Which implants are better: teardrop-shaped or round? Round VS anatomical implants. Choosing the ideal shape. Anatomical gel implants

Round implants are endoprostheses of regular shape in the form of a rounded cone. The purpose of their development is to create smooth, round contours of the female breast and increase volume.

Round-shaped endoprostheses appeared first, and for a long time were the only implants for breast augmentation. Not long ago, drop-shaped endoprostheses, 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 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 volume	does not increase volume much
look harmonious in any body position	Natural shape when sitting or standing, excluding lying position
ball shape	drop shape
breast lifting effect	imitation of natural breasts
easy to implant	more difficult to implant
lower cost	more expensive
when they are turned over, the breasts retain their shape	may shift, leading to breast deformation
produce a push-up effect without wearing a bra	restrictions on wearing bras with a push-up effect
indicated for ptosis of breast tissue, asymmetry, breast enlargement by several sizes	indicated for initially flat breasts

Augmentation with round implants makes the breasts round, soft, with proportional contours. You can choose an endoprosthesis of the optimal shape according to the physiological characteristics of each woman.

A special advantage of round implants is their high plasticity. This quality of endoprostheses allows the breast to be positioned naturally in any body position. If a woman takes a vertical position, then breasts with round implants take on a teardrop shape. Lying down flattens the breasts, which is natural for natural breasts. This type of implant is great for women who are actively involved in sports and dancing. They look very flexible and natural during intense movements. Round implants are easier to install. The result largely depends on the presence of a certain volume of glandular tissue. Their main disadvantage is the unnatural effect of overcrowding on the upper slope of the breast when a large implant is introduced. But this factor is a consequence of incorrect installation due to a surgeon’s error. Breast asymmetry limits the use of round implants.

Types of round implants

Each woman has individual anatomical characteristics. To achieve maximum naturalness, several types of round implants have been developed. Main criteria for selecting endoprostheses:

size (110-800 ml);
type of filler: biodegradable, saline solution, 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);
degree of density of the gel content: silicone or cohesive (non-flowing) gel with different softness parameters.

The best implants are those with gel as a filler. Bioimplants and prostheses filled with saline solution begin to lose volume and ability to support the breast over time. The gel filler is superior to saline solution in organoleptic properties, for example, to the touch. Implants with saline content are likely to form folds, leading to changes in the contours of the mammary glands. The textured surface due to micropores allows the surrounding tissues to better grow into the shell of the prosthesis. This allows you to minimize 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 the specialist:

volume of mammary glands;
presence of asymmetry;
degree of ptosis;
the volume of tissue around the mammary glands;
quality characteristics of the skin, 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, projection. Round implants are characterized by equal width and height, with the highest point of projection located slightly above the center point. To correct breast asymmetry, low-profile round endoprostheses are installed. In cases of severe ptosis and deficiency of native tissue, endoprostheses of medium and high profile are used.

The validity period of implants is unlimited. Manufacturers also assure that they are completely safe. Replacement of endoprostheses for the entire period of use is not required, with the exception of certain cases:

their rupture;
sudden change in body weight;
previous pregnancy and breastfeeding;
complications after mammoplasty: implant displacement, fibrocapsular contracture, calcification, breast deformation process.

In these cases, free replacement of endoprostheses is provided.

The main advantage of round dentures is uniform enlargement, giving a beautiful round shape to the mammary glands. But the choice of the optimal endoprosthesis will depend on the recommendations of the plastic surgeon and the wishes of the client herself. It is also necessary to pay attention to the correct choice of clinic and study reviews of women who have undergone surgery on the Internet.

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Discussions and disputes regarding the choice of implant shapes are ongoing on various forums. But p Correct selection of an implant is one of the components of success both in the patient’s final perception of the new breast shape and in minimizing possible complications and negative surgical consequences of the operation.

“Round or anatomical?” – this is precisely the choice thousands of women who decide to undergo mammoplasty, breast augmentation surgery with implants, face. There is an opinion that the use of anatomical implants allows the bust to look natural, both to the touch and in shape; round dentures do not give such a result. Offhand this statement seems true, but in reality it is not entirely true. Let's try to figure it out.

