Anatomically shaped breast implants. Round versus anatomical: choosing implants for the perfect breast shape

From the beginning of the heyday of the aesthetic direction in medicine and to this day, prosthetics of the mammary glands is considered the most popular procedure in plastic surgery. Breast implants are medical products made from biocompatible high-quality material. They are placed under the muscle or skin in order to model the shape of the female breast and increase its size after surgery.

Types of breast implants

Modern plastic surgery uses two types of implants:

silicone;
saline.

The composition of both products suggests filler and silicone shell. Product types are classified according to the density of the filler gel, called cohesive or viscous. This gel helps to ensure the degree of firmness and shape of the breast even if the outer shell is torn. This can be seen in the examples in the photo before and after the procedure.

The consistency of the saline implant is softer to the touch, but they contain effect of audibility of movement of bubbles. This means that when a woman moves, the liquid overflows and makes sounds. If there is a rupture of the membrane, then the saline solution flows into the matter of the mammary gland. It does not pose a danger to the body.

Forms of implants

(photos before and after the procedures are given below) are considered the most suitable for breast correction with obvious asymmetry and ptosis. A round implant is necessary for those who want to get the most voluminous and raised breasts.

Today there are several forms of a round implant: low-profile and high-profile. It should be remembered that after installation they are able to roll over and do not provide a natural appearance. This can be seen in the photo before and after the operation. Because these dentures are easier to fit, doctors love to work with them. Round dentures are relatively cheap.

Anatomical (drop-shaped) implants are widely used to increase the volume of the breast, as well as when a woman wants to keep the naturalness and smooth contour of the breast after surgery. Anatomical (drop-shaped) implants are more expensive than round but they are more difficult to work with.

According to some experts, taking into account the growth of the capsule, the drop-shaped (anatomical) prosthesis acquires a round shape over time. The anatomical prosthesis tends to move, so the breast can become deformed in appearance, as evidenced by the photos before and after the procedures. In order to prevent such nuances, when choosing anatomical prostheses, it is necessary to choose those that are characterized by textured surface.

Anatomical (drop-shaped) implants are able to keep the shape of the breast even when a woman is lying down, and this looks unnatural.

Breast prosthesis dimensions

The size is calculated based on the volume - in milliliters. To put it more simply - one breast size corresponds to filler volume in 150 ml. The size of the breast prosthesis is added to the natural volume of the breast. This means that after the operation, the patient with the second size receives the fourth.

Distinguish implants adjustable and fixed size. In the first case, the filler is injected into the shell during the operation after the implant is placed. Thus, the surgeon will be able to correct the breast size in real time. The surgeon will make decisions after studying the characteristics of the body, including skin condition, body proportions and chest width.

Lifespan of a breast implant

Modern manufacturers of implants give a guarantee for a lifetime of the prosthesis after its installation. Purely theoretically, the implant does not require replacement, except in situations where their integrity is broken and the shape of the breast has changed (examples can be seen in the photo before and after the operation). In addition, mammoplasty does not interfere with the normal process of lactation. However, there are certain cases that force the patient to undergo the operation again:

a sharp change in weight;
changes in the shape of the breast prosthesis due to pregnancy and breastfeeding;
defects in the shell of a round or anatomical implant (the photo before and after the operation perfectly reflects the process).

Main manufacturers

Advantages of endoprostheses

Biocompatibility and sterility - modern implants guarantee a minimum risk of rejection by the body and do not provoke inflammation.
Imitation of a natural breast - the prosthesis exactly repeats the shape of the breast before the operation, both visually and tactilely.
The safety of the filler is the salt type, which is harmless to the body, and the cohesive gel, even if the prosthesis is damaged, is not transported into the body.
Low rupture frequency - this can only happen due to severe injury or impact.

Women who decide to enlarge their breasts with round or anatomical silicone implants must first of all solve a number of very complex 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 likelihood 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.

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.

We welcome readers on our website for whom the issue of anatomical implants is relevant. Complete unity in the use of different types of endoprostheses is not observed either among plastic surgeons or among patients. And today we will consider one of the types of bust shape improvement - increase breasts with anatomical implants.

