Anatomical implants high profile. How do anatomical implants differ from round ones? The difference between anatomical implants and round ones

In 1961, a breakthrough in plastic surgery was saline endoprostheses - round bags with saline solution, completely compatible with the human body. But too soft, tactilely detectable, with a tendency to rupture, saline implants were replaced by silicone ones in the mid-90s. These gel-filled elastomers are safe for the patient and remain stable even if damaged. Silicone implants with different fillers most accurately imitate natural breasts, do not stand out and are not felt to the touch.

Types of implants by shape

Round implants- the optimal choice for severe ptosis. They lift the breasts, making them full and voluminous in the upper part. Endoprostheses of this shape are most suitable for patients with a wide chest and rounded contours of the “native” bust. They are easier to install for the surgeon and cheaper for the patient. But for many, a significant disadvantage is their unnatural appearance.

Invention teardrop-shaped (anatomical) implants changed the view on mammoplasty: visually they repeat the natural shape of the female breast. Drop-shaped products with a cohesive filler and a textured surface are well fixed in the pockets of the glands and grow into the patient’s tissue. These implants maintain the softness and smoothness of the contours of the breast, but at the same time keep their shape in a horizontal position. Anatomical implants are ideal for enlarging very small breasts and ensure proportionality and naturalness of the breast. Sometimes the pectoral muscle unfolds the implant. Such an “incident” with a round implant will be invisible, but with an anatomical endoprosthesis, the breast deformation will be visible. For a surgeon, working with “droplets” requires a lot of experience and skill.

Implant profile

Patients with different body types require implants of different profiles. The profile - the ratio of the size of the projection of the implant to the width of the base - can be low, medium and high. Round implants have equal width and height, while teardrop-shaped implants differ in both height and width. It is this parameter of anatomical implants that allows the doctor to choose the most suitable option for a woman and give the breast an ideal shape. Teardrop implants are also versatile for eliminating sagging and filling the upper pole of the breast.

Which stars have had their breasts enlarged with anatomical implants?

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Which doctor enlarges breasts with anatomical implants?

There is no absolute unity in the use of certain types of implants among plastic surgeons. Each specialist focuses on the wishes of the patient, the structural features of the mammary glands and chest, and their own vision of beauty. As you know, breast augmentation with anatomical implants has a higher cost and requires special knowledge and skills from the doctor. Some plastic surgeons do mammoplasty expensively and well, while others do it cheaply and poorly. When it comes to your own appearance, it is important to find a middle ground in the price/quality ratio. The plastic surgeon knows exactly which implants will highlight the patient’s advantages and hide the shortcomings (for example, curvature of the spine, asymmetry of the breast or nipples), and will make the mammary glands the most natural and harmonious for her body type. Maxim Leonidovich’s professionalism is evidenced by his enormous busyness: four plastic surgeries and 40 consultations a day, a planned work schedule for months in advance. And what is most important is an individual approach to each, because there can be no universal advice when choosing an implant.

Currently, breast correction with anatomical implants from plastic surgeon Maxim Leonidovich Nesterenko costs 190,000 rubles.

Properly selected breast implants adorn a woman and give harmony to her entire body. The natural appearance of the mammary glands after endoprosthetics is a decisive argument in choosing the shape of the implants. Discussions and debates regarding the best shape of breast implants will never stop. Meanwhile, in addition to its attractive appearance, a properly selected implant can minimize the risks of various postoperative complications. Therefore, when choosing endoprostheses, you should listen to the opinion of the surgeon.

Ideally shaped implants will give the breasts a natural and harmonious appearance.

Many women believe that the anatomical shape of the implants makes the breasts feel more natural in shape, while round endoprostheses supposedly do not give such an effect. But is this really so? Let's look at the features of each type of implant based on various criteria.

The shape is chosen not only by the patient, based on her personal preferences, but also by the surgeon, who takes into account many different factors. Among them: the desired result, the physical structure of the patient, and the surgical technique of the operation. Each form of implant has its own advantages and disadvantages, analysis of which can also help a woman make the right choice.

Advantages of anatomical implants

Of course, a woman's natural breast shape is not round. A natural bust has a smooth slope, starting from its upper part and gradually increasing in volume towards the bottom. This is why anatomical implants look more natural and, in most cases, are ideal for many women.

Initially, anatomically shaped implants were used to recreate a missing breast, for example due to cancer or injury. Therefore, in theory, anatomists are a more logical option for breast augmentation. However, despite this, many surgeons and a significant number of patients prefer round endoprostheses.

For some women, round implants look more natural than anatomical ones

Advantages of round implants

  • Large volume;
  • High chest lift;
  • More attractive neckline area.

If you are going to enlarge your breasts, then do it so that its volume is noticeable and noticeable to everyone - this is what many patients think. But not all representatives of the fair sex consider this form attractive. Excessive volume in the upper part of the chest, according to some women, does not look natural.