Implants vary in:

form
projections
volume
surface texture

When choosing an implant, the surgeon takes into account many factors, such as surgical goals and techniques, anatomical features and, of course, the personal preferences of the patient. According to the surface texture, implants can be smooth or textured; we will consider this issue in more detail in a separate topic.

The natural shape of the breast is certainly not round. It is truly teardrop-shaped - starting from a flat slope at the top, the breast gradually increases in volume and protrudes forward (rises) at the bottom.

Therefore, an anatomical implant, which imitates the effect of gravity on the breast, looks more natural at first glance and is ideal for creating a breast shape. By the way, its original purpose is the reconstruction of an amputated (for example, in patients with breast cancer) or injured breast.

Despite the seeming logic of placing anatomical implants, most surgeons and patients prefer round ones.

Round implants, when compared with anatomical ones:

give more volume
lift the chest higher
create a beautiful neckline (Victoria's Secret bra effect).

But not all women like large volume in the upper part of the breast; they consider this shape to be not entirely natural, and prefer anatomical implants as more natural.

An anatomical implant looks more natural than a round one, is that true?

Yes and no.

A round implant, indeed, can sometimes make the contours of the breast unnatural and artificial. For example, if it is placed too high on the chest, or in patients with insufficient volume of their own breast tissue, but who insist on a large-volume implant.

That is, it is in no way due to its shape. An implant of any shape can look fake. It only depends on how well the implant matches the individual contours of the patient’s body. And in some cases, a round implant looks more “anatomical” than an anatomical one.

But all the discussions above apply to implants that “lie on the table.” How will they behave when they are implanted into a living woman, made of flesh and bones?

Implanted in the mammary gland, round implant in general, it “behaves” more naturally than the teardrop-shaped one. In an upright position, when a woman stands or sits, under the force of gravity it independently acquires a natural, anatomical shape.

And of course, a round implant absolutely wins in a horizontal position. A woman's natural breasts naturally "blur" when she lies down. Anatomical implant, the shape of which is rigidly predetermined in advance, will remain sticking up in its lower part - contrary to all the laws of gravity, giving itself away; a round implant looks quite natural in a lying position. A round implant also looks more natural during active body movements - running, jumping, intense dancing, etc.

Before performing breast augmentation surgery, the doctor must take into account a whole list of factors, which begins with the patient’s wishes about the size and shape of the bust and ends with the doctor’s aesthetic vision of the need for one or another approach. It is important to listen to the opinion of your operating doctor, because he is the one who knows how to make the right choice.

The surgeon is always the patient’s ally, and it is successful work in tandem with him that gives consistently good results and satisfaction from the work performed. Based on many years of experience, the doctor provides informed decisions regarding the brand of implant, its size, access for surgery and many other components of mammoplasty.

Basic Concepts

A. Width (base) of the implant.

B. Height (base) of the implant.

C. Projection of the implant.

Round implants

Round implants are characterized by the fact that the width of the implant base is equal to its height. In this case, the point of maximum projection is located above the center of the implant base. Thus, round implants with the same base width can differ from each other only in the projection size.

For a round implant, the width and height of the base are equal. The point of maximum projection is located in the middle of the height of the base.

Round implants with the same base width may differ from each other only in projection.

While in the patient’s tissues (provided that the patient is in an upright position), the round implant, to one degree or another, acquires a certain “drop-shaped” appearance. This degree depends, first of all, on the density or pliability of the shell and filler of the implant, and the properties of the patient’s tissues. If a round implant is placed under the pectoral muscle, then due to the pressure of the muscle on the upper pole of the implant, this “teardrop shape” will be slightly higher than with a supramuscular location.

Round implant in horizontal and vertical positions.

Teardrop implants

Teardrop-shaped implants are also called “anatomical” because, according to many, this shape most closely matches the natural shape of the mammary glands. They are characterized mainly by the fact that the point of maximum projection of the implant is located below the middle of its height, that is, in the lower half of the implant. In addition, the vast majority of teardrop-shaped implants have different base widths and heights.

Thus, teardrop-shaped implants with the same base width can differ from each other not only in the size of the projection, but also in different heights. This significantly increases the number of different combinations of width, height and projection, allowing manufacturers to create a wide, universal range of implants of the same style.

For a teardrop-shaped implant, the width and height of the base are almost never equal. The point of maximum projection is located below the middle of the base height.

Teardrop-shaped implants with the same base width can differ from each other in both base height and projection.

