First of all, about the type, I much prefer a round, smooth-walled implant. It gives the most natural appearance in my opinion. If you use an oval-shaped impant, it can rotate. To keep it from rotating, they texture it, and I believe texturing it creates more problem with capsular contracture, or firmness. So I use a smooth, round implant, and as I said I far prefer placing it over the muscle. I do not commit to a size implant before the surgery. I have a thorough discussion with the patient, an
Breast augmentation surgery: type and size of a breast implants