Dr. Jeffrey Weinzweig, a Chicago plastic surgeon, uses Dr. Becker’s “adjustable” breast implants for breast augmentation surgeries.

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Serving Breast Augmentation patients in Boca Raton, Delray Beach, Boynton Beach, Fort Lauderdale and Palm Beach County, FL, Dr. Hilton Becker, a Florida Board Certified Plastic Surgeon, combines his unmatched experience and skill with the latest techniques and advances in his practice of Breast Augmentation, Breast Implants and Breast Enlargement Surgery.

It is part of human nature to want to like how you look. You may have certain features that you wish could be better proportioned, more attractive or more youthful. Revolutionary new surgical procedures can help transform your appearance and boost your confidence.

We offer the most advanced cosmetic surgical procedures in our all new, state-of-the-art medical facility. We have a highly competent and caring (bilingual) staff; and we work in a safe surgical environment.

Our office philosophy is to meet or exceed our patients’ needs and expectations by carefully listening to their wishes and transforming those wishes into reality. Our practice is a proud member of the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).

Dr. Becker is a recognized international authority on breast implants and breast lift procedures. He is the developer of the Mentor-Becker adjustable implant.

He has authored numerous articles on breast augmentation and breast lift procedures and is the pioneer of the sub areola mastopexy procedure, which enables a breast lift to be performed with a minimal scar around the areola.

Dr. Becker lectures and teaches his techniques around the world.

Hilton Becker, M.D. is a board-certified plastic surgeon with over 25 years of experience in his field. Dr. Becker is in private practice in Boca Raton, Florida and is internationally recognized for his expertise in a variety of procedures, such as:

• breast augmentation (enlargement)
• breast lift (mastopexy)
• facelift (rhytidectomy)
• neck lift
• abdominoplasty (tummy tuck)
• liposuction
• breast reconstruction
• rhinoplasty (nose surgery)

In addition to being a highly-skilled plastic surgeon, Dr. Becker is also an accomplished author and inventor. He has two published books, has contributed to numerous chapters in several plastic surgery text books and written over 50 articles in the plastic surgery literature. He is the developer of the ‘Mentor Becker Adjustable Implant,’ as well as several other innovative plastic surgery devices.

Dr. Becker serves as an instructor at plastic surgery meetings throughout the United States, and has been invited to lecture and perform surgery around the world, teaching others his highly sought-after techniques.

Dr. Becker can be found through the following listings:

• Breast Implants Boca Raton
• Breast Augmentation Boynton Beach
• Breast Enhancement Delray Beach
• Breast Enlargement Fort Lauderdale
• Breast Augmentation Palm Beach County

Thank you for visiting Dr. Becker’s Breast Implants USA website. Click on the following links to view photos of 13 patients in Dr. Becker’s Before and After Photo Gallery, Dr. Becker’s Education and Experience, Patient Testimonials, Articles by or featuring Dr. Becker, a list of Procedures Dr. Becker offers, a list of Frequently Asked Questions provided by Dr. Becker, and you can contact Dr. Becker through this link.

Dr. Becker

These implants are used around the world for both reconstructive and cosmetic breast procedures.

It is commonly known that expertise in reconstructive surgery is essential to enable a surgeon to perform sophisticated cosmetic surgery, especially in unusual cases and in the treatment of complications.

Dr. Becker is an internationally recognized expert in both reconstructive and cosmetic breast surgery. He frequently lectures and performs surgery internationally where he teaches his techniques. He has held workshops in many countries including China, Japan, Russia as well as Europe Africa and South America.

For a complete list of Dr. Becker’s workshops click here.

Contact Dr. Becker.

Before & After Patient Photos

Select a thumbnail to view the complete patient photo set

Practice Information

Our practice is best characterized by the phrase “innovative quality patient care.” Dr. Becker has always been on the cutting edge of new technology, often helping to create it. Quality care starts with the patient. Carefully listening to their wishes and transforming those wishes into reality. This transition occurs with assistance of a highly competent, caring staff working in a safe surgical environment.

We offer out-of-town patients assistance with travel costs. Overnight facilities are available to out-of-town patients.

Use of Adjustable Implants to Treat Breast Implant Complications
Complications following saline breast implant surgery are often related to the physical characteristics of saline verses that of breast tissue. Saline is heavier than tissue, and when confined to a flexible silicone bag it has more of a tendency to ripple compared to a silicone gel. Saline implants therefore have a greater tendency to become ptotic (sag) especially when placed above the muscle.