This variety gives the surgeon the opportunity to select the required implant shape for almost any type of breast anatomy.

Profile

One of the most important characteristics of the implant shape is the profile. The profile is a percentage ratio of the projection of the implant to the width of its base. The larger the projection and the smaller the width of the base, the more high-profile the implant is. In other words, the profile size tells you how “convex” (high profile) or “flat” (low profile) the implant is.

Each implant manufacturer has their own idea of what a high or low profile is, just as clothing manufacturers have a different opinion on what an XXL size is. This difference in ideas is due to the fact that different manufacturers use different types of fillers and shells in their products, differing in density and other characteristics.

Because of this, the ability of implants from different manufacturers to maintain a profile while in the patient’s tissues (the properties of which, by the way, are also purely individual) varies and, apparently, by labeling their lines they strive to give the expected “final” value.

In general, you can focus on the following figures (the article discussed McGhan implants):

profile up to 32% - low-profile implant.
profile from 32 to 38% - medium profile implant.
profile over 38% - high-profile implant.

Choosing an implant shape

Round implants provide less fullness of the lower pole and greater fullness of the upper pole of the mammary gland compared to teardrop-shaped ones, all other things being equal. This is more pronounced the more dense the shell and filler of the implant is. In addition, the likelihood of visualizing the upper contour of a round implant in a patient with a thin layer of integumentary tissue is higher than when using a teardrop-shaped implant. Also, a round implant is more likely to form wrinkles or “corrugations”. The denser the shell and filler of the implant, the less pronounced this is.

Teardrop implants provide greater fullness of the lower pole and less fullness of the upper pole of the mammary gland compared to round ones, all other things being equal. This is manifested more strongly the higher the profile and the lower the height of the implant, the denser its shell and filler. This property of drop-shaped implants provides some “lifting” effect to the mammary gland, thereby giving them the opportunity to more successfully correct somewhat sagging breasts.

Teardrop-shaped implants, to a greater extent than round ones, retain their shape when changing body position. This property is more pronounced the denser the shell and filler of the implant. The cost of teardrop-shaped implants is usually higher than round ones from the same manufacturer, all other things being equal.

"Lifting" effect of a teardrop-shaped implant

For patients with different body types and different types of chest, certain types of breast shape are characteristic. The rounded shape of the mammary gland, in which the width is approximately equal to the height, is most often found in normosthenics, although there are exceptions to this rule. In patients with a hypersthenic physique, the width of the mammary gland often prevails over its height, and in asthenic girls there is often a predominance of height. In such cases, if the patient wants to maximize breast enlargement, it is advisable to use drop-shaped implants, among which there are both “wide” and “high” models, while round implants have equal width and height.

LEFT Breast with a predominance of width (hypersthenic physique) - a “wide” implant is required.

RIGHT Breast with predominant height (asthenic physique) - a “high” implant is required.

When choosing an implant profile, it is necessary to take into account that the higher the profile, the stronger the visual effect of enlargement, but the “naturalness” of the resulting result suffers somewhat. The most beautiful breast shape can be achieved by using medium-profile implants.

However, there are situations when the use of a high profile is unavoidable. For example, significant excess skin with sagging breasts, which must be adequately “filled” in order to achieve the lifting effect. In this case, with the maximum width of the implant base, the projection of a medium, and even more so a low-profile implant may not be enough to achieve the desired effect. The use of high-profile implants is also necessary in patients with a narrow chest who want to enlarge their breasts to the maximum extent possible.

Thus, there is no ideal implant shape. Drop-shaped implants can be called somewhat more universal in general, and most suitable for correcting sagging mammary glands. There is no alternative to round implants if it is necessary to greatly fill the upper pole of the mammary glands. In addition, round implants are preferable for axillary (through the axillary fossa) access.

At the same time, one should not lose sight of all the features, advantages and disadvantages of round and teardrop-shaped implants listed above. In any case, the choice should be made taking into account the wishes of the resulting breast shape, taking into account the characteristics of the original mammary glands, chest, the properties of the patient’s tissues and, of course, based on the aesthetic preferences of the surgeon and the patient.

Kirill Gennadievich’s article helped me better understand the issue of choosing an implant shape and determine what breast shape I want to get in the end.

