How to choose round implants, and how do they differ from anatomical ones? Round versus anatomical: choosing implants for the perfect breast shape Round anatomical.

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 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 optimal techniques such as repositioning and accurate 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.

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.
On 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 is almost doubled. 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.
Preservation of 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's 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.

ID: 341 41

Discussions and disputes on the choice of the form of implants in various forums are ongoing. But p Proper selection of an implant is one of the components of success both in the final perception of the new breast shape by the patient and in minimizing possible complications and negative surgical consequences of the operation.

"Round or anatomical?" – this is exactly the choice faced by thousands of women who decide on mammoplasty, breast augmentation surgery with implants. There is an opinion that the use of anatomical implants allows the bust to look natural, both to the touch and in shape; round prostheses do not give such a result. Offhand, this statement seems true, but in reality, everything is not quite so. 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 are smooth and 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 really teardrop-shaped - starting with a flat slope at the top, the chest gradually increases in volume and protrudes (raises) in its lower part.

Therefore, an anatomical implant that mimics the effect of gravity on the chest looks more natural at first glance 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 implants.

Round implants, when compared with anatomical:

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

But not all women like a large volume in the upper chest, they consider this shape not quite natural, and prefer anatomical implants as more natural.

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

Yes and no.

A round implant, indeed, can sometimes give the shape of the breast unnaturalness and artificiality. For example, if placed too high on the chest, or in patients with insufficient volume of their own breast tissue, but who insisted on a large volume implant.

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

But all the arguments above refer to implants that are "lying on the table." And how will they behave when they are implanted in a living woman, made of flesh and bones?

Implanted in the breast round implant in general, "behaves" more naturally than teardrop. In an upright position, when a woman is standing or sitting, under the force of gravity, he independently acquires a natural, anatomical shape.

And of course, the round implant absolutely wins in a horizontal position. The natural breasts of a woman, when she lies down, naturally "blur". Anatomical same 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 with its head; the round implant in the prone position looks quite natural. A round implant looks more natural even with active body movements - running, jumping, intense dancing, etc.

Before performing a direct 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 knows how to make the right choice.

The surgeon is always an ally of the patient, and it is successful work in tandem with him that gives a consistently good result and satisfaction from the work done. Based on many years of experience, the doctor provides informed decisions about the brand of the 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 base of the implant 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 projection size.

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

Round implants with the same base width can only differ in projection.

Being in the tissues of the patient (provided that the patient is in an upright position), the round implant to one degree or another acquires a certain “teardrop shape”. This degree depends, first of all, on the density or compliance of the shell and filler of the implant, the properties of the patient's tissues. If the 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” will be somewhat higher than with the supramuscular location.

Round implant in horizontal and vertical positions.

Teardrop Implants

Teardrop implants are also referred to as "anatomical" implants because, according to many, this shape is the most consistent with 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, located in the lower half of the implant. In addition, in the vast majority of drop-shaped implants, the width and height of the base are not the same.

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

In a drop-shaped implant, the width and height of the base are almost never equal. The point of maximum projection is below the mid-height of the base.

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

This diversity gives the surgeon the opportunity to choose the necessary shape of the implant for almost any variant of the anatomy of the mammary gland.

Profile

One of the most important characteristics of the implant shape is the profile. The profile is the percentage 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 value tells how "convex" (high profile) or "flat" (low profile) the implant is.

Each implant manufacturer has their own ideas about what a high or low profile is, just like clothing manufacturers do not agree on what XXL is. This difference in views is due to the fact that different manufacturers use different types of fillers and shells in their products, which differ in the degree of 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) differs and, apparently, when marking their rulers, they tend to give the alleged "final" value.

In general, you can focus on the following numbers (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.

Choice of implant shape

Round implants provide less fullness of the lower pole and greater fullness of the upper pole of the mammary gland in comparison with teardrop-shaped ceteris paribus. This manifests itself the stronger, the denser the shell and filler of the implant. In addition, the probability of visualizing the upper contour of a round implant in a patient with a thin layer of integumentary tissues is higher than when using a drop-shaped implant. Also, a round implant is more likely to form folds or “corrugations”. This manifests itself less, the denser the shell and filler of the implant.

Teardrop Implants provide greater fullness of the lower pole and less fullness of the upper pole of the mammary gland in comparison with round ones, all other things being equal. This is manifested the stronger, 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 a certain “lifting” effect on the mammary gland, thereby enabling them to more successfully correct somewhat sagging breasts.

Drop-shaped implants, to a greater extent than round ones, retain their shape when changing body position. This property is manifested the stronger, the denser the shell and filler of the implant. The cost of drop-shaped implants, as a rule, is higher than round implants of the same manufacturer, all other things being equal.