Dissatisfaction with size, asymmetry and shape usually manifests several months after surgery.

Capsular contraction is a result of the body’s reaction to the implant. The treatment of these complications is often difficult and not always successful.

A new implant has recently been FDA approved for use under an adjunct study. Offering many advantages over standard implants, the Smooth Becker 50/50 implant is an adjustable implant that contains 50% silicone gel and 50% saline.

The implant is adjustable after surgery by means of a small injection dome that allows the inner saline compartment to be increased or decreased.

The advantages of the Smooth Becker 50/50 implant include:

• Post-operative adjustability
• Ability to stretch scar tissue
• Ability to modify the shape after surgery
• Ability to change the size of the implant after surgery to the size desired by the patient and to match more accurately the size of the opposite breast in cases of asymmetry

Smooth Shell

• More natural feel
• More elasticity of shell
• Less rippling

50% Silicone

• More natural feel
• Lighter in weight, less tendency towards sagging

The adjustable breast implant which was developed in 1985 by Dr. Becker is used in this procedure. The implant consists of a membrane that is filled with saline via detachable dome. Saline (salt water solution) is added or removed from the implant post-operatively by inserting a thin needle through the skin into the injection dome. Once the patient is satisfied with the size and shape of her breasts, the dome is removed usually three to six months post-operatively. The implant seals at the self-sealing valve. Alternatively the injection dome may be exteriorizied and removed one week later.

If the patient wishes to enlarge (or decrease) the size of her breasts after surgery, a needle is placed through the skin into the injection dome. Saline solution is then injected (or removed) to adjust to the size (and shape) of the breast. When the patient is satisfied with the result, the injection dome can be removed under local anesthetic.

It is the ability of the adjustable breast implant to correct or improve difficult breast problems such as ptosis, tubular and unilateral breast development that makes this implant so unique. The adjustable-fill breast implant is useful in expanding underlying tissue and generating more breast tissue to create a more natural and symmetrical breast shape. Because these implants can be filled gradually over a period of several months, discomfort is minimized while the skin slowly stretches. In order to avoid the unnatural, hard-looking appearance of some augmentation, especially the upper fullness, adjustable breast implants can be overfilled, then the volume reduced, allowing the breast to relax, producing a more natural appearance.

“My patients love the adjustable implant because it allows them to “try the size on’ before the augmentation is finalized,” in the past, augmentation patients would immediately think their breasts were too big, due to the normal swelling that always follows surgery. Of course, over time in the weeks following the procedure, the swelling would decrease and patients would then complain that they looked smaller than they expected.

“Now, the adjustable breast implant allow the volume to be corrected after surgery.”

Now you can change the size of your breasts without additional surgery.

The adjustable breast implant which was developed in 1985 by Dr. Becker is used in this procedure. The implant consists of a membrane that is filled with saline via detachable domes. Saline (salt water solution) is added or removed from the implant post operatively by inserting a thin needle through the skin into the injection dome. Once the patient is satisfied with the size and shape of her breasts, the dome is removed usually three to six months post-operatively. The implant seals at the self-sealing valve. Alternatively the injection dome may be exteriorized and removed one week later.

It is the ability of the adjustable breast implant to correct or improve difficult breast problems such as ptosis (sagging), symmastia (loss of cleavage), tubular breast deformity, and Polands syndrome (unilateral non-development) that makes this implant so unique. The adjustable-fill breast implant is useful in expanding underlying tissue and generating more breast tissue to create a more natural and symmetrical breast shape. Because these implants can be filled gradually over a period of several months, discomfort is minimized while the skin slowly stretches. In order to avoid the unnatural, hard-looking appearance of some augmentation, especially the upper fullness, adjustable breast implants can be overfilled, and then the volume reduced, allowing the breast to relax, producing a more natural appearance.

“My patients love the adjustable implant because it allows them to ‘try the size on’ before the augmentation is finalized” In the past, augmentation patients would immediately think their breasts were too big, due to the normal swelling that always follows surgery. Of course, over time in the weeks following the procedure, the swelling would decrease and patients would then complain that they looked smaller than they expected. It can also be that they get used to the size and wish they had gone bigger.

“Now, the adjustable breast implant allows the volume to be corrected after surgery.”

By Hilton Becker, MD

The adjustable breast implant was first described in the early eighties. The original implant was a single lumen saline device with a detachable injection dome.

