Toronto Breast Implant Selection

Implant variables include filler type, shape, surface texture, and volume. All Toronto breast implants are available with either smooth or rough shell texture. There are several studies that support the claim of decreased capsular contracture with textured implants. Most practitioners prefer this surface type with silicone gel breast implants, but it is believed that ripples are more common and more extensive in textured saline implants compared with
smooth shell types. Therefore, smooth shell saline breast implants Toronto are usually selected for primary augmentation in thin patients, the most common type. Textured saline breast implants can be used without disadvantage in patients with higher preoperative breast volume, such as those undergoing augmentation with mastopexy. Another good indication is a small volume augmentation intended primarily to fill out a flat or depressed upper pole in patients with otherwise satisfactory breast volume.

Shaped or “anatomic” implants may have more conceptual superiority to round breast implants
than they actually offer in practice. The type that is applicable to breast augmentation has a vertical axis longer than the horizontal axis and has been successfully marketed by the
manufacturer to prospective patients as having a natural, “teardrop” shape. The majority of breast augmentation patients are still best served by conventional round breast implants, although shaped breast implants are very successful when applied to the quite different setting of breast reconstruction. A flat upper pole of the breast can be consistently achieved with round implants when the appropriate size and final fill volume are selected.
Shaped implants should be used with caution in secondary cases where there is an established implant cavity with a retained capsule. In these cases, the implants may rotate on their axis during the postoperative period and result in asymmetry requiring further surgery. It is also not clear whether the stress forces that ultimately result in implant failure are equally distributed in shaped breast implants compared with round breast implants Toronto.