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Breast Implant Basics | Shape, Size, Texture, Placement, Profile & Incision

How to decide on the best breast implant for you

When it comes to Breast Augmentation surgery, there are several factors that need to be considered to determine the right implant shape, size, texture, placement, profile as well as incision type.

Breast Implant Shape

Breast implants come in two different shapes, Round implants or Teardrop implants, and which one you choose determines the final appearance of your breast. The shape recommended will vary for everyone based on their aesthetic goals and anatomy, therefore careful consultation with Dr Ian Chinsee is required.

Round: Round breast implants are symmetrical, round, and generally will not cause any problems if they happen to rotate. Round implants are designed to add volume both in the lower part of the breast and higher up on the chest and are generally suitable for patients looking for more lift and cleavage.

Teardrop: Tear drop breast implants are also known as Anatomical implants. They follow a contour closer to the natural breast with less volume at the top and more at the base. Tear-drop implants are generally suitable for patients wanting a natural sloping appearance mimicking the tear drop shape, more fullness in the lower pole or for those with lower-placed nipples.

Smooth vs Textured

What is the difference between smooth breast implants vs textured breast implants?

Smooth Breast Implants: Smooth breast implants are a type of implant characterised by their smooth outer surface, which is glossy and slick, allowing them to move freely within the capsule that forms around the implant. These implants have a softer texture compared to textured implants,  which may result in a  softer appearance and feel when placed in the breast pocket.

Textured Breast Implants: Textured breast implants are designed with a rough and irregular surface. The texture of these implants is designed to allow them to adhere to the surrounding tissue, helping to maintain their position over time. Compared with smooth implants, textured implants are less likely to shift or reposition.

One of the considerations of textured implants is their association with a reduced risk of capsular contracture, which refers to the formation of scar tissue around the implant. During your consultation, Dr Ian Chinsee will delve into the various levels of textures available, any side effects and discuss which option best aligns with your individual needs and desired outcomes.

Breast Implant placement

Under The Muscle, Dual Plane Or Over The Muscle,?

When considering the appropriate placement of breast implants, it is essential to consult with a qualified Doctor who can assess your unique anatomy, aesthetic preferences, and overall physical characteristics. The decision between under the muscle (submuscular), dual plane, or over the muscle (subglandular) placement depends on various factors that are specific to each individual.

Under the muscle placement involves positioning the implants beneath the pectoral muscles, providing additional coverage. Dual plane placement is a technique that combines elements of both under the muscle and over the muscle, offering a customised approach to address specific breast shape and tissue characteristics. Over the muscle placement entails positioning the implants directly above the pectoral muscles which may be appropriate for individuals such as bodybuilders who would prefer the implant did not interfere with their exercise.

To gain a comprehensive understanding of the dual plane technique, we encourage you to watch Dr Ian Chinsee’s informative YouTube video where he explains the differences of this approach. This may help you make an informed decision based on your personal preferences and the recommendations of  your Doctor.

Youtube Video 

Breast Incision Options

There are three different types of incisions for breast augmentation – the inframammary fold, peri areolar and endoscopic transaxillary.

The Inframammary fold incision (under the breast incision): This incision placement is the primary option Dr Chinsee uses during his breast augmentation surgeries. This incision typically measures around three to five centimetres in length and is strategically positioned close to the inframammary fold, which is the natural crease of skin beneath the breast. This incision approach allows for optimal access to the breast pocket during surgery, and is designed to allow for more precise positioning of the implant while ensuring that the resulting scar is typically well-healed and less obvious.

Peri areolar incision (nipple incision): This incision type is made in the lower half of the areola, just inside the pigmented skin. It allows for precise placement of the implants and often heals very well. It is, however, only appropriate for implants up to a certain size, dependent on the individual’s nipple anatomy. This incision type is also associated with a very slight risk of interference with breast feeding and potential changes in nipple sensation.

Endoscopic Transaxillary incision (armpit incision): This incision is placed in a skin fold in the armpit. Although this incision type leaves no scar on the breast itself, it can make it difficult to place the implant as precisely as other incision types.

Breast Implant Size

Selecting the appropriate implant size for your breast augmentation can be a significant decision, and we understand that it may feel overwhelming. Dr Chinsee’s goal is to guide you through this process and help you achieve your desired outcome. There are various factors to consider, including your measurements, desired appearance, and lifestyle considerations.

It is essential to recognise that the same implant size can yield different results on different patients. Everyone has a unique combination of natural breast tissue and soft tissue, which influences the outcome. Breast augmentation is designed to complement your existing features, and the implant size should be appropriate to your natural proportions.

During the consultation, Dr Ian Chinsee will consider your measurements, frame, current cup size, and desired outcome. Based on this assessment, Dr Ian Chinsee will recommend a selection of implant sizes that align with your figure and anatomy. However, the ultimate decision on implant size will be yours, allowing you to feel confident and satisfied with the chosen option.

In addition to your aesthetic goals, it is crucial to consider your lifestyle and daily activities. If you are an active individual, participating in sports or running, for example, the recommended implant size should align with your physical activities and potential impact on your body.

Rest assured that Dr Ian Chinsee and his team are here to support and advise you throughout the decision-making process, ensuring that you are well-informed and comfortable with your choice. We strive to provide you with exceptional care and results that align with your desired outcome while considering your unique anatomy, needs and preferences.

Breast Implant Profile

Understanding implant profile is crucial in making informed decisions during the breast augmentation process. Breast implants are available in various profiles, such as moderate plus, high, and ultra-high profile. The profile refers to the implant’s projection relative to its diameter or base width, indicating how far the implant projects forward from the chest wall.

It’s important to note that implants of the same volume (measured in cc) but with different base widths will result in varying levels of projection. Implants with a smaller base width will project further compared to those with a wider base width.

Dr Ian Chinsee will have an in-depth discussion with you about the appearance you desire to achieve. We encourage you to share wish pictures that illustrate your aesthetic goals. The implant profile selection will be tailored to your unique body proportions and desired outcome, ensuring that the chosen implant is suitable to your natural shape and proportions.

During the consultation, Dr Ian Chinsee will help guide you through the decision-making process, providing professional advice and considering various factors, such as your body type and aesthetic preferences. Our aim is to help you achieve your desired look while ensuring that the chosen implant profile aligns with your individual anatomy.

Read Dr Ian Chinsee’s complete Breast Implant 101 Basics below
Read more

– Dr Ian Chinsee (MED0000975196)
Registered Medical Practitioner, General Registration
Bachelor of Medicine and a Bachelor of Surgery (MBBS)
Surgical Fellow of the Australasian College of Cosmetic Surgery & Medicine [FACCSM (surg)]


All surgical or invasive procedures carry risks and potential complications. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner⁠.⁠ The images and videos shown on our website and social media pages are published with the consent of our patients. Results, risks and recovery will vary between individual patients and are dependent on factors including, but not limited to genetics, diet and exercise. As such these images do not guarantee that your results or surgical outcome will be the same. For more information on risks, recovery & revisions costs please click the link below (Recovery, Risks, Revisions) The content on our page is general in nature and does not constitute medical advice. Please contact us for more information