Round or Shaped Implants – Which do Women Prefer?

When women choose breast augmentation, they open the door to a series of additional choices. Some traditional choices are well known even among people who have not undergone breast augmentation or reconstruction. For example, the choice between saline and silicone is discussed frequently and has been a public issue for some time.

Advances in plastic surgery have made some additional choices necessary. Surgeons can use round or shaped implants when patients choose silicone for their breast augmentation. However, it is difficult for patients to have a point of reference when these decisions come up. They rely on their doctors to guide them because they may have only a few examples of people in their life who have had breast augmentation. They may even be entirely uninformed about the procedure outside of what their doctor tells them.

Common Complaints

The reason why many people choose silicone over saline in the first place is the sensation factor. Many people have said that silicone feels more natural in the hands when compared to saline, like real tissue. When deciding between round and shaped implants, doctors often try to help patients by referring to this issue and the way that round and shaped implants deal with them.

Round Vs Shaped Implants

Round implants are the traditional implant that has been around for decades. However, some patients complained that this did not always result in a breast that had a natural shape. With patients who had smaller breasts to begin with, they often felt like their round implants were obvious and odd-looking.

Breast Augmentation Concerns

An additional concern in patients after surgery was the tendency of some implants to ripple. Saline implants were infamous for this weakness. However, this is also a possibility with silicone. Doctors use this as a reference point as well when discussing the matter with patients.

Shaped implants were developed to deal with these desires. They are packaged in silicone shapes that appear more like breasts prior to surgery. However, these shaped implants have also generated some concerns.


Overall, when asked about their implants after recovery, patients seem to emphasize that their round implants felt soft. Patients with shaped implants, who were asked the same battery of questions, were less emphatic about the softness of their breasts and were more likely to characterize them as firm.

These results can be read in various ways. Obviously, softness is desirable as a trait for reconstructed or augmented breasts. Yet firmness is also considered desirable. This information makes the choice just as difficult as it was before.

However, doctors have definitely perceived round breasts to be more prone to rippling than shaped implants. The shaped devices, which have a textured exterior, seem to hold on to avoid losing contact with the connective tissue that surrounds them.

Nevertheless, women and surgeons remain divided on the issues. Satisfaction with each type of implant is roughly the same. The differences are not presently significant enough to encourage large groups of patients or doctors to prefer one or the other.