If you’re considering breast augmentation, you might be surprised to learn that there are several types of breast implants available. Let’s explore the different options and their characteristics to help you make an informed decision.

Breast implants can be categorized based on their shape, texture, and filling material. Here’s a more detailed breakdown:

Shape

1. Anatomical (Teardrop) Implants – Usually microtextured to prevent rotation

1. • Mimic the natural slope of the breast

1. • More fullness in the lower portion of the breast for better lower tissue push.

1. Round Implants – Can be smooth or microtextured.

1. • Provide fullness in the upper part of the breast

1. • Less risk of rotation affecting appearance

It’s important to note that anatomical implants are typically microtextured to prevent rotation, which could otherwise lead to an unnatural appearance. Round implants, on the other hand, can be either smooth or microtextured, as their symmetrical shape means rotation is less likely to affect their appearance.

All implant types have a silicone outer shell, but they differ in how they feel and behave.

Filling Material

• Silicone Gel Implants Filled with cohesive silicone gel: more natural feel compared to saline
• Highly Cohesive Silicone Gel (“Gummy Bear”) Implants are firmer and more form-stable
• Saline Implants are filled with sterile salt water (not that frequently used in Ireland, because of the lower patient satisfaction rate)

Implant Textures

Smooth and microtextured implants are two main types of breast implants that differ in their outer shell texture:

Smooth Implants: Have a completely smooth outer shell.

• Move freely within the breast pocket, mimicking natural breast movement
• Generally softer to the touch
• Only available in round shapes
• May have a higher risk of capsular contracture
• Extremely small risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)

Microtextured Implants: Have a slightly roughened surface

• Adhere to surrounding tissue, reducing movement and rotation
• Available in both round and anatomical (teardrop) shapes
• Have a lower risk of capsular contracture compared to smooth implants
• Slightly higher risk of BIA-ALCL, though still rare (0.0012% based on available data)

Both types have their advantages and potential drawbacks. Smooth implants often have more movement, while microtextured implants may provide more stability. The choice between smooth and microtextured implants depends on individual patient factors, desired outcomes, and surgeon recommendations.

Making Your Decision

Choosing the right breast implant depends on various factors, including your body type, desired outcome, and surgeon’s recommendation. It’s essential to have a thorough consultation with a board-certified plastic surgeon to discuss your options and determine the best choice for you.

Remember, each type of implant has its own set of advantages and potential drawbacks. Your surgeon will help you weigh these factors to achieve the look and feel you desire while prioritizing your safety and long-term satisfaction.