Both saline and silicone breast implants are made in round shapes, while silicone implants come in both round and teardrop (anatomic) shapes. Teardrop implants have the benefit of providing additional fill to the upper portion of the breast, and for this reason are very commonly used in patients with congenital breast deformities, such as the tuberous breast (or tubular breast) and Poland’s syndrome. Round implants are most often used in purely cosmetic breast augmentation.
The surface of the implant can also be smooth or textured. Smooth implants move easily and feel soft. Textured implants have a slightly bumpy feel on the surface. The benefit of texture is that the implant will not move as much within the breast pocket, which is especially important for tear-drop implants. The downside of textured implants is a slightly higher risk of visible wrinkling. Rarely, teardrop implants can rotate or shift a little in position, which may necessitate temporary wrapping of the breast or secondary surgery for correction.
For tuberous breast (or tubular breast) patients, Dr. Naidu generally recommends an anatomic, textured implant to fill out the constricted lower pole of the breast and provide a natural slope to the upper pole of the breast. Anatomic implants are slightly denser than smooth round silicone gel implants. When cut, they have a more cohesive filler which does not bleed into the surrounding tissues, and for this reason are sometimes referred to as “gummy bear implants”. Although these implants may feel slightly firmer immediately following surgery, they become softer with time, and at one year from surgery are indistinguishable from smooth round implants.
During your initial consultation with Dr. Naidu, you will have the opportunity to feel and hold samples of each type of implant currently available for use in the United States.