Which implants would you recommend, anatomical or round?

This is a common question plastic surgeons are asked because of the new anatomic implants and we are, in general, learning the best patients for these implants.

If you want to go up two sizes you will require larger implants. You should try the rice test or Mentor test implants for sizing. The discussion to place anatomic requires a photograph to look at your nipple position, skin laxity and the amount of skin below the nipple to the fold.

Round implant in the sub-muscular position has passed the test of time. Good luck.

There is no "right" or "wrong" answer as to whether or not to choose round vs shaped implants. Its largely a matter of personal preference and the final result you wish to obtain. In my opinion, women who are small breasted get a greater benefit from the use of shaped implants. Smaller breasts tend to have less of a traditional breast "shape" and therefor tend to benefit more from the use of shaped implants. The larger the breasts are compared to the size of the implants, the less effect the shaped characteristic of the implant influences the final result.

Although it is true that shaped implants can rotate, if the surgery (creation of the breast implant pocket) is done well, the likelihood is small. In my observation, activity (job related or otherwise) plays a negligible role in the likelihood of the implant rotating provided that at least several weeks have elapsed after surgery prior to performing excessive arm use.

There are two aspects to your question: shaped vs round, and what size. Shaped implants are firmer, may require a longer incision for placement, and cost more. If your surgeon has recommended them based on an assessment of your anatomy and goals then it might be worth it. Round implants may move a bit more, as natural breasts do. Size is another matter, because there is no reliable formula to predict cup size based on implant size. An increase of 2 cup sizes seems likely to require more than 215 cc however.