Our Summary

This research paper looks into the controversy surrounding the choice of breast implant shape (either round or anatomical) in cosmetic breast augmentation surgeries. Researchers reviewed various medical databases for studies that compared these two types of implants. They found that there was no clear aesthetic advantage to anatomical implants over round ones in terms of overall appearance, naturalness, and shape. Interestingly, plastic surgeons themselves were only able to correctly identify the shape of the implant about half of the time. This suggests that the choice between round and anatomical implants may not be as crucial as once thought. The researchers suggest that future studies should focus on determining when anatomical implants may be specifically needed.

FAQs

  1. Is there a clear aesthetic advantage to either round or anatomical breast implants?
  2. How often are plastic surgeons able to correctly identify the shape of the implant?
  3. What do researchers suggest future studies should focus on in terms of breast implant shape?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast augmentation is to carefully consider the shape of the implant they choose, whether it be round or anatomical. However, it is important to note that there may not necessarily be a clear aesthetic advantage to one shape over the other. Patients should discuss their goals and expectations with their plastic surgeon to determine the best option for them. It is also important to understand that the choice of implant shape may not have a significant impact on overall appearance, naturalness, and shape. Patients should focus on choosing an experienced and skilled surgeon who can guide them through the decision-making process and provide the best results possible.

Suitable For

Patients who are typically recommended breast augmentation include those who are unhappy with the size or shape of their breasts, have asymmetrical breasts, have lost breast volume due to weight loss or pregnancy, or have undergone a mastectomy. Additionally, patients should be in good physical and mental health, have realistic expectations about the outcome of the surgery, and be non-smokers. It is important for patients to have a thorough consultation with a board-certified plastic surgeon to discuss their goals and expectations, as well as any potential risks and complications associated with the surgery.

Timeline

Before breast augmentation:

  1. Consultation with a plastic surgeon to discuss goals, expectations, and options for breast implants.
  2. Pre-operative tests and evaluations to ensure the patient is a suitable candidate for surgery.
  3. Selection of implant size, shape, and material (silicone or saline) based on the patient’s desired outcome.
  4. Planning for the surgery, including choosing the surgical approach (incision placement) and discussing post-operative care.

After breast augmentation:

  1. Surgery to insert the breast implants, either through an incision in the breast crease, around the nipple, or under the arm.
  2. Recovery period, typically including pain medication, bandages, and restrictions on physical activity.
  3. Follow-up appointments with the plastic surgeon to monitor healing and address any concerns.
  4. Gradual return to normal activities, with full results of the surgery becoming apparent in the weeks and months following the procedure.

What to Ask Your Doctor

  1. What are the risks and complications associated with breast augmentation surgery?
  2. How long is the recovery process and what can I expect during that time?
  3. What type of implant (saline, silicone, cohesive gel) do you recommend for me and why?
  4. What size and shape of implant would best suit my body and achieve my desired outcome?
  5. How will the implants be placed (above or below the muscle) and what are the pros and cons of each placement?
  6. What type of incision technique will be used and what are the potential scarring outcomes?
  7. How long do breast implants typically last and will I need additional surgeries in the future?
  8. How will breast implants affect breastfeeding and mammograms?
  9. Can I see before and after photos of previous patients who have had breast augmentation with you?
  10. What is your experience and success rate with breast augmentation surgeries?

Reference

Authors: Cheng F, Cen Y, Liu C, Liu R, Pan C, Dai S. Journal: Plast Reconstr Surg. 2019 Mar;143(3):711-721. doi: 10.1097/PRS.0000000000005371. PMID: 30601325