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Breast augmentation shapes, surfaces and size

During your research, you will come across a number of breast implant shapes, surfaces and sizes. Learning which is right for you is highly dependent on your body shape.

If you’re at the start of your research phase, we recommend taking the time to speak with one of our experienced consultants first so that you are prepared at your surgeon consultation. As we have mentioned many times, you will need to work closely with your surgeon to identify what is right for you – after all, teamwork makes the dream work!

Breast Implants always consist of an inner filler material, usually silicone gel or salt water and is held together by an outer casing or shell. The main variables to consider when it comes to choosing the implant that is right for you include the shape (round or teardrop), the outer shell (textured or smooth), the volume and the projection.

Implant Shapes:

‘Tear-Drop’ Breast Implants

  • Creates a fullness in the lower part of the breast.
  • The more natural shape of an implant as it mimics the shape of a natural breast.
  • Must always be inserted through an incision under the breast.

Round Breast Implants

  • Can be inserted through several incision locations.
  • Delivers more upper breast fullness.
  • Can sometimes be the preferred shape when wanting to restore upper breast volume lost or create cleavage lines

Implant Size:

Deciding on the size of your implants should be a well considered decision. Your surgeon will use your natural anatomy and measurements to provide a range of implant sizes that will suit your body and achieve your desired outcome. Make sure the decision is entirely yours, listening to friends, family and your surgeon can be helpful, but don’t allow anyone else to make the final choice for you. Make sure you choose the size that you feel gives you the ‘look’ you want and try not to worry about what others will think.

Usually your plastic Surgeon will provide you with all the various implant shapes and sizes that might work well with your body type and have you try them on at your in-clinic consultation to be able to visualize the future result. This method is considered the most reliable way to choose your future breast implants.

Implant Surfaces: 

Another factor to consider when choosing breast implants is the surface the choice is between between smooth or textured implants.  Textured implants were created to reduce the risk of capsular contracture – one of the most frequently occurring complications arising from smooth implants. Capsular contracture can progress to different stages, and in the later stages may result in a deformed look, with the implant becoming hard and causing pain/discomfort. Secondary surgery is the only way to address capsular contracture. The main benefits of the textured implant are that the surface allows for better grip, reducing mobility of the implant, as well as reducing the risk of capsular contracture. However, recent research has shown that there is a link between textured implants and BIA-ALCL – a rare form of lymphoma. Implants can have different grades of texturing, and each of these grades have a different risk level. The Therapeutic Goods Administration completed an overhaul of textured implants available within the Australian market in 2019, and removed those with the highest risk factors. For women who choose to proceed with a textured implant (which is a decision you need to make in consultation with your surgeon), we typically use the Mentor brand of implants, which have a 1 in 86,000 risk of women experiencing BIA-ALCL.

Alternatively, you may wish to consider using smooth implants. These are less expensive than their textured counterparts, and are included in the standard cost of our implant-related procedures. Smooth implants have not been associated with the same (if any) risk of BIA-ALCL, so some women may choose these implants to avoid this risk. The biggest drawback of smooth implants is their increased risk of capsular contracture, and therefore the increased risk of secondary/revisionary surgery being required.

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