Will my breast pocket stretch over time? I was very clear with my surgeon about wanting a natural slope. I don't have this.

He told me there was no noticeable difference between rounds and anatomical. I'm coming up on my one-year post-op and I'm really not happy. There's a very abnormal shape to them. I'm quite sad about it. I consider myself an age gracefully/hippie kind of person and this was a huge decision. I breastfed all 3 of my babies and that definitely took a toll on my body. Will the pocket stretch with gravity? Is there an actual difference between the look of anatomical and rounds?

ANSWERS FROM DOCTORS (3)


Answered by Harry Glassman, M.D.

After one year, the pocket will not change to your advantage. In order to achieve the natural shape you want, unfortunately, you will have to undergo an additional surgery. In my experience, the difference between round and teardrop shapes are very small. In your case and cases such as yours, the problem lies in the dimensions of the pockets.

Published on Oct 30, 2018

Answered by Harry Glassman, M.D. (View Profile)

After one year, the pocket will not change to your advantage. In order to achieve the natural shape you want, unfortunately, you will have to undergo an additional surgery. In my experience, the difference between round and teardrop shapes are very small. In your case and cases such as yours, the problem lies in the dimensions of the pockets.

Published on Jul 11, 2012


Answered by Christopher Pelletiere, MD

When it comes to the difference between the anatomical shape and the round shape, it really depends on the profile of the implant and your own tissues. A moderate or moderate-plus style of round implant will look pretty natural, with a natural slope and fuller bottom. A high profile or ultra-high profile will provide a more rounded appearance. Over time, gravity can help settle things more with a round device. An anatomical Implant, because of its firmness and texturing, does not move much at all. I hope this helps.

Published on Oct 30, 2018

Answered by Christopher Pelletiere, MD (View Profile)

When it comes to the difference between the anatomical shape and the round shape, it really depends on the profile of the implant and your own tissues. A moderate or moderate-plus style of round implant will look pretty natural, with a natural slope and fuller bottom. A high profile or ultra-high profile will provide a more rounded appearance. Over time, gravity can help settle things more with a round device. An anatomical Implant, because of its firmness and texturing, does not move much at all. I hope this helps.

Published on Jul 11, 2012


Answered by The Institute of Aesthetic Surgery

Teardrop/anatomic-shaped implants are a variant of silicone implants. The difference being a form-stable gel fill that imparts the anatomic shape. The "gummy bear" gel is the most cohesive/firm available. It is form stable and will hold a shape, thus the shaped/gummy bear. Additionally, these devices are textured as orientation is crucial (a teardrop is only a teardrop when oriented appropriately). The texture acts as a sort of velcro holding the implant in position.

In my practice, most patients will choose a smooth round device. When placed in the submuscular plane, the aesthetic differences are minimal. The downward pressure by the muscle across the upper pole of the round device forces it to assume a more teardrop appearance. Recent studies have shown that both patients and surgeons have difficulty distinguishing between the 2 implant types post-operatively. Additionally, shaped implants are more costly and have an increased risk of rotation.

With regards to your specific question, early results will change. At 1-year post-op, there is unlikely to be significant changes. I would encourage you to revisit your concerns with your surgeon. It is unclear what your specific concerns are, but there are likely options for revision.

As always, discuss your concerns with a board-certified plastic surgeon (ABPS).

Published on Oct 30, 2018

Answered by The Institute of Aesthetic Surgery (View Profile)

Teardrop/anatomic-shaped implants are a variant of silicone implants. The difference being a form-stable gel fill that imparts the anatomic shape. The "gummy bear" gel is the most cohesive/firm available. It is form stable and will hold a shape, thus the shaped/gummy bear. Additionally, these devices are textured as orientation is crucial (a teardrop is only a teardrop when oriented appropriately). The texture acts as a sort of velcro holding the implant in position.

In my practice, most patients will choose a smooth round device. When placed in the submuscular plane, the aesthetic differences are minimal. The downward pressure by the muscle across the upper pole of the round device forces it to assume a more teardrop appearance. Recent studies have shown that both patients and surgeons have difficulty distinguishing between the 2 implant types post-operatively. Additionally, shaped implants are more costly and have an increased risk of rotation.

With regards to your specific question, early results will change. At 1-year post-op, there is unlikely to be significant changes. I would encourage you to revisit your concerns with your surgeon. It is unclear what your specific concerns are, but there are likely options for revision.