Subsequently a double lumen implant was developed. The implant was smooth walled and had 25% or 50% silicone gel in the outer chamber. Saline is added or removed from the inner chamber via the detachable injection dome.

The smooth double lumen device proved to be very versatile, easy to use and able to afford excellent results. The textured versions were later introduced with the belief that capsular contracture could be reduced. Textured implants became the vogue in the early nineties, at the time of the silicone crisis when the use of silicone breast implants was soon restricted by the FDA. The manufacturers were forced to limit production to a small variety of devices, only the textured adjustable were registered for the adjunct study. It was still realized that the textured adjustable implant did not function as well as the smooth implant. Texturing resulted in less elastic shells, thus decreasing volume versatility, and increasing rippling. Unfortunately, it took 10 years to reintroduce the smooth adjustable silicone gel implant.

Indications:
Adjustable implants are used for reconstruction, augmentation, and particularly for revisions and for the treatment of complications. I use almost exclusively smooth implants.

Reconstruction:
Ideally the 50% silicone gel, 50% saline (50/50) is used. However, in primary reconstruction where skin flap viability may be compromised for example: thin flaps, tight closures and patients having had prior radiation, the 25% silicone gel, 75% saline (25/75) is recommended

Augmentation:
Smooth adjustable implants are used in patients with asymmetry, tubular deformity or in patients who wish to have input with regard to volume, post operatively. The 50/50 silicone gel saline is used in patients with ptosis or Polands Syndrome.

Treatment of Complications:
The adjustable implant has its greatest benefit in the treatment of breast implant complications.

1. Conversion from sub glandular to submuscular position: When an implant is removed from the sub glandular position there is often scarring extending into the muscle. The muscle is often more rigid than normal. Placement of an adjustable implant in the submuscular position allows for postoperative expansion, which helps stretch the muscle and scar tissue. Over-expansion will allow for ironing out or irregularities. There is often a discrepancy of the volume of the sub glandular verses the submuscular space and this once again, can be compensated for postoperatively.

2. Treatment of capsular contracture: Following an open capsulectomy there is often asymmetry and irregularity of the pocket. Postoperative expansion allows for stretching and smoothing out of the pocket. In the treatment of capsular contracture, I will often over expand the implant and keep the newly formed capsule splinted at a larger volume for several months. On releasing of the implants, the newly formed over-expanded capsule tends to remain soft.

3. Treatment of symmastia and other pocket irregularities, such as double bubble deformity: In these situations, it is necessary to suture the capsule into its new position and then place the implant back into the pocket. The force of the implant in the pocket often results in rupturing of the sutures. In these situations, the use of the adjustable implant enables the implant to be placed with a very small volume thus allowing the sutures to heal, tension free for two to three weeks. The implant can then be slowly filled without placing excess tension on the sutures.

Complications following the use of adjustable implants:
These complications are mainly related to the injection dome. No complications have been seen as a result of expansion or implant volumes. The complications seen as a result of the injection dome are mainly technique related. There has been no increase leakage rate noted, as a result of the self-sealing valve. The valve is a very sophisticated having three valvular mechanisms in one. The few leakages that have been seen, as a result of valve failure were in the earlier design where the plug mechanism did not seal adequately due to insufficient length. The problems seen with the injection dome include rotation of the injection dome, kinking of the fill tube, irritation of the skin at the injection dome site, and exposure of the injection dome. Two cases of cellulitis following removal of the injection dome, have been seen and I have now started using prophylactic antibiotics at the time of injection dome removal.
A word of caution with regard to mammography and MRI: False, positive linguini signs can be seen with the double lumen implant as the inner lumen may result in a shadow appearing like a linguini sign. Radiologists may report this as rupture of the shell. Experienced radiologists are able to differentiate between these findings.

Technique:
I almost exclusively use smooth adjustable implants. Saline adjustable implants are used for breast augmentation patients or patients who do not wish to have silicone implants. I prefer the higher volume, silicone gel adjustable implants for most cases. However, the low-volume gel implant is used where skin flap viability may be a problem.

Another advantage of the adjustable implant is that it helps with the discrepancy of implant base diameter and implant volume selection. With a non-adjustable implant I am more concerned with the volume of the implant than with base diameter volume. With the adjustable implant I select my implant closer to the appropriate base diameter than implant volume as the implant volume can be adjusted postoperatively.