Misconceptions about round implants

The round shape of implants, indeed, sometimes does not look very natural and unnatural. However, it's not all about the form. There are cases when endoprostheses are installed too high, or a patient with a small initial volume of mammary glands insists on a larger size. Implants of any shape can look bad, it all depends on the competent work of the surgeon. An experienced specialist always suggests a shape and size based on the individual anatomical characteristics of the patient. For some women, breast augmentation with round implants looks even more natural than teardrop-shaped ones.

Round implants behave more fluidly and naturally when moving, so this shape is well suited for women leading an active lifestyle.

Despite the fact that round breast prostheses look different in different patients, when moving they behave more naturally than anatomists. For example, when a woman is in an upright position, the implants under gravitational force acquire an anatomical natural shape. If we consider the behavior of round implants during the horizontal position of the patient, then in terms of this indicator they are absolute leaders. Natural female breasts are known to “spread” when lying down. When undergoing endoprosthetics with teardrop-shaped implants in a horizontal position, they will stick out unnaturally upward in the lower part of the chest, in contrast to round specimens. If a woman leads an active lifestyle, goes in for sports, dances, then round implants are preferable for her, since they “do not give themselves away” when moving.

Characteristics of round endoprostheses

Round implants have equal width and height. The highest point of projection for a round product is slightly above the center. Consequently, round implants can differ only in projections.

Characteristics of drop-shaped endoprostheses

The highest point of projection for teardrop-shaped implants is in their lower zone. In addition, their base height and width vary. Thus, anatomical implants can differ not only in projections, but also in height. This superior quality increases the number of possible product combinations and allows manufacturers to expand their range of anatomical implants.

Medium-profile anatomical implants are in great demand among Russian women

Different profiles for every occasion

All patients have different body types and chests, each of which has its own breast shape. Unlike round ones, teardrop-shaped models come in different widths and heights, which gives patients more options to choose from.

The higher the profile of the teardrop-shaped endoprosthesis, the more significant the increasing effect. Mid-level anatomists are in greatest demand among Russian women. But there are times when only a high profile is acceptable. If a woman has a large amount of excess skin due to breast ptosis, then the breasts need more filling and lifting. In this case, low and medium profile anatomical implants may not give the desired effect. Also, a high profile is good for those patients who have a small chest volume.

Breast augmentation in twins

An interesting competition was once held as part of the Omorphia project. Plastic surgeon Valery Yurievich Staisupov operated on the winner free of charge and installed anatomically shaped implants for her. Later, he enlarged her twin sister's breasts, but only with round endoprostheses. The professional mind of the surgeon was looking forward to the opportunity to compare the results of augmentation mammoplasty on sisters who were completely identical in structure. However, he was never able to find out the best result; both girls had perfectly shaped breasts.

Implants have changed many times over more than 50 years of history. Modern products represent the fifth generation. The fifth generation is the result of a number of innovations, including changes in such parameters as:

  • Filler material (shape-stable gels);
  • Shapes (round and anatomical shapes);
  • Surface structure (different forms of texturing).

These three key properties are worth taking a closer look at when choosing an implant for, in addition to the specific size of the implant.

First of all, you need to understand that there is no perfect implant for everyone. But in the hands of an experienced surgeon, both round and anatomical implants can lead to the desired aesthetic result. The choice is largely determined by a combination of three factors:

  1. Your wish. We are always trying to make your body the way you want it to be.
  2. Your anatomy. This factor includes the width and shape of the breast, skin quality, physical characteristics, possible breast asymmetry, the distance from the inframarral fold to the nipple, and the amount of soft covering tissue in the upper pole.
  3. Your surgical history: Previous surgeries may influence the choice of implants, especially in patients replacing existing ones.

Let's look at each of the factors in more detail:

  1. Wish.
    Desired appearance is extremely subjective. For example, 2 different people imagine natural-looking breasts and appearance in completely different ways. However, according to statistics, anatomical implants are preferable for patients who want to achieve a natural appearance. These implants better mimic the shape of normal breasts, especially when creating a straight or slightly convex upper pole, which is one of the key characteristics of aesthetically pleasing breasts.
    For patients who want the appearance of “enlarged” or simply large breasts, round implants are more suitable. Round implants have a large volume and can emphasize the upper pole. However, the second characteristic that should always be taken into account is anatomy. For example, in the case of lower pole constriction, round implants are not recommended.
  2. Anatomy.
    A number of anatomical factors may influence the choice of implant shape. Firstly, it is the shape of the breast and the covering tissue. If the unoperated breast is not full and therefore lacks shape, then anatomical implants can help add shape. For the same reason, anatomical implants are preferable in patients with thin covering tissues. However, in patients with good soft tissue coverage and/or good underlying breast shape, round implants can also be used with excellent results. Thus, round implants may be a logical choice because there is no risk of rotation and they may also be cheaper and easier to use.
    Breast asymmetry. All patients have some breast asymmetry, and in most cases this will not necessitate the use of different implants on each side. However, when indicated, anatomical implants offer greater potential to improve the shape of each breast and correct asymmetries.
  3. Surgical history.
    Recurrent rotation of implants (eg, more than two or three times) is a contraindication to anatomical implants, and round implants should be used. In the initial case of rotation, if it has not resolved by itself, you need to keep in mind round implants, but anatomical implants can also be used. Newer techniques such as the use of a new axillary pocket—first introduced by Headen in 2000 and published by Maxwell et al in 2009—may help minimize rotational risk with anatomical implants in such cases.
    In other cases of secondary surgery, round or anatomical implants may be preferable depending on the present specifics of the situation. When using anatomical implants, the surgeon must be experienced and knowledgeable about optimal techniques such as repositioning and precise pocket calibration to prevent recurrence. Round implants may be preferable in some cases, especially if the patient has had many previous surgeries, because round implants reduce the risk of problems (especially rotation) when the surgeon does not have good control of the implant pocket.