Since the mid-twentieth century, breast implants have become widely used in the world of plastic surgery. Currently, mammoplasty is the most common of all plastic surgeries.

Breast augmentation with drop-shaped implants makes it possible to obtain good results with minimal risks of complications after mammoplasty.

Breast augmentation with drop-shaped implants is recommended for patients with a long chest Moreover, the anatomical shape looks more natural, although the cost of such an implant is higher.

The teardrop shape of breast implants improves the contours of the breasts, eliminating hollows and the effect of sagging.

The advantage of teardrop implants is:

teardrop-shaped implants have a natural shape: the widest possible lower part allows you to create a beautiful roundness, while the upper part after correction is only slightly raised, which allows you to correct breasts that sag after breastfeeding;
teardrop-shaped implants hold their shape better when the position of the body changes, it also depends on the density of the shell and filler;
no problems leading to the inability to breastfeed, since the implants are inserted deeply and do not interfere with the lactation process;
breast augmentation with teardrop implants allows you to hide the fact of breast correction due to the exact correspondence to the natural shape of the mammary gland.

Which teardrop implants to choose

For breast augmentation, implants of two shapes are used: round or teardrop-shaped, they are also called anatomical.

Interesting fact! The first implants were round in shape and filled with a saline solution.

The filler of modern implants is not only saline solution; often preference is given to silicone gel, which is a transparent viscous substance, or hydrogel filler. There are implants with mixed fillers, but they are rare.

The surfaces of the implant also differ: smooth or textured. The second is preferable for the body, as it is better accepted by internal tissues and reduces the likelihood of developing fibrosis.

Important to remember! The choice of modern implants is quite diverse. However, when determining the most suitable implant model, a qualified doctor first of all takes into account the patient’s body shape and chest size in order to achieve maximum naturalness during breast correction.

Modern technologies make it possible to produce high-quality breast implants that are resistant to damage due to natural wear and tear.

The final result of plastic surgery largely depends on the chosen implant. Due to the high demand, there are many companies involved in the production of breast implants. Some have already proven themselves well in this area as the most reliable manufacturers.

The leading manufacturers of breast implants include the following:

Polytech Health & Aesthetics GmbH - a German company that provides free insurance throughout its entire service life. Implants from Polytech minimize the risk of colloid tissue in the area of the endoprosthesis. Prices for Polytech implants range from $1,400 to $1,600.
Nagor- a company that produces implants with a special multilayer shell that can be well implanted into human tissue and minimize the risk of displacement of the endoprosthesis.
Arion- a French company that has been producing implants for more than 40 years provides a lifetime guarantee. Average cost 100 thousand rubles
Mentor- a company that produces drop-shaped implants with the most precise curves, which distinguishes them from all other endoprostheses of this type and the breasts look most natural.
McGhan Company produces implants that have a unique textured surface, which minimizes the risk of fibrosis.
Eurosillicon- a company that uses the latest technologies in the production of implants, provides an endless shelf life of its products at reasonable prices - 120 thousand rubles.

Indications and contraindications

Breast augmentation is primarily a surgical operation., which has a number of indications for use, as well as contraindications that must be taken into account before making a final decision.

Before breast augmentation, you should make an informed decision, since in some cases the doctor may refuse surgery.

Indications for plastic surgery are:

the ability to correct physical defects (for example, in case of violation of symmetry or after breast removal);
minimizing spinal problems caused by large breast volume;
correction of saggy breasts due to breastfeeding;
to increase self-esteem in case a woman is dissatisfied with her appearance and eliminate the complexes associated with this.

There are many more contraindications to breast surgery, and you should carefully weigh the pros and cons before making a final decision.

The main contraindications include the following:

It is not recommended to do mammoplasty for girls under 18 years of age, due to the fact that the formation of the mammary glands has not yet been completed;
the operation is contraindicated for persons with severe chronic diseases;
you should not resort to plastic surgery during infectious diseases;
Surgery cannot be performed during pregnancy and lactation;
strictly contraindicated for patients suffering from bleeding disorders;
in the presence of cancer;
for diabetes mellitus;
in case of hormonal disorders;
for psychological disorders.

List of necessary tests

Carrying out any operation requires the patient to undergo a number of tests, the purpose of which is to detect contraindications and risks of complications during or after surgery.