Types of implants - "anatomists" and criteria for their selection

Anatomical differences:

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

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

Profile

The main difference between this type of endoprosthesis and hemispheric implants is the profile. To be precise, the profile is usually understood as the height from the base (base) to the highest point of the implant. By height or profile, it is customary to distinguish endoprostheses:

with high;
average;
low profile.

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

It is the profile, as a parameter, that allows the specialist to choose the ideal prosthesis for improving the female bust. When choosing one or another implant, the doctor is guided by:

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

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

This form The prosthesis makes the breast as natural as possible, but less lush compared to endoinserts of the same size.

Texture

According to the texture, you can choose an implant:

with a smooth surface;
textured (porous).

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

Fillers and shell

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

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

Modern implants are filled mainly with silicone balls and gels:

cohesive;
mobile;
dense cohesive (cross-linked) with "shape memory";
hydrogel;
biocompatible filler, etc.

The latest offerings from breast implant companies are two-gel prostheses.

Novelties in the market of breast implants

It will stop on micropolyurethane implants. Polyurethane endoprostheses have been developed for reimplantation in patients who developed after the first endoprosthesis. Over time, plastic surgeons began to recommend this variant of the prosthesis to all potential clients.

The surface of these implants makes it possible to minimize the growth of connective tissue around a foreign object (prosthesis). This reduces the risk of developing contractures after mammoplasty to almost nothing.

Most implants have a shell with a fairly significant thickness. Micropolyurethane shells are thin, that is, their thickness is not more than a few millimeters. But by the number of micropolyurethane bubbles, if they are stretched in one line, you can get "beads" several kilometers long.

Connective tissue will grow into the cavities formed by them, fixing the prosthesis. Due to this, the layer of connective tissue will be thin, but firmly holding the prosthesis in “its arms”, minimizing the risk that the anatomical implant will unfold, spoiling the work of the surgeon.

The same feature of the end insert allows minimizing the risk of such an unpleasant complication as ripples. Such prostheses allow plastic surgery to remain at the peak of popularity.

Advantages of modern "anatomists"

High quality and reliability of such endoprostheses are ensured by:

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

At the same time, the anatomical shape of the endo-insert provides a natural appearance of the breast, which excludes visual recognition of plastic surgery.

Disadvantages of anatomical endoprostheses

When inserting a prosthesis, surgeons may not use all access points. For the implantation of a micropolyurethane implant, a higher qualification of a specialist is required than for the introduction of a conventional anatomist.

If the prosthesis is flipped, it will be clearly noticeable and a second operation will be required, in contrast to the flip of a round endoprosthesis. A normal anatomist may eventually take on a rounded shape due to the growth of fibrous tissue.

The chest, corrected by anatomists, cannot be corrected with the help of underwear. And, of course, unlike round "brothers", anatomical endoprostheses retain their shape even in the prone position, which is not entirely natural. This is easy to see in the pictures before and after implantation.

This concludes our brief review of this one, we are waiting for you on ours again. If you find something interesting for yourself in our articles, be sure to share this information with your friends through social networks.

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

What is the difference?

As is easy to understand from the definition, round implants are round in shape. Anatomical ones follow the contours of the breasts of a young woman, their teardrop shape begins with a flat slope from above, which gradually increases in volume. Due to this, anatomical implants are successfully used not only for aesthetic purposes, but also for breast reconstruction.

A plastic surgeon will help you choose round or anatomical implants, based on the width and shape of the chest, as well as the patient's build. Round implants will allow you to get more volume and lift your breasts higher. Thanks to them, the neckline will look just perfect. However, many women do not like the large breast volume in the upper part - for them it does not look natural and attractive enough - so they choose anatomical implants. In favor of round implants, it should be said that they can make the outline of the breast unnatural in only two cases:

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

So the shape doesn't matter. With the wrong selection, even anatomical implants can look unnatural. That is why the selection must take into account the individual outlines of the patient's body, her complexion.

What to choose?

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

POLYTECH® Implants

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

Même® - dome-shaped with a round base, following the contours of the breasts of a young woman;
Replicon® - anatomical with a round base, following the contours of the breast of an adult woman;
Opticon® - anatomical with a shortened base, suitable for obese women with curvy shapes;
Optimam® is an anatomical with an oblong base suitable for slender and athletic women.