Breast implants are available not only in different sizes but each size has differing projections as well. Projection involves a change in the manufactured shape of the implant so that more volume can project forward at the expense of narrowing the implant’s base diameter. A high projecting implant, therefore, has the theoretical possibility of making the final breast shape fuller on top than lesser projecting breast implants.
When considering breast augmentation, women are focused on two different types of final breast shape. The first is the more natural tear-drop shaped breast that has more fullness in the bottom of the breast than the top as seen in a side view. The other is a rounder breast shape (some call it unnatural) than is fuller on the top of the breast than the tear-drop shape and may even be equally as round on top as the bottom of the breast. Neither breast shape choice is right, it is a matter of personal preference.
Because different breast implant projections exist, it is often perceived that the manufactured shape of the implant will create the final breast shape. While there is some merit to this thought process, I think it is overstated and, in some cases, completely deceptive. My experience is that the amount of existing breast skin and the size of the implant chosen are far more important factors in creating one of these two final breast shapes than the implant’s projection. For example, if one’s breast skin is fairly tight and a large implant is chosen, the breast will look round no matter what implant projection is chosen. Conversely, a lot of loose breast skin with a moderately-sized implant will appear tear-drop shaped no matter what the implant’s projection.
While implant projection is a useful feature, it is a minor determinant in the outcome of the final breast shape after augmentation. The consideration of the tightness or looseness of the breast skin and the chosen size of implant will override the projection feature. Projection should be best thought of as a way have increased breast volume without having too much implant go to the side of the breast.
Dr. Barry Eppley
Indianapolis, Indiana