Be careful! Each test has its own specific validity period during which it is valid, so the test should be carried out at the time strictly prescribed by the surgeon.

Tests required for breast augmentation surgery with teardrop-shaped or round implants:	Expiration date of tests required for surgery
Clinical blood test
General urine test
Blood clotting test
Determination of Rh factor
Blood group determination
Biochemical analysis
HIV test
Test for sexually transmitted diseases
Testing for hepatitis C, B
Mammography
Fluorography
Electrocardiogram
Consultation with a therapist

Preoperative and surgical periods

Before surgery, you should follow a number of recommendations to prepare the body for surgery and simplify the rehabilitation period.

in a few days Before the upcoming operation, you need to have a good rest, avoid physical and emotional stress;
need to give up alcohol because alcohol is not compatible with anesthesia medications;
it is recommended to refrain from smoking two weeks before surgery, as nicotine impairs healing;
you should not lose weight after surgery, since weight loss adversely affects the appearance of the breasts and increases the risk of the need for corrective surgery. It is better to adjust your weight before mammoplasty.

After the operation, the patient spends a day under the supervision of medical staff in the hospital.

During consultations with a doctor, you should describe your well-being in detail and not hide anything, so that the specialist can objectively assess the result of the operation.

During the postoperative period, the following nuances must be taken into account:

pain arising in the area of the operated area- This is a normal phenomenon, so painkillers must be prescribed;
immediately upon completion of the operation compression garments are put on, which are necessary to prevent displacement of the implants, as well as to reduce postoperative swelling;
postoperative sutures should be wiped with an antiseptic to reduce the risk of wound suppuration;
in case of inflammatory processes or if you feel discomfort caused by the implant, it should be removed immediately. Repeated surgery, if desired, is possible no earlier than after 2-3 months;
if the inflammation is superficial, then it is regarded as a side effect and is treated locally;
after surgery The patient often experiences an increase in temperature, a feeling of nausea, weakness - all this is a normal reaction to a foreign body.

Features and stages of breast augmentation surgery

Breast augmentation with both teardrop-shaped and round implants allows you to get a “new” breast, while the size and shape depend on the chosen endoprosthesis.

Methods of implantation differ in the incision line and its location:

axillary or axillary method- an incision is made in the armpit, which avoids visible scars in the chest area, and the implant is inserted under the pectoralis major muscle;
periareolar method- an incision passes along the lower part of the areola and endoprostheses are inserted under the mammary gland or into the pectoral muscle. The scars after such an operation are almost invisible, but it is not recommended for women who plan to have a child and breastfeed in the future, since with such an incision it is impossible to avoid even minor injuries to the mammary gland;
submammary method- the incision is made directly under the breast. After this operation, scars remain, which can be hidden by the fold under the mammary gland. Not recommended for young patients.

Before breast augmentation surgery using implants, the surgeon examines the condition of the breast, takes the necessary measurements, and then decides on the shape of the incision. This requires agreement with the patient.

General anesthesia is always used during surgery. An incision is made in the intended location, creating a pocket for inserting endoprostheses. Once the bleeding has stopped, the surgeon inserts the implants.

The skin is sutured with special absorbable threads. The operation lasts a maximum of 3 hours. A bandage is applied to the site where it is performed and a special bandage is put on, which is necessary to reduce swelling and maintain the resulting shape.

Rehabilitation period after surgery

To reduce the rehabilitation period, you need to take into account some expert advice so that the body recovers faster and the effect of the achieved result can last for a longer period of time.

After surgery, hand movements should be limited and do not raise them above shoulder level, as there is a risk of tissue injury and blood accumulation;
within two weeks you should sleep on your back;
within 21 days after the lift or breast enlargement using drop-shaped implants, you should not do any household chores and try to avoid stressful situations;
you should reduce the amount of fluid consumed to reduce the development of edema;
compression garments should be worn at all times at least a month after surgery. Then - only in the daytime or during exercise;
necessary completely eliminate alcohol consumption and smoking;
refrain from eating spicy foods;
warm shower allowed to be taken on the fifth day after surgery;
necessary after shower disinfect seams a cotton swab soaked in alcohol;
exercise resolved after 2 months.

Compression garments securely hold the breast in place, preventing the implant from moving until it is completely implanted into the tissue.
The patient must follow the prescribed schedule for visiting the doctor for a routine examination.

