Round vs Teardrop/Anatomical
Implants come in round or teardrop shapes. Depending on the breast shape you hope to achieve, you and your doctor may choose either a round or a contoured implant with a teardrop shape. A contoured implant can provide a more natural-looking result as the implant is tapered at the top and gently slopes to a fuller projection point near the base, mimicking the silhouette of a natural breast. However, a slightly larger incision to place the implant may be required with a teardrop implant.
Smooth vs Textured
Implants come with either a smooth or textured surface. Smooth-surfaced implants have a slightly softer shell and are less likely to be felt through the skin. Textured implants have a gentle imprinted surface which is designed to help keep your implants in place and lower the risk of scar tissue tightening around the implant (called capsular contracture), which may require removal of the implant.
Talk to your surgeon about the implant type that would best suit you given your individual situation and preferences.
Deciding on the size of your implant can sometimes be one of the most difficult choices for women having a breast reconstruction. Breast implants do not come in traditional bra cup sizes, but are measured in cubic centimetres, referred to as cc’s.
It is important to remember that silicone implants are already ﬁlled when placed whereas saline implants are ﬁlled by your doctor during your procedure, allowing some flexibility in sizing. Some saline-filled implants used during immediate, one-step reconstructions, offer the opportunity to adjust the size of your implant for up to 6 months after your procedure.
Your surgeon is the best person to discuss this issue with as implant sizing as part of a breast reconstruction will be dependent upon a number of factors including; matching the implant to your remaining breast (if applicable), the type of mastectomy you have had and the condition of your skin following treatment, the shape of your chest wall and your preferences in relation to the type of implant you want and your desired size.