Anatomical implants as a way to restore the natural look of the breast. Which implants for breast augmentation are better - round or anatomical? Round and anatomical implants comparison

Anatomical implants are drop-shaped endoprostheses. At first they were used for the reconstruction of the mammary glands after a mastectomy. Due to the shape as close as possible to the natural breast, they have gained popularity in aesthetic surgery.

Description

The shape of the female mammary gland resembles a drop. The flat slope of the upper zone smoothly passes into the volume 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 an unequal width and height of the base. With the same width of the base, the implants differ in height, projection size. Therefore, anatomically shaped implants have a large number of options and combinations in height, projection, and width. Manufacturers offer a wide range of endoprosthesis models of the same style. This is where their name "anatomical" comes from. The doctor has the opportunity to select the most suitable form of the prosthesis for any type of breast.

Main characteristics of anatomical implants:

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

Various diameter and projection options make anatomical implants versatile. They are prescribed for women with non-standard characteristics of the chest, a minimum volume of the mammary glands. The breast with anatomical implants acquires volume, a beautiful, anatomically ideal shape. Teardrop elongation forms a smooth transition between the upper and lower poles.

There is another characteristic of implants. Profile is the ratio 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%). The mid-profile implant creates the most beautiful shape of the mammary glands. The concept of a profile type is somewhat different for different manufacturers, since different materials are used.

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

Indications

Breast augmentation with anatomical implants is recommended in such cases:

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

Mammoplasty with anatomical implants is performed in accordance with the type of physique, which directly affects the shape of the mammary glands. Hypersthenic physique implies the predominance of the width of the mammary glands over their height, asthenic - has the opposite characteristics. Round implants, with their equivalent width and height, will not fit. Among drop-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:

  1. Salt filler is a saline solution that is safe for surrounding tissues. 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, make gurgling sounds when moving. Validity is limited (about 18 years).
  2. The gel filler is as natural as possible on palpation. It is resistant to damage, almost does not seep into the fabric. Sterile, resistant to ptosis. The disadvantage is the need for a large incision, as well as the passage of the procedure of magnetic resonance control. Service life - for life.

There are several types of gel filler:

  • hydrogel - soft, able to flow out in case of injury, has the property of biodegradation;
  • highly cohesive - has the highest density, does not flow, feels solid to the touch;
  • "Softtouch" - natural elasticity, does not follow.

The volume of the filler serves 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 the 2nd breast size. After adding the volume of the natural breast of the patient, the 4th size is obtained.

The surface of endoprostheses is produced in two types:

  1. The smooth surface is stable, soft, and cheaper. Able to move, can provoke fibrous-capsular contracture.
  2. The textured surface has micropores, it is better fixed in the pockets of the mammary glands, and creates a reliable fixation of the endoprosthesis. Does not provoke fibro-capsular contracture. Characterized by a denser structure, high cost, shorter service life.

The highest price has an anatomical implant, which has a textured surface with a filler "Softtouch". 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 chest and chest (the volume and proportions of the chest, the area of ​​\u200b\u200bits base, the distance to the submammary fold 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 qualification of a specialist, his experience. To make the right choice, you should analyze all the parameters of round and anatomic endoprostheses. To choose the ideal implant, you need to decide what effect should be achieved. Anatomical implants should be preferred for the most natural result. 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 inserted. The slope at the top of the chest looks crowded. Round implants give a good result only with a sufficient amount of glandular tissue. With its deficiency, it is advisable to install the anatomical type of implants.

A significant advantage of the anatomical endoprosthesis is the low probability of capsular contracture formation. This complication occurs when the body does not accept the foreign body and tough, 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 the anatomical endoprosthesis is its fixed shape. If there is a slight displacement, then the shape of the breast is deformed. To correct this defect, a second operation is required. Round implants remain invisible when shifted or turned over. The rigidity of the shape of the anatomical prosthesis creates a slightly unnatural appearance if the woman is lying down. Round prostheses in the horizontal position of the body take the form of a natural breast, flattening slightly. Anatomical endoprostheses are the most acceptable option for breast asymmetry, as well as its small volume.

Anatomical and round types of implants are characterized by an approximately equal number of advantages and disadvantages. There is no unequivocal opinion on the best type of implant among surgeons. To make the right decision, you can consult several surgeons.

In 1961, a breakthrough in plastic surgery was made by saline endoprostheses - round bags with saline, fully compatible with the human body. But too soft, tactilely detectable, with a tendency to rupture, saline implants were replaced by silicone implants in the mid-90s. These gel-filled elastomers are safe for the patient and remain immobile even in the event of injury. 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 best choice for severe ptosis. They lift the chest, make it lush and voluminous in the upper part. Endoprostheses of this form are most suitable for patients with a wide chest and rounded outlines of the “native” bust. For the surgeon, they are easier to install, and cheaper for the patient. But for many, a significant disadvantage is their unnatural appearance.

