Breast Implant Decision: Round or Anatomical?

Women come in all different shapes and sizes, so it only makes sense that breast implants come in all shapes and sizes too!

Because we don’t all want our breasts to look the same after a breast augmentation, boobie goals can be reached in different ways. And one of those ways is through implant shape.

 Breast Implant Decision: Round or Anatomical?

Two Basic Breast Implant Shapes

Round and Anatomical! Understanding the differences of each breast implant type is central to your implant selection.

Picking the right implant shape for you will be based on:

  • Your body type (curvy, athletic, slim)

  • How much existing breast tissue you have

  • Implant placement (under or over the muscle)

  • Incision site (armpit, the navel, at the inframammary fold at the bottom of the breast, or at the edge of the nipple)

Round Breast Implants

Without doubt, round implants are the most commonly used implant in breast augmentations. A round implant looks a bit like a squashed ball...

 Round Breast Implant

Round implants are generally suitable for most women. But they work best when there isn't breast sagging and when you have some existing breast tissue.

Round implants are great for a full, rounded look to the upper breast.

 Breast Implants Before and After

There are lots of choices available with round breast implants (dimensions, outer shell, volume, filling) so you can easily achieve your boobie goals. You can also place a round breast implant into the breast via any of the four main types of incision (inframammary fold under the breast, armpit, periareolar, and the navel).

Round breast implants can be either smooth or textured, and they can be filled with saline or silicone.

Once a round breast implant is inside your breast, gravity will pull it in to a more natural shape. But, if you're on the thin side, round implants can give you a more 'augmented' look (which is great if that's what you want of course!).

Anatomical Breast Implants

An anatomical (also called 'shaped' or 'teardrop') breast implant gets its name from how it's shaped. It has a sloped contour with more implant at the bottom than the top, mimicking the shape of natural breasts.

 Anatomical Tear Shaped Natural Breast Implant

Shaped breast implants are not used as often as round breast implants. They're generally used for breast reconstruction, or for women who have very little volume in the chest and want the most natural looking result.

 Anatomical Teardrop Natural Breast Implant before and after

Even though the upper part of the teardrop breast implants aren't quite as filled out as round implants, they tend to give greater projection (how much the breast sticks out from the side) than their round counterparts with the same amount of volume.

A shaped implant can be a good choice if you are slim and want a natural looking larger breast after augmentation.

Anatomical breast implants are always silicone (and it's a thicker silicone than in round implants as it needs to hold it's shape) and they are always textured (because they need to stay in place to prevent implant rotation).

A textured outer shell and thicker silicone makes shaped breast implants firmer than round breast implants. Because of their shape they can only be placed into the breast via an inframammary (under boob) or periareolar (nipple) incision.

Which Type of Breast Implant Is Best?

 Anatomical vs Round Breast Implant

As an extremely rough guideline (remember- we are all totally unique), round breast implants are best upper pole fullness, while anatomical (or teardrop) are better suited to those lacking in breast tissue or seeking a more natural look.

If you’re considering breast augmentation, one of the most important decisions lies in the breast implants you choose. 

Each of the characteristics of breast implants can affect your final outcome. It’s useful to know your options but it’s also super important to know your boobie goals.

Thoughts from Dr. Glenn Davis

The most commonly used implant across the world is a shaped or anatomic implant. And yet, in the US, they remain uncommon. That may be because of potential complications only associated with textured or shaped implants or it may just be that women in the US want a different result but, either way, it's worth noting that in one study, a collection of surgeons were asked to look at pictures of women with breast augmentation and pick out which one's had round and which had shaped and. . . they were wrong all of the time. A good and experienced surgeon can do a lot round implants.