Remember that any implant that is not round, will with time, rotate and if just 5 degrees of rotation occurs, you can end up with a very severely deformed shape and a very bizarre appearance to your breasts.
As a result, in Dr. Linder's practice, we only use round breast implants, whether high profile, smooth silicone or saline, we only use round implants because we do not want to have to worry about rotational problems and rotational deformity.

When you are considering breast augmentation, Dr. Linder truly believes that anatomical shaped implants are very, very troublesome. Even though they may look good originally, with time, through activity or motion, that implant can shift and you could end up with a very deformed appearance to your breasts, and the only way to truly fix it is to take the implants out and replace them with new round implants. Therefore, we only use round implants.

Remember, all anatomical implants are textured coated. They have a fuzzy coat and they will adhere to the tissue around the implant or the capsule. Therefore, if they adhere right out of surgery in the improper position, it is very unlikely that the breasts are ever going to look normal, right from the start.
In the past, texturing implants was very important because implants were placed above the muscle, subglandular retromammary.
In 2008, we almost always place them subpectorally because:

Stuart A. Linder, M.D., F.A.C.S. is a Beverly Hills plastic and reconstructive surgeon specializing in breast augmentation, liposuction, tummy tuck, and more.
Dr. Linder is certified by the American Society of Plastic and Reconstructive Surgeons and is a diplomate of the American Board of Plastic Surgery.
Skin Deep Magazine
"Reasons For Reoperation:
Breast Revision Surgery"
Contributing Writer:
Dr. Stuart A. Linder,
Board Certified Plastic Surgeon
January 2006
Five Major Reasons To Switch Your Saline Implants For Silicone Gel Implants in Beverly Hills
Stuart A. Linder, M.D., F.A.C.S. Beverly Hills Breast Revision Specialist
9675 Brighton Way Suite 420 - Beverly Hills, CA 90210
Phone: (310) 275-4513 - Fax: (310) 275-4813