Breast Augmentation – Do Women Prefer Round or Shaped Implants?

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A recent study conducted by researchers from the University of British Columbia, Vancouver examined the differences in results reported by patients who had either round or shaped breast implants. Dr. Simon Ourian of Epione Beverly Hills says that he is somewhat surprised at the results but that safety, not appearance, is his primary concern.

Beautiful woman with breast implants

Breast Implants

Many people question whether there is a true difference between shaped breast implants and round implants. Currently only the round gel implants are approved for general public use. Cohesive anatomically shaped breast implants are not approved in the United States, though trials for the latter are being conducted. A study published in the March 2013 volume of Plastic and Reconstructive Surgery examined patients who underwent breast augmentation, approximately half with round implants and half with anatomically shaped implants. The study confirmed that patients had no difference in overall satisfaction between round and shaped implants (Go to: Go to goo.gl/KWnm3).

“I’m somewhat surprised at the results,” says Dr. Ourian, Medical Director of Epione Beverly Hills. “I would have anticipated that anatomically shaped implants would prove more popular.”

Over the years silicone breast implants have changed in shape, thickness, and construction. The first generation lasted about eight years, and the second generation was thinner and rounder, leading to a more natural feel. After several reports of rupture and gel leakage into the body, a third generation of implants was created in 1982. The fourth generation of silicone breast implants offers a low-leakage shell and more cohesive silicone gel. A fifth generation is rounder and offers less rippling with a more "breast-like" look.

The study, conducted by researchers from the University of British Columbia, Vancouver, set out to discover the patient reported outcomes of breast reconstruction using round implants versus shaped implants. The study included 65 women who had received round implants and 63 who had shaped implants.

The patients completed a special questionnaire that focused on various aspects of their lives such as general satisfaction, satisfaction with care, satisfaction with overall outcome, as well as psychosocial, sexual and physical well-being. Patients completed the questionnaire at one to four years post-surgery.

Women who had surgery with shaped implants had a satisfaction score of about 77 percent out of 100, whereas women who had round implants placed had a 75 percent satisfaction score. The study confirmed that there was very little difference in satisfaction across the board, except that women with shaped implants self-rated their breasts as firmer than the women who had received round implants.

“Safety really is the most important issue,” says Dr. Ourian. “Of course, a good result and patient satisfaction would be next on the list.”

Dr. Ourian has been a pioneer in laser technology and non-invasive aesthetic procedures including Restylane, Juvéderm, Radiesse and Sculptra. These treatments are used for the correction or reversal of a variety of conditions such as acne, acne scars, skin discoloration, wrinkles, stretch marks, varicose veins, cellulite, and others. More information about breast augmentation options can be found on Epione’s website.

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