Invention drop-shaped (anatomical) implants changed the view of mammoplasty: visually they repeat the natural shape of the female breast. Teardrop-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 tissues. These implants retain the softness and smoothness of the contours of the breast, but at the same time keep their shape in a horizontal position. Anatomical implants are ideal for enlargement of very small breasts and ensure the proportionality and naturalness of the breast. Sometimes the pectoral muscle deploys the implant. Such an “incident” with a round implant will be invisible, and with an anatomical endoprosthesis, the deformity of the breast will be visible. For a surgeon, working with "droplets" requires a lot of experience and skill.

Implant profile

Patients with different body types require implants of different profiles. Profile - the ratio of the projection of the implant to the width of the base - is low, medium and high. Round implants have the same width and height, while drop-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 enlarged their breasts with anatomical implants?

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Which of the doctors enlarges the breast 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, and his own vision of beauty. As you know, breast augmentation with anatomical implants is more expensive and requires special knowledge and skills from the doctor. Some plastic surgeons do mammoplasty expensively and well, others - cheaply and badly. When it comes to your own appearance, it is important to find a golden mean in terms of price / quality ratio. The plastic surgeon knows exactly which implants will emphasize the advantages and hide the flaws of the patient (for example, curvature of the spine, asymmetry of the chest or nipples), make the mammary glands the most natural and harmonious for her type of figure. The professionalism of Maxim Leonidovich is evidenced by the huge employment: four plastic surgeries and 40 consultations a day, a planned work schedule for months ahead. And most importantly - an individual approach to each, because in the matter of choosing an implant there can be no universal advice.

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

Round implants are endoprostheses of the correct form in the form of a rounded cone. The purpose of their development is to create even, round outlines of the female breast, to increase volume.

Round endoprostheses were the first to appear, and for a long time were the only implants for breast augmentation. Not so long ago, endoprostheses created in the form of a drop, the so-called anatomical implants, appeared. Endoprostheses of both types have similar features:

  • a silicone shell covered with a protective layer on top to prevent the filler from getting into the surrounding tissue;
  • have two types of surface: smooth, textured;
  • the internal contents are represented by a gel or saline solution.

To understand how round implants differ from anatomical ones, you need to consider their main characteristics, advantages and disadvantages:

Round

Anatomical

maximize the volume

do not add much volume

look harmonious in any position of the body

Natural shape when sitting or standing, except lying down

ball shape

drop shape

breast lift effect

natural breast imitation

easy to implant

harder to implant

lower cost

more expensive

when they are turned over, the chest retains its shape

can shift, leading to breast deformity

produce a push-up effect without wearing a bra

restriction on wearing push-up bras

indicated for ptosis of breast tissue, asymmetry, breast enlargement by several sizes

shown with an initially flat shape of the mammary glands

Augmentation with round implants makes the chest rounded, soft, with proportional contours. It is possible to choose an endoprosthesis of the optimal form according to the physiological characteristics of each woman.

A particular advantage of round implants is their high plasticity. This quality of endoprostheses allows the breast to be positioned naturally in any position of the body. If a woman occupies a vertical position, then the breasts with round implants take on a teardrop shape. The lying position makes the chest flatter, which is natural for natural mammary glands. This type of implant is great for women who are actively involved in sports and dancing. They look very mobile and natural with intense movements. Round implants are easier to install. The result largely depends on the presence of a certain amount of glandular tissue. Their main disadvantage is the unnatural effect of overcrowding of the upper slope of the chest during the introduction of a large implant. But this factor is a consequence of incorrect installation due to the mistake of the surgeon. Breast asymmetry limits the use of round implants.

Types of round implants

Each woman has individual anatomical characteristics. To obtain maximum naturalness, several types of round implants have been developed. The main criteria for the selection of endoprostheses:

  • size (110-800 ml);
  • type of filler: biodegradable, saline saline, silicone gel;
  • low, medium, high and extra high profile - the ratio of the diameter and height of the endoprosthesis;
  • shell material and texture: silicone (smooth), polyurethane (textured);
  • the degree of density of the gel content: silicone or cohesive (non-fluid) gel with different softness parameters.

Gel-filled implants are considered the best. Bioimplants and prostheses filled with saline over time begin to lose volume, the ability to support the breast. The gel filler is superior to saline in terms of organoleptic properties, for example, to the touch. Saline implants have a chance of wrinkling, leading to a change in the shape of the mammary glands. The textured surface due to micropores allows the surrounding tissues to better grow into the shell of the prosthesis. This minimizes the likelihood of its rotation.

