Breast augmentation is one of the most popular cosmetic surgical procedures worldwide. One of the key factors in achieving a natural, safe and long-lasting result is choosing the right breast augmentation implants. At Dr Brianda’s clinic, specialised in plastic, aesthetic and reconstructive surgery, we understand that every patient is unique and that implant selection must be tailored to individual anatomy, expectations and lifestyle.
In this article, we explain clearly and in detail the different types of breast implants available, which are most commonly used today, the differences between round and anatomical implants, how the appropriate size is chosen, and how to care for implants over the long term.
What Are Breast Augmentation Implants?
Breast implants are medical devices specifically designed to increase breast volume, improve shape and correct asymmetries. They are made from biocompatible materials and have evolved significantly over recent decades, now offering high standards of safety, durability and very natural-looking results.
Modern breast implants used in aesthetic surgery are subject to strict quality controls and European certifications, ensuring their reliability when placed by a qualified plastic surgeon.
Types of Breast Augmentation Implants According to Their Filling
Saline Breast Implants
Saline implants consist of a silicone outer shell that is filled with sterile saline solution during surgery. The surgeon inserts the implant empty and then adjusts the volume to the desired size.
Although widely used in the past, saline implants are now less common in Europe due to several disadvantages:
- Less natural feel to the touch.
- Higher risk of visible rippling, especially in slim patients.
- Possible deflation if rupture occurs.
In Spain, saline implants have largely been replaced by silicone gel implants.
Silicone Gel Breast Implants
Silicone gel implants are by far the most commonly used option for breast augmentation today. They are filled with a highly cohesive gel that maintains its shape even in the event of rupture.
Their main advantages include:
- A feel very similar to natural breast tissue.
- Greater stability and durability.
- More natural aesthetic results.
- A wide variety of shapes, sizes and projections.
In Europe, and particularly in Spain, silicone gel implants are considered the gold standard in aesthetic breast surgery.
Polyurethane-Coated Implants
Polyurethane-coated implants are silicone gel implants with a special outer layer. This coating improves adherence to surrounding tissues and reduces the risk of capsular contracture.
They are particularly recommended for:
- Patients with a history of capsular contracture.
- Revision or secondary breast surgery.
- Complex or reconstructive cases.
Dr Brianda carefully evaluates each case individually to determine whether this type of implant is the most appropriate option.
Implant Surface Types: Smooth or Textured
Breast augmentation implants can also be classified according to the surface of their shell:
Smooth Implants
These implants provide a very soft feel and allow more natural movement within the breast. Their use has increased in recent years, especially with modern surgical techniques.
Textured Implants
Textured surfaces were designed to reduce the risk of capsular contracture. However, their use has declined in recent years due to new scientific evidence and updated health recommendations.
The choice of implant surface depends on the clinical case, surgical technique and the surgeon’s experience.
Breast Implant Shapes: Round or Anatomical
Round Breast Implants
Round implants provide more volume in the upper pole of the breast, creating a more pronounced cleavage. They are ideal for patients seeking a fuller or push-up effect.
Anatomical (Teardrop) Implants
Anatomical implants, also known as teardrop-shaped implants, mimic the natural shape of the breast. They are evaluated in three dimensions: height, width and projection.
They are especially suitable for:
- Very slim patients.
- Breast reconstruction.
- Correction of deformities or asymmetries.
Which Is Better: Round or Anatomical Implants?
There is no universally “better” implant shape. The choice depends on:
- The patient’s anatomy.
- Chest width and breast measurements.
- Degree of breast ptosis (sagging).
- The patient’s aesthetic goals.
- The surgeon’s experience.
At Dr Brianda’s clinic, each case is assessed on a fully personalised basis.
How Is the Size of Breast Augmentation Implants Chosen?
Implant size selection is one of the most important decisions in breast augmentation. It is not simply about choosing a number of cubic centimetres, but about achieving a balance between aesthetics, proportion and safety.
Factors considered when selecting implant size include:
- Chest width.
- Skin elasticity.
- Existing breast tissue.
- The patient’s lifestyle.
- Personal expectations regarding the final result.
Professional guidance from a plastic surgeon is essential to avoid artificial-looking results or long-term complications.
Do Breast Implants Need to Be Replaced Every 10 or 15 Years?
There is a common myth that breast implants must be replaced every 10 years. In reality, breast implants do not have a fixed expiration date.
Replacement is only necessary if routine imaging tests (ultrasound, mammography or MRI) detect a problem such as:
- Implant rupture.
- Capsular contracture.
- Unwanted aesthetic changes.
MRI is considered the gold standard for assessing implant integrity. Under normal conditions, implants can last 15 to 20 years or even longer.
Caring for Breast Augmentation Implants
Breast implants do not require special care beyond maintaining overall good health. However, some general recommendations include:
- Wearing a supportive bra regularly to prevent sagging.
- Attending periodic medical check-ups.
- Maintaining a stable body weight.
- Following all postoperative and medical advice.
Proper follow-up ensures implant longevity and long-term breast health.
The Importance of Choosing the Right Breast Implants
Selecting the right breast augmentation implants is essential to achieve a safe, natural and satisfying result. It is not just about the implant itself, but about comprehensive surgical planning performed by a qualified specialist.
At Dr Brianda’s Clinic in Malaga and Clinic in Marbella, we offer a rigorous, personalised medical approach based on experience and excellence to help you make the best decision.
Book your consultation today and take the first step towards the breast shape you desire with complete confidence.