I place the majority of the implants in the submuscular pocket, which is partially release inferiorly. If the implant is placed in the sub glandular pocket, I always use the large volume silicone gel implant. Once the implant is placed in the pocket, the implant is filled to the appropriate volume using the closed filling system. I usually under fill the implant at the initial surgery as this will result in less tension on the skin flaps, particularly in reconstruction, and this will also decrease postoperative pain. Once filled to the appropriate volume the fill tube is shortened and attached to the injection dome.

I use the metal connecter and secure it with a 3-0 silk tie. The tubing on the injection dome is shortened so that on removal the full tube can be grasped beyond the metal connector to avoid disruption at the connector site. A large injection dome is usually selected in reconstructive patients and the mini dome used in augmentation patients.

Postoperative volume adjustments are started two to three days after surgery. The implants are expanded at increments of approximately 50 cc at a time, usually at two to three day intervals. I believe that it is important to expand the pocket early postoperatively as the capsule forms quite rapidly. Filling is done with a 23 gauge butterfly allowing fluid to flush through the fill tubing to clear any blood that may be in the needle. The implants are over expanded postoperatively if needed. If expansion is required above the manufactures recommended fill volume, the patients are informed of the theoretical risk of over filling, although this is not proven to be a clinical problem. The injection domes are removed anywhere between three to twelve months.

Removal is performed under local anesthetic, usually through the original incision.
In certain augmentation patients, the injection dome is exteriorized through a long subcutaneous tunnel, allowing for postoperative volume adjustments several days after surgery. The injection domes are then removed once the patient is satisfied with the implant volume.

Avoiding complications:
Kinking is usually a result of excess tubing length. This can be avoided by shortening the fill tube appropriately. Rotation of the injection dome can occur if it is placed in a pocket that is too loose allowing it to move around freely. This situation is avoided by placing the injection dome either in a snug subcutaneous pocket or suturing it to the surrounding tissues. Pain and extrusion can occur if the injection dome is placed too superficially or directly beneath the incision. The injection dome should therefore be placed close to the incision but not directly beneath it and in a sufficiently deep pocket to avoid exposure.

The inadvertent puncture of the fill tube or implant can occur. Therefore, filling should only be performed when the surgeon is sure that he can locate the dome.

Conclusion:
The return of the smooth adjustable gel implant is a welcome addition to our armamentarium. The smooth shell allows for greater volume manipulation and decreased the incidences of rippling that have been seen in the past with texture adjustable implants.

For augmentation mastopexy, the authors use adjustable implants that are deflated at the end of the procedure and then inflated to the desired size 5 to 10 days postoperatively using external injection domes. Reported advantages, based on 175 cases, include increased perioperative safety for the nipple areolar complex, the ability to adjust for size and symmetry postoperatively with patient input, and better scar healing with less widening. (Aesthetic Surg J 2006;26:736-740.)

in 2 stages) The mastopexy procedure tightens the skin and elevates the inframammary fold; the augmentation procedure does the opposite, expanding the skin and lowering the inframammary fold. If a fixed volume implant is used, a tight skin closure over a large implant may lead to scar stretching, wound breakdown, skin necrosis and even, on rare occasions, nipple areolar complex loss. Furthermore, the tight closure tends to elevate the implant (Figure 1).2

in 2 stages) The mastopexy procedure tightens the skin and elevates the inframammary fold; the augmentation procedure does the opposite, expanding the skin and lowering the inframammary fold. If a fixed volume implant is used, a tight skin closure over a large implant may lead to scar stretching, wound breakdown, skin necrosis and even, on rare occasions, nipple areolar complex loss. Furthermore, the tight closure tends to elevate the implant (Figure 1).2

The adjustable implant allows for initial placement of the implant in an underfilled state and subsequent filling a few days after surgery, once viability of the skin flaps is assured. With this device, optimal size and symmetry can be achieved and postoperative pain is reduced.

The standard technique for using the adjustable implant is to place the injection dome in a subcutaneous pocket; the dome is removed several months later when surgeon and patient are satisfied with the size and shape of the breasts (Figure 2).3-5 For patients who do not wish to undergo injection dome removal, it is possible to externalize the injection dome for several days.6

The use of adjustable implants for augmentation mastopexy with buried injection domes, as well as augmentation with externalization, have been previously reported. Here, we present the use of an external injection

Preoperatively, determine the implant size by measuring the base diameter on the chest and then having the patient try on the selected implant in a bra. Any of the standard mastopexy incisions may be used. Most commonly, we use the subareolar version of the circumareolar technique or the vertical mastopexy. If the subglandular pocket is selected, we use the 50/50 gel/ saline implant. For a submuscular pocket, either the adjustable saline or the 50/50 gel/saline implant can be used (Figure 3).