"Lifting" effect of the drop-shaped implant

For patients with different types of physique and different types of chest, certain types of shape of the mammary glands are characteristic. The rounded shape of the mammary gland, in which the width approximately equals 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 predominates over its height, and in asthenic girls, height often predominates. 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 the width and height of round implants are equal.

LEFT Mammary gland with a predominance of width (hypersthenic physique) - a "wide" implant is required.

ON RIGHT Mammary gland with a predominance of height (asthenic physique) - a "high" implant is required.

When choosing an implant profile, it must be taken into account that the higher the profile, the stronger the visual effect of the increase, but the "naturalness" of the result is somewhat affected. The most beautiful shape of the mammary gland can be obtained using medium-profile implants.

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

Thus, the ideal form of implants does not exist. Teardrop implants can be said to be somewhat more versatile in general, and most suitable for correcting sagging mammary glands. There is no alternative to round implants if it is necessary to fill the upper pole of the mammary glands strongly. In addition, round implants are preferred for axillary (through the armpit) access.

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

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

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, avoiding breastfeeding, traditional medicine, Chinese tightening remedies, 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 doctor a free question

Anatomical implants are used in modern operations to change the shape, increase or reduce the breast - they help women to have an attractive bust and look seductive.

But there are many offers on the breast endoprosthesis market, which is why it is so important to know about the choice of the preferred option. This will allow patients to get breasts of the desired size and avoid complications after surgery.

When is mammoplasty required?

The personal desire of the woman who turned to the specialists for the operation takes precedence. Other reasons include:

INDICATIONS

exaggeration or underdevelopment of the breast;
unwanted variability of the bust after pregnancy, childbirth and feeding;
sagging or asymmetry of the mammary glands;
reconstruction of the mammary gland after its removal against the background of a low-quality tumor;
the will of the man.

Among the obvious contraindications to the operation are noted:

CONTRAINDICATIONS

infectious and blood diseases;
severe course of diseases of internal organs;
age up to 18 years.

The specialist builds the choice of an implant on the basis of surgical goals and the technique used, the anatomical properties of the patients and their personal preferences.

What prostheses for mammoplasty are better

Round or anatomical? Every woman who dares to get a new bust solves such a dilemma. Because these endoprostheses are in great demand among patients of plastic surgeons.

In general, implants differ:

form;
projection;
volume;
surface texture.

Also, implants differ in the width and height of the base.

The difference between anatomical and round implants is in their shape. And it is clearly visible even in the photo. The first type resembles a swelling drop.

The second option means a round classical bust, obtained by implanting the appropriate type of implant into it.

Round endoprostheses provide the mammary gland with symmetry and maintain its shape during the natural movements made by a woman. They turn the bust into a more magnificent one and replenish the volume of the upper pole of the chest.

Teardrop implants do not guarantee this. At the same time, the anatomical shape of the grafts gives the new breast a natural look.

As recent studies show (they were conducted by Dr. Charles Rehnquist from Sweden and Professor Mario Ceravolo), it is difficult even for specialists to visually determine the breasts of women with round and anatomical implants. This is also explained by the fact that during reprosthetics, the often replaced implant changes its shape under the action of the muscle. As a result, a round endoprosthesis turns into an anatomic one and vice versa.

Division of endoprostheses according to the composition of the filling fluid

The outer host of any graft is made of soft silicone and filled with a special gel or isotonic saline liquid, similar to a sterile injection solution.

Such a mixture, if it leaks, is harmless to a woman. It will only be absorbed into the blood, as it enters the body from a dropper to flush the body.

It is also captivating that these implants cost less than other types of endoprostheses. In addition, they are soft to the touch.

But there is also flaw in the use of such transplants. With them, the chest is both heavier and looks unnatural, and often makes gurgling sounds when moving.

Incomparably lighter are implants, inside of which there is a biocompatible cohesin (non-fluid) gel. With these endoprostheses, the bust acquires improved elasticity and a natural look.

The specific composition of gelatin provides, when pressing on the bust and when moving its owner, a return to the natural shape of the breast without issuing third-party "chords".

The downside of this gel is that if it leaks, a surgeon will need to intervene.

In addition, in the arsenal of plastic surgeons there are breast implants with a smooth silicone or textured outer surface.

And these endoprostheses for mammoplasty have their advantages and disadvantages. So, smooth ones are prone to shear, and grafts with a textured shell, albeit sometimes, but in contact with the subcutaneous tissue, cause wrinkles.

Practicing plastic surgeons, as a rule, do not favor smooth and water-filled implants. The former are prone to slipping and flipping. The latter decrease in volume over time as the liquid evaporates. Because of these reasons, the risk of reoperation increases significantly, and long-term results are not satisfactory.

