Dr Tavakoli has a rigorous protocol for choosing which shaped implants. He has extensive experience in both shapes and has no personal preference as long as it fits the patients breast template. The choice of breast implants varies from round to teardrop (anatomical (teardrop)) shapes. Both the round and teardrop breast implants come in both low and high-profile varieties. The shape variation is in the width and projection of the breast implants for any given size. In the Round range there are 5 profiles or projections: Low Profile Medium or Moderate Profile High Profile Extra High Profile Ultra High Profile In the Anatomical (teardrop) range there are 3 main bases and also 5 Profiles (projections) like above: Short Oval Base Long Oval Base Round Base The spectrum of breast implants available to the surgeon can therefore provide much greater versatility in achieving a more natural look. The majority (60%) of patients in my practice elect to have Anatomical (teardrop)/Tear drop shaped. Since I prefer placing the implant in a submuscular pocket in most patients, implant edge visibility in the upper pole of the breast can be avoided even in the round implants. The round implant tends to be ideal for those patients with well-shaped natural breasts who desire a straightforward enlargement in all dimensions but specially in the upper pole. Use of the teardrop (anatomical (teardrop)) shape depends on the patient’s desire, as well as her breast shape. In general, there are two groups of women who benefit from teardrop-shaped breast implants. It can be the ideal choice for women who have mild droopy and/or tuberous breasts. Mild elevation of the nipple in relation to the breast mound can be achieved without the need for extra scars on the actual breast (unlike breast lift scars). In these cases, the implants may be inserted in a subglandular or subfascial pocket (under the breast tissue) or Dual Plane Submuscular Pocket. In moderate to severe cases of droopiness, breast lift must be performed at the same time as breast augmentation in order to restore aesthetic shape. Please read the section on this website on Breast Lift procedures if you suffer from droopiness. Patients that need a Breast Lift and go to a surgeon that uses massive Implants instead of performing a Breast Lift will end up with huge droopy breasts that will cause a lot of neck and back pain. Secondly, some patients specifically want less fullness in the upper quadrant. Teardrop breast implants offer s gentle slope in the upper pole region.