Rare complications. Implant rupture

According to statistics, only in 1-2% of cases after mammoplasty can a number of negative consequences occur, which include the following:

development of fibrosis;
suppuration - the body’s reaction to a foreign body;
loss of sensation caused by damage to nerve endings during surgery;
the likelihood of displacement or rupture of implants.

This is mainly due to doctor errors, non-compliance with postoperative recommendations or injuries.

Before the implant is implanted into the tissue, it is subject to displacement, which is controlled by wearing compression garments, as well as limiting stress on the body and correct posture during sleep.

If the endoprosthesis is displaced, there is a threat of loss of the desired shape and, if the displacement occurs asymmetrically, there is a need for a repeat operation.

The cause of implant rupture is wear and tear on the walls due to respiratory movements in the chest. Therefore, previously it was necessary to replace implants every 5 years. Modern high-quality endoprostheses practically eliminate self-rupture of the implant.

After breast augmentation, if the implant (drop-shaped or round) ruptures due to mechanical impact or trauma to the breast, it should be replaced or removed.

What is important to know before breast augmentation surgery

Before making a final decision in favor of mammoplasty, you should know and take into account a number of conditions and factors.

If the desire is just a passing whim or a tribute to fashion and is not associated with a real problem, there is a possibility that the operation will be refused.

If the problem is minor, it can be easily solved with physical exercise and appropriate clothing.

8 main life questions related to breast augmentation that interest women who have decided to take this step

Is it possible to have surgery before giving birth?

It is up to the woman herself to decide whether to have surgery before or after childbirth. However, one should take into account the fact that after childbirth and breastfeeding, its shape may change and an implant replacement or corrective surgery will be required.

Is it possible to breastfeed after surgery?

If the mammary gland was not affected during the operation, plastic surgery will not affect the possibility of breastfeeding.

How long should you wait after pregnancy, childbirth and lactation?

It is necessary to wait until the breasts are completely restored after finishing feeding the baby. This takes from 8 months to a year, depending on the individual characteristics of the body.

Can this be done if the patient has mastopathy?

Mastopathy is not an obstacle to breast augmentation surgery using implants.

Are breast functions impaired or the risk of breast disease?

Properly performed surgery and the use of good quality implants have no effect on breast disease.

Be careful! Breast augmentation with drop-shaped implants that are too large can lead to the formation of necrosis due to pressure on the mammary glands.

Time spent in the clinic

If there are no complications and the condition after the operation has returned to normal without the risk of complications, the patient spends a day or two in the clinic.

Breast implant lifespan

Many companies producing modern implants claim a lifetime guarantee for their products, but no one can guarantee that over time the breasts will not lose their desired shape, and the woman will again have a need to change the size or shape of her breasts.

Implant replacement

Modern implants are characterized by durability and are not subject to age-related changes, unlike body tissues. However, there is a possibility of wear of the implant due to wrinkles on its surface.

Besides With age, breast tissue can stretch under the weight of endoprostheses, which will also make replacement or correction surgery necessary.

Pay attention! If there is no rupture or change in the shape of the breast, when the patient no longer likes the breast, there are no indications for replacing implants.

Cost of implants and surgery in Russia, near and far abroad countries

Prices for implants depend on the brand of the manufacturer; the differences in characteristics and quality between endoprostheses are insignificant. The minimum cost is from 20,000 rubles per piece, but the quality of the products will be low. On average, the price ranges from 40,000 rubles. and higher.

The cost of breast implants directly affects plastic surgery and accounts for 10-50% of the total cost.

The cost of mammoplasty depends on the region, clinic, surgeon services and is formed taking into account the following factors:

cost of consultation with a plastic surgeon;
cost of examination before surgery;
cost of implants;
anesthesia;
the work of doctors performing surgery;
hospital payment.

Countries	Average cost of surgery
Russia	from 80,000 to 500,000 rub.
Ukraine	from 1600 to 4000 $
Switzerland	not less than $10,000
Spain	about 5000 $
Germany	8000 $
Czech Republic, Hungary, Slovakia	2000 - 3000 $
Cuba	1200 $
Brazil	from 1200 to 5000 $

The results obtained do not last forever: the skin ages and this is reflected in the effect obtained from the operation.