Anatomical implants McGahn (USA)

What distinguishes anatomical implants Natrel McGahn style 410 from other grafts?

Their interior is filled with silicone gel.
Implants have more perpendicular crosslinks, which makes the gel stronger.
Reduced rate of gel diffusion through a wafer with a specialized inner layer.
The hardness of filling and bringing the gel to dryness is made using a special technology.
The ability to shape the chest so that it will not subsequently warp.
A wider choice of this implant for a particular patient - style 410 is made in 12 forms for all possible volumes.

Natrel Macgan, in the shape of a tear, gently enters the surrounding tissue, giving the breast a natural look. This endoprosthesis is more suitable for reconstructing a lost breast, as well as for patients whose breasts have visible asymmetry or deformation. The hardness of the implants provides them with an elastic bust.

Among the main manufacturers of implants, including anatomical ones, there are also:

Nagor(Great Britain) specializes in the production of endoprostheses with a textured host and gel filler and offers patients a wide range of sizes and shapes of implants;
(USA) - the company has anatomical and round implants filled with cohesin gel, which reduces the risk of capsular contracture;
Polytech(Germany) - the endoprostheses of this company are also filled with a soft cohesin gel and have a "memory effect" that allows them to keep their shape after manipulations;
Eurosilicone(France) is a company supplying consistently high-quality and safe transplants to Europe and other countries of the world.

Before mammoplasty, each patient should inquire about the features of delicate products produced by these and other manufacturers, and the availability of transplant quality certificates.

Polyurethane anatomical two-gel implants

Polyurethane as a coating endowed endoprostheses with excellent characteristics, which are the best suited for mammoplasty, which solves the problem of capsular contracture.

This is due to the fact that the polyurethane coating in tandem with the main cohesin gel has high elasticity and the ability to remember the intended shape of the breast.

Therefore, after the use of such implants, the frequency of capsular contracture sometimes does not exceed 1% of cases 10 years after mammoplasty.

Another advantage is assigned to the polyurethane coating in the form of its "ability" to adhere (stick) to tissues. And then the implant is not subjected to displacement / rotation, which leads to the acquisition of natural and soft-touch breasts by the patients.

The photos before and after the operation clearly show how such an implant creates a natural streamlined shape with a gradual narrowing in the upper chest. But it is worth knowing that polyurethane endoprostheses can cause a longer (up to a year) period of rehabilitation. During this time, their shape may change, and swelling persists for up to six months.

Who should choose which implants

Anatomical implants are more suitable for those women who:

naturally thin physique;
narrow chest;
a small amount of natural breast tissue;
pronounced prolapse of the breast due to its natural diminutiveness, breastfeeding or weight loss.

In these cases, anatomical implants will transform the bust to a natural one. Anatomists will also help in correcting some types of breast asymmetry.

Round implants can be safely chosen by young patients with developed mammary glands, if you want to increase the bust by 1 size.

Breast prosthesis options

The size of each implant, including anatomical, is calculated in milliliters. This means that for 1 breast size there is a filling volume of 150 ml.

The size of the endoprosthesis is added to the natural girth of the bust. Thus, a woman with the 2nd size acquires breasts with indicators of the 4th.

In addition, there are sizes of implants adjustable and fixed. The former are characterized by the introduction of a filler into the shell during the operation after implantation of grafts.

This allows the surgeon to make corrections to the size of the breast during the operating period, increasing or decreasing the volume of the planned bust.

The peculiarity of the latter is that after implantation in the mammary gland, their size cannot be changed.

Endoprosthesis profiles

This indicator of implants, anatomical and round, is nothing but the percentage ratio of the values of the graft projection to the value of its base.

Thus, a high-profile breast prosthesis has a larger projection and a smaller base.

In other words, the profile score reports the plumpness (high profile) or flatness (low profile) of a particular implant.

At the same time, manufacturers are not unanimous in their opinion, which endoprostheses should be considered high- or low-profile. This is due to the fact that manufacturers also use different types of fillings and shells in their implants.

It is proposed to take into account the following profile indicators on the example of McGhan implants:

within 32% - low profile;
32 - 38% - medium profile;
more than 38% - high-profile.

Experience shows that a more beautiful breast shape is obtained with medium-profile implants.

Endoprostheses after implantation last a lifetime, if there are no complications. However, the implants are removed at any time if the woman wishes. Implants cannot be replaced every 10-20 years. It is also important that implants do not interfere with breastfeeding. The tissue of the gland during the setting does not damage, and also does not have a toxic effect on the quality of milk.