As always, discuss your concerns with a board-certified plastic surgeon (ABPS).

Published on Jul 11, 2012


Related Questions for Breast Augmentation

Breast Augmentation -15 answers
I had breast augmentation 6 weeks ago and they seem to have settled but i'm unsure. I'm feel like they are too small. I have tried on bras and I measure into a 32DD as well as 34 C sister size (I was a 32a prior). How long will it take for my breast to drop and fluff? I also have a gap in between which makes it difficult to achieve cleavage.
See More
Breast Augmentation -9 answers
I'm worried my 400 cc silicone is too big. I liked the sizer and my doctor told me it would look smaller.
See More
Breast Augmentation -19 answers
I want the fake Barbie doll high projected look. I want to know what I am getting before I get my breast done.
See More
Breast Augmentation -18 answers
I thought I was getting 400cc high profile silicone but my PS said they'll be 400cc moderate plus. I wanted a natural but big look, a D cup, and a small gap. Maybe that's why he chose those? Is there much difference in projection?
See More
Breast Augmentation -13 answers
I had a breast augmentation on April 8th. I feel like they are shaped funny and not as big as I wanted. I went submuscular. Prior to the surgery, I was a 38 B and now I have 560 cc silicone gel Inspira implants. I was hoping to be a DD. Should I have gone bigger? Will my breast take a more natural shape? When is a good time to get a new bra, and will I be a DD once my breasts have settled and healing is complete?
See More
Breast Augmentation -14 answers
I'm a little lost on the XL implants matter, that I personally like. Are they really unsafe? What are the reasons for that? It seems most PS don't recommend/perform them. Is it by lack of experience/expertise? Idealism? Are those PS who perform these procedures just "warriors" responding to a well present market? I would be curious to hear some honest answers, leaving the politically/socially correct behind. Thanks in advance.
See More
Breast Augmentation -27 answers
I know there is a vast amount of factors that go into breast augmentation, lifts, and implant manufacturer costs alongside anesthesia, facility, meds, and other costs. But in your experience what is a ball park cost range you typically see for breast augmentation, and breast augmentation + lift. It'd be very helpful if you share a range like 9-10k or 6-7k, etc. Thanks!
See More
Breast Augmentation -13 answers
I just had surgery yesterday and I got 355cc's. They look so small in my surgical bra and wrap. I'm worried that they won't be big enough. Do you know what size I might be once the implants settle? I'm hoping small D.
See More
Breast Augmentation -19 answers
I am 5"4 and 145lbs. I am currently a 34C and would like to be a Dcup. My PS recommend a lift. I informed him i wanted implants but still want a natural look. PS recommended 485cc smooth moderate plus silicone obove the mucle. Possible mini lift during surgery depending on how the implant looks during surgery. It just sounds like a lot of CCs. It doesn't feel right and now I'm freaking out.
See More
Breast Augmentation -9 answers
I have so many stretchmarks from my boob job I hate them so much!!! I wanted to increase my bust size for confidence but now I am back at the starting point because I'm so self conscious of my stretch marks in constantly covering my boobs up. I need to do something to improve the colour of them as I'm quite tanned naturally they are so obvious in daylight.
See More
Breast Augmentation -15 answers
I have friends who've gotten 500cc's and their breasts are quite big. After trying the 650cc sizers, they seemed to compliment my body more. Is there a big difference between the two sizes? Is 650 too large?
See More
Breast Augmentation -13 answers
I had a BA a year ago. Out of nowhere last week I noticed my right breast causing me pain when I tried sleeping on my left side. It's almost as if the implant slid across the midline of my chest wall and put pressure on my pec muscle. When I lay on my back - both breast move equally towards my arm pit so it doesn't appear to be that the pocket is too big. Also I'm having a numb, dull feel off and on in my right arm. The right breast feels "off". Hard to explain. It's driving me crazy!
See More
Breast Augmentation -10 answers
I am 5'7" and weigh 158 pounds. I want XL implants. My goal is to have a Barbie doll/Playboy model look. Based on my height and weight, would 1200cc or 1250cc help me achieve that? I want high projection and side boob.
See More
Have specific questions?
ASK A DOCTOR

Before & After Photos

Suggested Doctors

Sorry, there are no matching doctors in your area
Please choose a different location

,

,

See more Suggested Doctors

Related Articles