Breast Implants - Learn how to choose the shape & size for you're breast augmentation procedure.
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Hello! My name's Adrian Richards and today I'm going to be talking a little bit about how you select the basic different types of implants which are either round implants or teardrop shaped implants. So this is a round implant and you can see from the cross section, this bit goes against the chest wall, the flat section and then from the cross section, you can see a round implant, it's sort of curved, dome shaped upwards. So in anyway you turn it, it will still be domed. Okay? Teardrop shaped implant on the other hand, this is obviously the upper bit facing your chin and this is the lower bit facing your tummy button, it is much flatter in this portion here and much more curved to simulate the natural appearance of the breast. So both of the implants have a lot of similarities, both are textured so that means they're slightly furry. The reason why we use textured implants is because they've been shown to have a much lower rate of capsular contracture than the smooth implants which we used 20 years ago. Capsular contracture is when the body sort of walls off the implant and they can go hard which occurs in about less than 3% of cases with these latest textured implants. So we've got a shaped implant, round implant. Now how to choose which one is best for you. Well, basically, shaped implants tend to be used on people with less natural breast tissue. So the test is again the caliper test and what you need to do is measure the amount of natural breast tissue you've got. So we do this with a calliper, measuring your natural breast tissue in the upper parts of the breast. So when we measure that, we're actually taking in two skin thicknesses, so two thicknesses of the breast tissue. So if we measure this as over two centimetres, that means that you've got one centimetre of natural breast tissue covering the implant. So if your pinch is over two centimetres, we tend to think along the lines of a round implant. If you've got under two centimetres of natural breast tissue, we tend to think along the lines of a shaped implant. Now what's the reason for that? The reason for that is if you've got over two centimetres of natural pinch, that's one centimetre of natural breast tissue, you've already got reasonable breast volume and probably a reasonable breast shape. So all we're aiming to do is augment what you've got. So we tend to use a round implant which actually when you sit up, when you're vertical, does tend to go slightly teardrop shaped anyway. The advantages of a round implant is there's no real risk of implant rotation because even if the implant rotates a little bit, you don't want to cause a problem with the shape of the breast. Now a teardrop shaped implant, as I said, is used in people with less breast tissue, with under two centimetres of thickness and the reason for that is that -- what we need to do in that case is really create the breast shape. So in that scenario we'd use a shaped implant which gives us the full appearance of the breast. Now there is a slightly increased risk of rotation of the implant so you can see if it rotates a little bit, it can distort the appearance of the breast. Now this is fortunately very rare but it can happen. So again, just to summarise, both implants, textured, furry, both contain the latest cohesive silicone. Round implants tend to be used in people with some natural breast tissue, over two centimetres pinch in the upper pole that means one centimetre of natural breast tissue. Shaped implants tend to be used in people with less than two centimetres of natural breast tissue in the upper pole because we need to create the normal anatomy, the attractive appearance of the breast in those cases. So I hope that's clarified which way you should go. In the next episode I'll be talking about within the families of round and shaped implants. There's an awful lot of variation. I'll be talking a little bit about how you select the right implant for you from either one of these families. Than
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