Dr. Linder, a specialist in breast revision surgery sees patients from Beverly Hills, Hollywood and Las Vegas regularly, who have had anatomical implants placed and now have an absolutely bizarre shape to their breasts. These patients usually require complete reconstruction of their breasts in order to recreate a normal appearance. The problem with anatomical implants or teardrop implants is that they have very high rates of significant rotational deformity. This simply means that the implants can shift and rotate and then the breasts no longer look teardrop in shape, but rather look oblong or bizarre. CT scans of women with anatomical implants have shown that the majority of these implants over time will shift and rotate and the women will end up with a deformity of their breasts. Also, CT scans have shown that placing a round or a teardrop implant behind the muscle does not give a greatly significant difference in the final aesthetic appearance in terms of upper pole fullness. In other words, round implants, just like anatomical or teardrop implants when placed correctly underneath the muscle have a similar slope in the upper pole of the breast. However, the round implants have no problem with rotational deformity obviously because they are round. Therefore, Dr. Linder never uses anatomical implants has not used them in over a decade because they are unpredictable and rotational deformity is too significant and high to risk patients requiring recurrent surgery due to malposition of the bag.
We prefer to use round saline and silicone implants. In general, we use most of the time high profile, smooth, cohesive silicone implants because they have a very elegant and beautiful shape and when placed behind the muscle they have upper pole fullness, but a natural shape due to the subpectoral muscle effacing the upper pole of the bag and they also are not too wide laterally because of their tapered appearance of high profile implants.
Anatomical shape implants are too much trouble and actually, in my opinion, should no longer even be available to be used in any patients. All implants that are not round have a significant chance of shifting and with shifting or rotational deformity, comes a truly disfiguring appearance to the breasts which can be quite grotesque.
Anatomical or teardrop implants also have a textured coating and some round implants are also textured coating. We do not like textured coated implants any longer because we feel that they stick to the tissue and they can actually adhere in a malposition and therefore cannot be repositioned from that malposition due to the textured coating of the implant adhering like Velcro to the breast. Smooth implants under the muscle have not been shown to have any increased risks of capsular contracture than textured implants under the muscle. The biggest advantage of smooth implants is that they can move with the pocket and they are lubricated by the subpectoral muscle and therefore may reduce scar tissue and not have malposition as seen with the textured implants. Anatomical implants may have been useful for patients with thinner or narrow figures in the past, but now with the high profile tapered implants that are round, we no longer need a narrow implant, we have it with the high profile. Therefore, anatomical implants in my thoughts are completely useless implants.
More important than an anatomical versus a round, is that the patient seek a Board Certified Plastic and Reconstructive Surgeon who specializes in breast augmentation and breast revision surgery for undergoing their secondary surgery in order to have the greatest chance of having an excellent result.
It is also extremely important that the implants are always placed submuscular or in the dual plane technique for the following reasons:
Stuart Linder, M.D., F.A.C.S. is a Beverly Hills and Las Vegas Breast Revision Surgeon who enjoys performing breast augmentations, breast revisions, breast lifts, breast reductions and breast reconstructive surgery. He is a Diplomate of the American Board of Plastic Surgery and a Fellow of the American College of Surgeons and a Member of the American Society of Plastic Surgeons.
Stuart A. Linder, M.D., F.A.C.S. Las Vegas Breast Revision Specialist
9167 W Flamingo Rd, Suite # 110, Las Vegas, NV 89147
Phone: (702) 434-7205