Corrective surgeries will be required over time which are carried out on problem areas. Operations associated with correction do not pose a health hazard and do not require much time.

Useful videos about breast augmentation with drop-shaped implants and the features of mammoplasty

Breast augmentation with drop-shaped implants is an effective and relatively safe operation.Features of the operation and recommendations for choosing the type of implant are given in this video:

How to behave after mammoplasty surgery - expert recommendations in this video:

One of the most popular plastic surgeries today is breast replacement or mammoplasty, which has brought a real dawn to cosmetic medicine.

Statistics show that plastic surgeons perform more than 100,000 operations per year related to changing and correcting the size of the mammary glands.

What are implants?

These are endoprostheses made of high-quality biocompatible material that give the breast a larger size or change its shape.

Advantages and disadvantages of breast prostheses

Advantages

The advantages of using any endoprostheses include:

It is important to know that there are cases when, due to mechanical stress, the implant still breaks, then it can be replaced at the expense of the manufacturer of this prosthesis. As a rule, this item is specified in the product document in the warranty section.

Flaws

Disadvantages mainly occur when unforeseen cases occur, for example:

Implant classifications

Of course, the advantages and disadvantages can form a large list if we consider them by filler, installation options, shape or technical characteristics. The information above refers to generally accepted factors.

By filler

Silicone

The world met them in 1991. They look like a silicone bag with a multilayer elastomer shell and gel inside. The filler can be:

Why are silicone implants better than others?

The most natural and best breast implants are silicone. They perfectly imitate female breasts, have a wide range of models, and look natural. Installation over the pectoral muscle is possible, as there is no wrinkling effect.

If the prosthesis is damaged, the internal filling will not enter the mammary gland, but will remain in its place. It is this factor that makes silicone implants completely safe. Therefore, they have gained the greatest popularity in cosmetology medicine.

The disadvantages include a large incision when installing the prosthesis and regular (once every 2 years) magnetic resonance imaging to exclude the presence of an implant defect, since it is impossible to identify the problem by touch.

Salt

Anatomical

Working with anatomical shapes is more labor-intensive and they are more expensive than round shapes. This implant can move and distort the contours of the breast. But this can be avoided by giving preference to the textured surface of the prosthesis. It should also be noted that anatomical implants are quite dense in structure and even in a supine position the breasts keep their shape, which looks unnatural.

Yes, and you will have to forget about corrective and breast-lifting bras. Even the best teardrop shaped breast implants often deform into a round shape!

Both shapes are available with different profiles: low, medium, high and extra high. The height is selected by the plastic surgeon after analyzing the client’s physique.

By size of endoprostheses

In addition, the anatomical features of the patient should be taken into account:

natural breast size;
skin condition and tissue elasticity;
chest size (asthenic, normosthenic or hypersthenic);
body proportions;
breast density.

After analyzing all the data, the plastic surgeon advises the patient on the shape and volume of the implant, which will look as natural and beautiful as possible.

Even if the patient has a flat chest, enlargement will help to acquire beautiful shapes. Special measurements are taken to determine the exact size and volume of the prosthesis. To do this, not only the volume of the chest is determined, but also the thickness of the breast, the location of the nipples, and the distance between the mammary glands.

The nuances associated with the incision for the implant are also discussed. In modern clinics, you can simulate the result on a computer. Of course, the patient’s wishes are always taken into account, but the doctor has the final say.

Breast implant lifespan

Theoretically, the implant does not require replacement, except in unforeseen cases. Repeated surgery may be required only if the breast becomes deformed after pregnancy and breastfeeding, after a significant change in weight, and if a defect in the prosthesis is detected.

The manufacturer of endoprostheses gives a lifetime guarantee without harm to human health, and if the implant needs to be replaced, it will be done at the expense of the manufacturer!

Implant manufacturing companies

Arion is a French company that produces anatomical and round implants with hydrogel and silicone filling.

Allergan— the American manufacturer offers implants with a special pore size of a textured surface. This allows the connective tissue to dissolve deep within the prosthesis. They fit in the chest like a glove. They are filled with soft gel, which allows your breasts to look natural. The company also offers saline-filled implants.

According to reviews from plastic surgeons, implants from this company have a very small percentage of cases with complications, only 1-4%.

