” And it turns out that the shaped implant had rotated. And therefore instead of having a teardrop shape the patient might now have an upside down teardrop shape which didn’t look very natural. And that caused us to have to take the patient back to surgery to flip over the implant because the implant had flipped over.
Round implants change shape with the patient, for a more natural look
And so for that reason I’m not as big of a fan of pre-shaped implants. I’m a little bit more of a fan of the round implant that moves with the patient and also doesn’t present concern if the implant rotates.