The vertical mastopexy procedure can be also performed using external injection domes (Figure 4). Use a temporary sizer implant initially to reconfirm the size.

Figure 1. Diagrammatic representation of implant exerting lateral forces, which counteract the medial tightening forces of the mastopexy procedure.

Figure 2. A, C, Preoperative views of a 30-year-old woman with bilateral ptosis. B, D, Postoperative views 6 months following vertical mastopexy and augmentation using adjustable implants.

Then perform the mastopexy. Replace the temporary sizer with the definitive adjustable implant. Attach the filling tube to a trochar and bring it out through the skin through a long subcutaneous tunnel. Fill the implant to the desired size and perform skin closure. At this stage the implant volume is reduced about 25% or to a point at which there is minimal tension on the incision.

Place a Tegaderm dressing (3M, St. Paul, MN) over the injection dome. Five to 10 days later, when the patient is seen postoperatively, execute the final implant filling, and remove the dome and filling tube.

Discussion

The adjustable implant procedure has many advantages for mastopexy augmentation. The ability to under- fill the implant at surgery allows for initial tension-free wound healing, thus reducing the risk of complications. The final implant volume can be adjusted to optimally fill the newly created breast envelope.

By avoiding excessive tension on the skin during the healing period there is less chance of wound breakdown. Scars heal more rapidly and ultimately remain finer. The ability to increase the volume after surgery not only

Figure 3. A, C, Preoperative views of a 20-year-old woman with bilateral ptosis and asymmetry. B, D, Postoperative views 6 months following augmentation mastopexy using adjustable implants with external injection domes. E, F, Implant further filled via external injection dome. G, Injection dome removed 1 week after surgery.

Augmentation Mastopexy Using Adjustable   AESTHETIC SURGERY JOURNAL – NOVEMBER/DECEMBER 2006   739

Implants With External Injection Domes

Figure 4. A, C, Preoperative views of a 47-year-old woman with bilateral ptosis. B, D, Postoperative views 7 months following vertical mastopexy and augmention using Spectrum implants. E, The trocar is used to tunnel the fill tube subcutaneously. F, Tension free closure and external injection dome.

Clinical Insights

allows the patient to have input into her final size, but by increasing size, projection is increased and more lift is attained. Further, better symmetry can be achieved, especially if the breasts were uneven before surgery.7-9

The concept of external filling domes was first described by Jackson,10,11 and the domes have been used for breast augmentation with no reported incidence of retrograde infection. The external filling dome has been acceptable to those patients who wish to take advantage of postoperative adjustability without having to undergo a second minor procedure to remove the domes. ■

References

1. Fisher J, Maxwell GP. Selection of technique for augmentation mammaplasty. In: Noone RB, editor. Plastic and Reconstructive Surgery of the Breast. Hamilton, Ontario: BC Decker, 1991.
2. Becker H. Adjustable breast implants provide postoperative versatility. Aesthetic Surg J 2000;20:332-334.
3. Becker H. Expansion augmentation. Clin Plast Surg 1988;15:587-593.
4. Becker H. Breast augmentation using the expander mammary prosthesis. Plast Reconstr Surg 1987;79:192-199.
5. Becker H, Persoff MM. Expansion augmentation of the breast. Plast Reconst Surg 1993;91:393.
6. Becker H. Breast augmentation using the spectrum implant with exteriorized injection domes. Plast Reconstr Surg 2004;114:1617-1620.
7. Becker H. The correction of breast ptosis with the expander mammary prosthesis. Ann Plast Surg 1990;24:489-497.
8. Becker H. The dermal overlap subareolar mastopexy: a preliminary report. Aesthetic Surg J 2001;21:423-427.
9. Persoff M. Mastopexy with expansion-augmentation. Aesthetic Surg J 2003;23:34-39.
10. Jackson I, Sharpe D, Polly J, et al. Use of external reservoirs in tissue ex pansion. Plast Reconstr Surg 1987;80:266-273.

11. Jackson I. Immediate breast reconstruction with prolonged over expansion using the Becker permanent expander prosthesis. Eur J Plast Surg 1992;15:79.

