Implants are artificial devices that are inserted and placed into the breasts, with the goal to augment and enhance the aesthetic features of the breasts. Breast implants are made of a silicone shell that is filled with silicone gel or saline solution. Implants come in different profiles, shapes, and textures. It is essential to choose a suitable breast implant so that your aesthetic goals can be achieved. Choosing a breast implant is not as easy as it may sound. Most people are not aware of the different options. As such, it is not easy for them to choose the right breast implant. Breast implants are selected during the pre-operative consultation. The patient and surgeon should collaborate to choose the right breast implant. How to choose the right breast implant The different types, shapes, sizes, and profiles of implants often confuse patients who are considering breast augmentation. But if the plastic surgeon is experienced and skilled, he/she can help you choose a suitable implant. During the pre-operative consultation, the plastic surgeon will carefully measure your chest and breast dimensions, assess your existing anatomy, take into account your body outline, and know your aesthetic goals to determine the breast implant that would best suit you and help you achieve the desired outcomes. Breast implant types The first decision the plastic surgeon and patient will make during the pre-operative consultation pertains to the type of breast implant. If it turns out that you are a good candidate for breast implant surgery, the plastic surgeon will help you choose a suitable implant type. There are two types of breast implants: silicone and saline implant. The silicone implant is made of a silicone shell that comes pre-filled with silicone gel. On the other hand, the saline implant is made of a silicone shell that is filled with saline solution after inserting it into the breasts. Most surgeons and patients prefer silicone implants because they deliver better aesthetic results and the complication rate is lower compared to saline implants. Saline implants make the breasts look like balloons filled with water, whereas silicone implants deliver relatively natural-looking results. A new and more popular type of silicone breast implant is the cohesive gel or gummy bear implant. It comes filled with more cohesive and form-stable silicone filler. The filler makes the implants more durable and the results look more natural. Whether you decide to get the silicone implant or saline implant, they come in different sizes, shapes, and profiles. If you decide to go with the silicone breast implant, you’ll have to choose between smooth and textured implants. Smooth or textured implant? Silicone breast implants are available in two forms: smooth and textured. Textured implants have a coarse exterior surface, whereas soft implants are plain. Textured implants are less likely to trigger capsular contracture and implant displacement as the texture holds them tightly in place. Which of these implants is best for you will be determined by the plastic surgeon. The surgeon will ask questions about your aesthetic goals and then recommend either the textured or smooth implant. There are two options to place the implants within the breasts: over the pectoral muscle and under the pectoral muscle. When textured implants are placed under the muscle, the results may look unnatural. Most surgeons prefer to place textured implants above the pectoral muscle. On the other hand, smooth surface implants are placed under the pectoral muscle where they will be less palpable and the risk of rippling will be lower. The results will also look natural in this position. Breast implant shape Breast implants are available in two different shapes: teardrop and round. The teardrop breast implant is also called anatomic implant. Even though some plastic surgeons prefer to use teardrop breast implants, most surgeons prefer smooth, round implants because they deliver more natural results and are soft. The risk of rippling and palpability is considerably lower when teardrop smooth breast implants are used. The best way to choose a suitable implant shape is by working with your plastic surgeon. Depending on your aesthetic goals and the specific cosmetic flaws in your breasts, the plastic surgeon will recommend an ideal breast implant shape that would deliver the desired aesthetic improvements. Keep in mind that when the implant’s outer surface is textured, the implant shell is thicker. As such, the implants are more prone to palpability and rippling. They are also more likely to leak. Given that teardrop breast implants must stay intact in the intended place and position, they should have a textured surface so they can stick to your body tissue and stay in place. What this indicates is that the textured or teardrop cohesive gel implants will not move when you move around or change position. Furthermore, they will retain their teardrop shape even when you are lying down. It would make your breasts look fake because natural boobs flat out and become round when you are lying down. On the other hand, round implants are preferable because they look round when you are lying down, which makes them look natural. Also, they make natural movements like natural breasts. So, to sum it up, the round implant is preferable because it is more anatomic compared to teardrop implants. Breast implant profile Breast implants are available in different profiles, and the profile of the implants is the most important consideration that must be taken into account when choosing breast implants. Which implant profile is best for you depends on your existing anatomy, the aesthetic flaws in your breasts, and your goals and expectations. The plastic surgeon will measure your current breast dimensions and take your body outline, height, and BMI into account when determining a suitable implant profile for you. The breast implant profile denotes the extent of projection that the implant will add to your breasts. The breast implant profile also indicates the degree to which your breasts will project in the forward position from your chest. When choosing the breast implant profile, the plastic surgeon will carefully look at the base of the implant. If you desire to have natural-appearing breasts, you should choose an implant that fits well with your current breast dimensions or is slightly smaller. Petite and thin women should be more careful when selecting their breast implant profiles. To add more projection to your breasts, you should get an implant that has a large profile but small base. Doing so will make sure that the implant is not very large for your chest dimension. Breast implants are available in low, medium, high, and extra high profiles. The low profile breast implant features an extra wide base and is flat in appearance. They will add only some projection to your breasts. Low profile implants are best for patients who have a wider chest dimension. Medium profile breast implants feature a narrow base. They are suitable for patients who have small chest dimensions. This implant can add moderate projection to the breasts, making the breasts look natural and beautiful. When it comes to high profile breast implants, they are right for you if you are petite and want to get bigger breasts. The base of these implants is extra narrow, which means they can fit well in your breasts and chest. High profile implants can add extra projection to your breasts. The extra high profile implants are not much in use. They are suitable for you if you have particular aesthetic goals. They feature an incredibly narrow base and can deliver sufficient upper pole projection. Breast implant size Another critical factor to take into consideration is the size of the breast implants. Implants come in different sizes, which gives you enough freedom to choose the size of your choice. Breast implant sizes range from 120cc to 1000cc. Common implant sizes are 300cc and 400cc. However, not all sizes fit all patients. Like the breast implant profile, the size of the implants should also be carefully chosen, based on your existing anatomy, chest dimensions, and aesthetic goals. In other words, there is not a standard breast implant size. The size of the implant must accentuate your chest dimensions, body outline, BMI, height, etc. Conclusion Breast implants are artificial objects that are available in different types, profiles, shapes, sizes, and textures. It is not easy for the patient to choose the right implant when considering breast augmentation. The surgeon and the patient must work together to select a suitable breast implant. Many measurements and factors go into choosing the right implant. The elements that need to be taken into account when selecting the breast implant have been explained above.