Breast Implants

Shapes, Surfaces & Size

Breast Impants

All breast implants consist of an outer casing (the ‘shell’ or ‘wall’) and an inner filler material.  This inner filler can be saline (salt water), silicone gel or a combination of both.

Breast implants also differ in a number of other ways: their shape (Round or ‘Tear-Drop’), their surfaces (Smooth or Textured) and finally their size and projection (the amount by which they project forwards).

Implant Shapes

Implant Shapes - Round

Round Breast Implants

  • Deliver more upper breast fullness.
  • Are sometimes the preferred shape to restore upper breast volume lost through breast-feeding or weight loss.
  • Can be inserted through any incision location.
  • Being perfectly round, implant rotation cannot produce any deformity of breast shape.
Implant Shapes - tear drop

‘Tear-Drop’ Breast Implants

  • Provide more fullness in the lower half that tapers off towards the top.
  • On profile, they deliver an attractive and natural straight-line drape of skin from collar-bone down to nipple.
  • Can only be inserted through an incision under the breast.


Implant  Surfaces

Breast implants also vary in their surfaces, essentially Textured (also called ‘Rough’) and Smooth implants.

Implant Size

The final choice as to size of implant should be entirely yours. By all means, listen to your surgeon’s recommendations but don’t allow him/her to make the final choice for you.  Instead, choose the size that you feel gives you the ‘look’ you want and not what you think others may like.

Based on many chest and breast measurements, our Surgeon will hand you all the various implant shapes and sizes that suit your measurements and have you insert them one at a time into a ‘crop-top’ to see in a mirror the degree of correction each can give you. This is by far the most reliable way to choose the size and shape of implant that will best deliver the ‘look’ you’re after.

Most importantly, although we’ll insert whichever size YOU want – provided, of course, it’s surgically possible – we always recommend you choose a size that is in proportion with your overall figure and makes you look ‘great but not fake’.

Frequently Asked Questions

Brands aside, implants basically differ in terms of:

  • What they are filled with: Silicone or Saline;
  • Shape (Round or Tear-Drop);
  • Surface (Smooth or Textured; and
  • Size.

With all those choices, there are so many combinations for every patient. And because we don’t offer only one brand or one type of implant, we can customise your implant choices to exactly what you like and what best suits your breast measurements.

Silicone-filled implants are far more popular with patients than Saline implants because they:

  • have a more natural ‘feel’ because they feel more like breast tissue.
  • cannot spontaneously deflate.
  • have less chance of visible surface wrinkling/rippling.
  • enable patients to choose a very natural ‘tear drop’ shape whereas all saline implants are ‘round’.

This is largely a personal choice because every patient has in mind an image of how she wants her breasts to look. The basic differences in appearance are:

  • ‘Tear-Drop’ Implants deliver a more natural appearance because they are tapered towards the top and thus allow a straight-line drape of skin from collar-bone down to nipple.
  • Round Implants, on the other hand, are fuller at the top than ‘Tear-Drop’ Implants. Although this can be an advantage for women who have lost much upper breast fullness through breast-feeding, in other women they can sometimes produce a ‘stuck on’ look, especially if the woman has insufficient tissue coverage.

Our Surgeon will show you both types at your Initial Consultation and have you insert each into a ‘crop top’ to see which ‘look’ you like best.

If there was a simple answer to this, all implants would have the one type of surface! In reality, each type of implant surface has its pros and cons and you need to ask your Surgeon what these are before making your choice.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.