Reprint requests: Hilton Becker, MD, FACS, 5458 Town Center Road, Suite 101, Boca Raton, FL 33486.

Copyright © 2006 by The American Society for Aesthetic Plastic Surgery, Inc.

1090-820X / $32.00 doi:10.1016/j.asj.2006.10.014

In standard procedure, the size is discussed before the procedure. The surgeon then performs the surgery, inserts the breast implants the size of which cannot be changed after the procedure.

The expansion technique is different, in that, the size of the breast implants can be actually changed by the surgeon after the procedure is completed, and furthermore once you continue to visit the surgeon for post-op care. The way it works is that a small reservoir is attached to a fill tube near the incision, under the skin. After the surgery is done, and during your visits to the surgeon, additional saline is injected into the implant with a syringe and needle until the appropriate volume is reached. This method is excellent dealing with uneven breast sizes.

Another use of the expander breast implants is to change the shape of the breasts. It can give the patient a rounder look, or more “scooped” look, to better fit their needs.

It is advisable to consult with your Plastic Surgeon whether this type of implant is the right choice for your needs.

Breast Implants

Our Interactive Model allows our visitors to make breast implant adjustments online. You can preview in a 2 dimensional scale what your breast implants may look like when a breast implant is performed.

Our services allow the client to find the right breast implant doctor, or research different breast implants doctors and their specialties. Most doctors perform breast implants, breast augmentation, breast lift, and breast reductions.  We also have one of the largest breast implant before and after pictures.

Please read our many articles about breast implants, what they might look like, how they feel when touched, and what risks maybe involved.  It is your ultimate goal to make the right breast implant decision.

One factor to consider is pain and how it will affect your choice in a breast implant surgery. We have dedicated many articles that discuss pain and how to cope with it.  There are several options to minimize pain when having any type of Cosmetic Breast Surgery. A little pump is the latest innovation in reducing post operative pain when a breast implant or breast lift or breast augmentation is performed.

In the United States the two major companies that manufacture breast implants are McGahan and Mentor. Both companies offer a variety of different breast implants:

• Oval Shaped with smooth surface
• Round shaped with a smooth or textured breast implants siltex surface
• Expandable adjustable breast implants

The expansion-augmentation of the breast is a technique for enlargement of the female breast that boasts several unique advantages over the standard augmentation method. These breast implants were designed by Dr. Hilton Becker originally as a reconstructive device.

There has been so much controversy in the last two decades pertaining to the silicone filled breast implants, that this section could turn intro an extremely long and tedious read. What is valid is the alarm it awoke in even the most skeptical person. Now that the Internet era is in full swing, more and more anti-breast implants sites are popping up.

Silicone sensitivity may be a problem with some patients, just as one may be sensitive to latex, nut oils or eucalyptus. However, there are far too many happy women with NO complaints whatsoever with implants in, for over two decades. According to the USFDA (Food and Drug Administration), there is no conclusive evidence regarding illnesses and silicone.
There are two types of silicone breast implants:

1) Silicone gel breast implants
2) Cohesive gel breast implants

BREAST IMPLANTS

Expandable/post operatively adjustable breast implants The expansion-augmentation of the breast is a technique for enlargement of the female breast that boasts several unique advantages over the standard augmentation method. These breast implants were designed by Dr. Hilton Becker originally as a reconstructive device. read more about breast implants

BREAST IMPLANTS

Anatomic Breast Implants

There are plastic surgeons that believe that these breast implants give a more natural look because they are shaped in the form of a tear, imitating the natural breast.

Textured

These breast implants were developed to reduced the chance of capsular contracture and promote tissue adherence.

They were developed to reduce the chance of capsular contracture(the hardening of the breast), and promote tissue adherence, which may help maintain proper implant positioning.

Because they are shaped in the form of a tear, they are commonly referred to as teardrop breast implants. However, studies have shown they are same as the round breast implants. The anatomic breast implants might be a better choice for a patient who has completely flat breasts or that has no breast shape at all. However, because the anatomic breast implants are textured, they might have a firmer feel, but at the same time might have a higher chance of rippling.
Rippling is the effect that is sometimes noticeable, where the skin seems to be actually rippling as a direct consequence of the breast implants, due to various reasons. It might be because of the tightness of the chest, because of the shape of the breast implants, or just because some patients are more prone than others to develop rippling. Again, this subject would be better discussed once the patient is undergoing the initial consultation with a Plastic Surgeon.