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Patients come in different sizes and shapes, as do breast implants. When considering the appropriate breast implant for a patient there are many factors to take into account. These include the patient’s body shape, size and shape of the implant and the aesthetic effect of the implant on the patient’s proportions.
“It is important to understand the patient’s priorities and what they are looking to achieve with plastic surgery,” said Cosmetic Surgeon Dr. Richard A. Joseph, MD.
For example, a patient looking for a full breast may choose a round implant. For a woman desiring less upper breast fullness, a teardrop shaped implant may be her best choice. Teardrop shaped implants are also referred to as anatomical implants.
Quality consultation time with the cosmetic surgery will result in having a happy patient. The surgeon must help the patient understand the differences between the many types of implants available and enable them to make an informed decision.
“Patients have to understand the trade-offs for each implant. There is not one perfect implant, if there was we would all use it. All implants have their advantages and disadvantages” explained Dr. Joseph.
The anatomical implants do have some distinct advantages, however. One is that they are textured. Because they are textured, there is typically less chance of capsular contraction. Capsular contraction is hardening of the breast due to excessive scar formation. Conversely, smooth surfaced implants may be more prone to both visible rippling and uncomfortable capsular contraction.
A good Cosmetic Surgeon will try and understand the look his patients are trying to achieve. Most patients desire to have breasts that look as natural as possible. With overly large implants or implants that are overly filled, the chances of getting excessive breast fullness, and therefore an unnatural result are increased. So the goals to be achieved during the consultation process is to thoroughly understand what the patient is try to achieve, and in it in return, advise the patient as to her choices along with the surgeon’s recommendations concerning types of implants.
Anatomical implants were originally designed to slope in a natural way. They are flatter above the nipple and fuller below the nipple. Conversely round implants, because they are circular, have the same fullness above and below the nipple. Some patients desire this look, and a thorough consultation with the patient will answer both the patient’s and the doctor’s questions.
Anatomical implants are typically placed through an incision around the nipple or an incision under the breast. It is very difficult to place these implants thru an armpit incision. There has been some research that indicates that anatomical implants may last longer than round implants. Either way, the implant manufacturers give a lifetime replacement warranty on their implants.
Every patient has her own sense of what is beautiful and sensuous. A lot of women come in for consultations wearing pushup bras that create upper breast fullness. Some women and some men find that very attractive. Is important for the patient to understand what the anatomical implant is trying to accomplish and exactly what it can achieve for both breast projection and breast fullness.
Each patient must therefore be individually assessed and the correct implant for their specific needs utilized.
Richard A. Joseph, MD
Midwest Surgical Arts
1250 North Mill St. Ste 103
Naperville, IL 60563
(630) 717-8200 | MyCosmeticSurgeon.com
Dr. Richard A. Joseph selected this article for publication based on its clear, patient‑centered overview of breast implant selection and shaping techniques. The article explores how implant type, texture, and placement influence breast contour, projection, and natural appearance. It offers practical insights into round versus anatomical implants, including their aesthetic effects and surgical considerations. By emphasizing the importance of understanding patient goals, anatomical variation, and the trade-offs between implant options, the article promotes thoughtful consultation and personalized care in modern cosmetic breast surgery.