Conclusion: The appropriate choice of anatomical or round implants is one of many important decisions that must be made during the breast augmentation process. It is important that the factors described above are taken into account. This choice should be carefully considered and discussed with your surgeon.

Women who decide to improve the shape of their breasts or increase their size are wondering: what is the difference between round implants and anatomical ones and which ones to choose? Indeed, the shape of the implants plays an important role and allows you to achieve a natural-looking breast. So which implants are better: round or anatomical? Does shape matter? And how to achieve the desired result?

What is the difference?

As can be easily understood from the definition, round implants have a round shape. The anatomical ones follow the contours of a young woman’s breast; their teardrop-shaped shape begins with a flat slope at the top, which gradually increases in volume. Thanks to this, anatomical implants are successfully used not only for aesthetic purposes, but also for breast reconstruction.

A plastic surgeon will help you choose round or anatomical implants based on the width and shape of the chest, as well as the patient’s build. Round implants will allow you to get more volume and lift your breasts higher. Thanks to them, the neckline will look simply amazing. However, many women do not like the large volume of the breasts in the upper part - for them it does not look natural and attractive enough - so they choose anatomical implants. In favor of round implants, it is worth saying that they can make the contours of the breast unnatural only in two cases:

  • when positioned too high;
  • if the patient does not have sufficient volume of her own breast tissue.

So the shape doesn't matter. If selected incorrectly, even anatomical implants can look unnatural. That is why, when selecting, the individual contours of the patient’s body and her complexion must be taken into account.

Where to choose?

  • young patients with well-developed mammary glands;
  • women who have sufficient volume and slight mastoptosis of the breast;
  • patients who want a more balanced breast shape.

POLYTECH® implants

Modern plastic surgeons note a number of advantages of German-made POLYTECH® implants. They have a modular structure, thanks to which a base with a width of 70 mm to 158 mm is available to patients in different projections and in each type of implant:

  • Même® - dome-shaped with a round base, following the contours of a young woman’s breast;
  • Replicon® - anatomical with a round base that follows the contours of an adult woman’s breast;
  • Opticon® - anatomical with a shortened base, suitable for obese women with curvy figures;
  • Optimam® is anatomical with an oblong base, suitable for slender women with an athletic build.

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 shape of the breast, convenience and many other indicators.

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

  1. Shape (round or anatomical). Here, in most cases, preference is given to round implants, since they are cheaper and additionally allow you to achieve a push-up effect.
  2. Texture (smooth or porous). The porous texture is more convenient, since such implants are practically not subject to displacement.
  3. 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 because they can easily simulate the final result, taking into account the anatomical features 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 a 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:

  1. 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.
  2. Selecting the manufacturer and type of implant. This procedure is performed in conjunction with the doctor who will perform the breast augmentation.
  3. 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.
  4. Familiarize yourself with the methods of pain relief used, the features of the operation and rehabilitation in the postoperative period.
  5. 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.
  6. 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:

  1. Under the breast. This approach allows you to minimize the likelihood of damage to the mammary gland and is one of the most popular.
  2. 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.
  3. Along the lower edge of the nipple areola. Used when introducing small implants. But, using 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.
  4. 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 can 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:

  1. Contouring of the prosthesis. Its contours are especially visible when lying down. This drawback is noticeable only if the prosthesis is 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.
  2. 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 divergence and disruption of the healing process.
  3. 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:

  1. The ability to increase breast volume and achieve a “push-up” effect.
  2. Harmonious breast appearance in any body position.
  3. Preservation of breast symmetry even with deployed implant.
  4. No access restrictions.
  5. 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:

  1. If selected incorrectly, there is a high probability of achieving an excessive effect and causing a number of complications.
  2. In some cases, breast asymmetry persists.
  3. Complications that develop as a result of rejection of the implant by the body.
  4. High probability of gland damage.

There are also a number of contraindications for which surgery cannot be performed at all.

These are:

  • cancer;
  • diabetes;
  • 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:

  • sharp fluctuations in body weight within wide limits;
  • increase in size and change in breast shape after pregnancy and breastfeeding;
  • presence of implant defects.

Fortunately, most patients who undergo breast augmentation do not experience any side effects and do not require repeat surgery.