The 21st Century Silicone Breast Implant

According to some, conventional anatomically shaped breast implants provide a more natural appearance as compared to round implants. However, despite this possible advantage, three critical drawbacks associated with anatomical implant shave limited their adoption and created concern amongst both plastic surgeons and patients alike: Anatomically shaped breast implants have the potential to rotate and shift thus causing distortion leading to revision surgery and likely implant replacement. Rotation by definition is not an issue with round implants [1-3]. Macro textured surfaces were developed to improve tissue adherence and reduce the incidence of implant rotation. However, this shift to aggressive macro textured surfaces lead to an unanticipated increase in the occurrence of double capsules and late seroma. Implant firmness, as well as a rigid shape that does not adjust to a woman´s natural movements, are limiting factors for patients looking for a natural aesthetic result.