Breast implants come in different sizes, shapes, and textures. The most popular of which are simple round implants. Although most surgeries are performed using round implants, the choice of the shape varies on an individual basis depending on your breast shape, age, and preference. Implants are designed as soft hemispheres which to give a domed appearance on your chest and a high round look in a bra, Real breasts are in fact more like a curved pyramid sitting on a barrel-shaped chest wall. They can be made to look as high and pert and round and firm as you like in a bra but should fall softly with the majority of tissue beneath the nipple-areola and look natural when naked. Breasts are there to please you, not just the beholder!

Although countless doctors presume to offer ‘implants’ very few are highly trained or specialist plastic surgeons. Look for FRCS Plast in qualifications then consult with them and see if they answer your questions, and your needs and share your vision for yourself. Only then can you discuss which particular implants you would like.

Round and anatomical-shaped implants both shapes offer their own unique sets of advantages, but that doesn’t mean they’ll work for everyone. There is usually a debate between surgeons when it comes to choosing the right implant for different patients. As each body is unique, the ideal shape of the implant must be chosen taking into account the anatomical structure, the aesthetic goals of each patient, the location of the incision, and the placement of the implant. Also, the shape of the patient’s body, the outline of the ribcage, and the structure of the existing mammary gland are just some of the criteria considered for the breast implant to be selected and positioned according to both the patient’s aesthetic preferences and their structural needs.

Breast surgery represents the ability to sculpt soft tissues in 3-D and Dr. Rozina Ali excels in this field. She is particularly skilled in selecting appropriately sized and shaped implants depending on the natural breast tissue quality and the dimensions of the breast. Rozina is experienced in using all types of implants: round, shaped, ergonomix, micro or nano-textured, and smooth. She is an artist, and aesthete, passionate about her work, and sees breast aesthetics as a combination of Nature and Art. In what follows, Dr. Ali will talk about the types of breast implants, when they are used, and the ideal plane both for breast augmentation and for combination procedures using fat transfer.

What is a breast implant

A breast implant is n inert medical prosthesis made of silicone that is placed under the breast tissue to change the size, shape, and fullness of the breast. These implants can help improve your appearance and boost your self-confidence. They can also be used for reconstructive purposes in women with abnormal, underdeveloped, or absent breasts through congenital conditions or to restore breast volume following mastectomy. A breast implant consists of a silicone shell on the outside and cohesive silicone gel.

There are three types of shapes:

Round
Anatomical
Ergonomix (Motiva info, additional membrane)

And there are also three types of textures for implants:

Smooth
Microtextured
Nanotextured

The anatomical implant and who it could benefit

Some women prefer anatomical implants that are oval in shape and offer a naturally slanted appearance, mimicking the shape of a teardrop. They can be filled with either saline or silicone, but they use very high-cohesion silicone gel that is firmer than traditional silicone implants. The anatomical breast implant has a rough, slightly textured appearance, to prevent displacement at the chest level, it is thinner in the upper part than in the lower part, the general appearance being cone-shaped. This gives the advantage of a stable shape for your breast. These implants have a textured shell that is designed to prevent accidental rotation. However, this rotation can occur, and over time it can disrupt the symmetry of your breasts.

This type of implant can be suitable for women who are faced with saggy breasts, without strength. The anatomical shape, together with the material with which the implant is filled, can contribute massively to the lifting of the breast, in most cases without the need for a lift. However, there are also situations in which a breast lift may be needed, along with the breast implant, to achieve the look the patient is looking for. In this case, our recommendation is to turn to a professional surgeon, who specialized in breast uplifting surgeries in the UK.

The round implant and who could benefit

As the name suggests, round implants are round or circular in shape and can be filled with either saline or silicone. These implants are usually available in a number of sizes and profiles. These are more popular because they add fullness to both the upper and lower part of the breast. Round implants give your breast more lift and cleavage. They also provide a natural-looking teardrop shape when you stand up due to gravity. However, when you lie on your back, it gives a round appearance to your breast. This is the standard implant in terms of shape, which is why it is extremely popular.

Such an implant can best highlight the bust. We can say this type of implant has a more pronounced effect than an anatomical implant, because it increases the breasts in the upper part, but also in the lower part, giving the appearance of a breast lift. Women who want to feel a smooth sensation to the touch, but also to highlight their bust, can choose the round one.

Choosing a specific form of breast implant could be quite a concern for you, so your surgeon is here to help. During the consultation phase, your options will be discussed and you can choose between round implants or teardrop implants. You need to be clear about what is constantly bothering you about the appearance of your breasts. Even though you can choose between the two different shapes, sometimes it may be up to the surgeon to decide and advise on which particular shape to use, taking into account different factors of your body construction or other relevant factors.

The ideal plane for breast implants

Breast implants can be placed either directly behind the breast, called submuscular placement, a hybrid of partially under the chest with half of it covered by the chest muscle called dual plane implants, over the muscle but under a layer of tissue known as the pectoral fascia known as the subfascial placement and above the chest wall muscle, this placement is known as the subglandular placement.

Subglandular placement

Subglandular placement of breast implants, also known as “over the muscle” placement, requires placement behind the mammary glands to allow the implant to sit entirely over the pectoral muscle. There are many advantages of this placement. One of these advantages is that there is no interference with the function of the chest muscles, allowing very active patients the ability to exercise or engage in physically intensive tasks without worry. In addition, the placement of the implant is beneath the natural breast gland, allowing the patient to breastfeed in the future without disruption of the mammary glands.

Dual plane placement

Dual plane placement is a lesser-known implant placement and is essentially a combination of the submuscular and subglandular options. In its simplest form, dual-planar implants involve placing the upper pole of the implant under the muscle, and the lower pole of the implant sitting above the muscle and below the breast tissue. The implant progresses from a submuscular to a subglandular position. It involves releasing the lower portion of the powerful Pectoralis muscle to allow the implant space.

The muscle Placement allows for the upper pole to be covered, allowing for natural takeoff.

The lower part of the muscle stays on the chest wall with the implant sitting on top of it reduces animation deformity.

Submuscular placement

Submuscular placement means that the implants are placed under the breast tissue and under the Pectoralis muscle. It is not the plane of first choice but acts to cover the implant with muscle if there is no breast tissue (congenital absence, very small breasts, mastectomy)

The surgical time and recovery time associated with submuscular surgery can be a little longer with more discomfort and downtime. With submuscular procedures, the implants may sit higher, so your breasts do not move naturally or feel as soft as with other techniques.

Each of these types of placement can have advantages and disadvantages, therefore the choice will have to be made together with your surgeon, based on your needs, but also on other factors that must be taken into account. Dr. Rozina Ali is perfectly suited to the specialty of aesthetic surgery, both as a meticulous microsurgeon and a perfectionist with an acute female aesthetic. If you want to find out what is the ideal shape, but also the ideal place for you, our recommendation is to book a consultation right now!