How to choose the size? There is no exact recommendation for choosing implants. Only an experienced specialist is able to assess the anatomical features of the patient's figure and chest, the size of the chest and determine the most suitable implant. The main parameters taken into account by a specialist:

  • the volume of the mammary glands;
  • the presence of asymmetry;
  • degree of ptosis;
  • the volume of tissues around the mammary glands;
  • qualitative characteristics of the skin, the thickness of the subcutaneous fat layer;
  • parameters of the chest, shoulder width, waist, hips.

The choice of the optimal implant is based on its type, width, height, and projection. Round implants are characterized by equal width and height, while the highest projection point is slightly higher than the center point. To correct the asymmetry of the breast, low-profile round endoprostheses are installed. With severe ptosis, deficiency of one's own tissue, endoprostheses of medium and high profile are used.

The duration of the implants is unlimited. Manufacturers also assure their complete safety. Replacement of endoprostheses for the entire period of use is not required, with the exception of some cases:

  • their break;
  • a sharp change in body weight;
  • past pregnancy and breastfeeding;
  • complications after mammoplasty: implant displacement, fibrous capsular contracture, calcification, breast deformity.

In these cases, free replacement of endoprostheses is provided.

The main advantage of round prostheses is a uniform increase, giving a beautiful rounded shape to the mammary glands. But the choice of the optimal endoprosthesis will depend on the recommendation of the plastic surgeon and the wishes of the client herself. It is also necessary to pay attention to the correct choice of the clinic, to study the reviews of operated women on the Internet.

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 at all. 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 Yuryevich 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.

A woman is a creature that is distinguished by innate kindness, tenderness and natural attractiveness. But, many of the fair sex are not always satisfied with their innate data, which, in their opinion, do not meet the criteria of beauty and are not the standard of femininity. Aesthetic medicine in this case can come to the rescue. Modern technologies that are used in plastic surgery involve the installation of implants of various contents and shapes.

There are salt and gel endoprostheses designed to increase and correct the shape of the breast. Salt prostheses are much softer; they contain saline inside the shell. The disadvantage of such an implant can be considered its possible noise, which manifests itself in the movement of fluid inside the muscle after installation. Gel prostheses consist of a special cohesive viscous filler. The shape of the implants can be anatomical and round.

Anatomical implants

Anatomical implants are teardrop-shaped prostheses that, after installation, resemble the natural shape of the breast. Mammary glands with such elements completely resemble natural forms, and are often indistinguishable from natural ones.

The benefits that a woman receives after the installation of "anatomists":

  1. They do not differ from the natural breast, regardless of the position of the body (sitting, standing).
  2. Ideal for ladies who naturally have a flat chest.

But, depending on certain factors, endoprostheses of this type may not be suitable. Cons of anatomical prostheses:

  • They may look unaesthetic in the supine position.
  • It is not possible to use underwear with a push-up effect, due to a special installation.
  • Surgical intervention is characterized by increased complexity.
  • They can shift under the influence of high physical exertion, cause breast asymmetry.
  • They are much more expensive than analogues.

Thus, anatomical type prostheses may not be suitable for all the fair sex. If the breast is initially flat, then the installation of such implants will not cause difficulties during the surgical intervention. But, it is worth noting the fact that the appearance of the breast will not be defiantly unnatural, which is an ideal argument in favor of those who need plastic surgery after surgery.

Round implants

Round endoprosthesis implants that can be placed under the muscle or skin, and thereby correct the shape of the breast. Depending on the manufacturer, round implants can be:

  1. Salt or water (not durable, during operation they can lose their original shape).
  2. Silicone (inside they contain a mass of gel type).
  3. Combined (contain a saline solution in one chamber and a gel in the other).
  4. Biocompatible (they contain a special gel polymer inside, which is absorbed by body tissues over time).

According to the form of execution, round implants can be of several types - convex and flat. They can also differ in their design features, for example, fixed ones have a clearly defined shape and volume, while adjustable ones are suitable for situations where it is necessary to individually adjust the volume. Adjustable can be filled during the course of the operation itself.

There is an opinion that it is the round shape of the implant that is better suited for girls who want to enlarge their breasts, but have not yet given birth. This is explained by the natural shape of the breast at an early age, since initially the breast before childbirth has a more round shape and a high placement on the chest.

Advantages of round additions:

  • Can form the largest possible volume.
  • Visually make piles higher.
  • They cost significantly less.
  • The installation procedure is easier.

Cons of round implants are also observed. They look unnatural, can cause discomfort at first, due to the increased load on the pectoral muscle and its stretching.

The difference between anatomical implants and round ones

Both types of implants carry the same function - restoration and correction of the shape of the mammary glands. The round implant, compared to the anatomical one, gives a larger visual size, creates the appearance of a push-up breast, and lifts the upper contour of the décolleté zone. Ideal for owners of different forms of natural breasts.

Anatomical implants are an excellent option for those women who need breast reconstruction after an illness or trauma. The presence of implants is a good panacea for those who want to change themselves and have enough willpower and financial ability to do so.

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