Nagor— British implants with a huge selection of shapes and sizes. Producing prosthetics since the 1970s. Over the course of 5 years, the percentage of gaps was 0%! The products are textured and filled with gel content. The product is distinguished by a special casing.

Polytech— implants with memory effect from Germany. A product with a highly cohesive gel practically does not change shape, and the shell consists of many layers. May be smooth or textured.

Mentor- The American manufacturer has been producing some of the elastic prostheses in both anatomical and round shapes since 1992. The shell is durable and textured, and is filled with a highly cohesive material. This company also offers saline implants, which can be adjusted during surgery.

A professional plastic surgeon in a good modern clinic will always help you choose the right implant and tell you which breast implants are the best today.

Women who decide to enlarge their breasts with round or anatomical silicone implants must first resolve a number of very difficult issues. Their list includes not only the size of the desired breast, but also the type of implant itself. The choice determines the final result, the duration of maintaining the breast shape, convenience and many other indicators.

At the moment, the market offers several types of implants, which differ from each other in the following characteristics:

Shape (round or anatomical). Here, in most cases, preference is given to round implants, since they are cheaper and additionally allow you to achieve the 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 solution). 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 should you choose and how do these characteristics affect the final result? In this difficult task, doctors come to the rescue, who can easily simulate the final result taking into account the anatomical characteristics 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 there are two options available: round and anatomical shapes. What's the difference?

First of all, it is worth saying that round implants differ from anatomical ones in price. The latter have a higher cost. Also, anatomical implants are drop-shaped and perfectly replicate 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 breasts more rounded and allow you to easily achieve the “push-up” effect. 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 absolutely invisible from the outside. When using anatomical implants the situation is slightly different. Breast asymmetry becomes noticeable even with slight displacement, which brings a number of inconveniences. To align the implant, you need to contact a surgeon, who will prescribe the technique.

What do you need to know before surgery?

To achieve the desired effect after augmentation surgery, the patient must undergo thorough preparation.

The list of required items includes:

Choosing a clinic and plastic surgeon. Here, it is mandatory to have certificates and licenses to perform this type of operation, positive reviews and experienced doctors who have already earned a good reputation.
Selecting 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 pain relief 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 breasts 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, decide on its size, type and location 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 mammary gland 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 seam 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.
Along the lower edge of the nipple areola. Used when introducing small implants. But, the use of this method is fraught with the possibility of damage to the ducts and a slightly noticeable seam remains around the areola. Additionally, this method is fraught with visual identification of the implant itself in a horizontal position of the body.
An incision in the navel area. This method is used less often than all others, since after the procedure a noticeable scar remains on the abdomen.

After the implant has been installed, the incision is sutured. In this case, the doctor can perform a breast lift procedure if this is required to achieve the maximum 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 surgery. It almost doubles. In this case, the implant may remain 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:

Contouring of the prosthesis. Its contours are especially visible when lying down. This drawback is noticeable only if the prosthesis was installed under the gland. When implanted in the armpit, such consequences are not observed. Also, when installing a prosthesis under the gland, the implant can be easily palpated.
Fibrous-capsular contracture. This consequence is observed when using implants with a smooth shell. The main reason for the development of fibrocapsular contracture is an incorrectly created pocket for the prosthesis. Often, inexperienced surgeons create 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 surgery, the doctor must have special sizers on hand.

Advantages and disadvantages of implants

To make a final decision, you must weigh all the pros and cons.

So, among the advantages of breast augmentation with implants, in particular round shapes, we can highlight:

The ability to increase breast volume and achieve a “push-up” effect.
Harmonious breast appearance in any body position.
Preservation of breast symmetry even with deployed implant.
No access restrictions.
Affordable price for both the prosthesis itself and the operation.

Unfortunately, breast augmentation surgery using silicone implants also has a number of disadvantages.

In particular, these are:

If selected incorrectly, there is a high probability of achieving an excessive effect and causing 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 for which surgery cannot be performed at all.

These are:

cancer;
diabetes mellitus;
disorders of the thyroid gland;
problems with blood clotting;
breast-feeding.

How long do implants last?

Well-known implant manufacturers usually provide a lifetime warranty on their products. Moreover, if it ruptures, it is replaced free of charge. Accordingly, it can be argued that breast augmentation does not require repeated surgery. But that's not true. There are a number of factors that may lead to repeat surgery.

These are: