ABSTRACT
Patients should be examined either in a standing position or sitting upright. Initially, a global assessment of the patient should be made with regard to their torso, chest wall, shoulder position and breast shape. Bearing the above in mind, if one is faced with a breast with a slightly low nipple position and mild ptosis, then the off-centre point of maximum projection of the implant can help to achieve a degree of nipple position elevation and address the ptosis. A breast with a reasonably round footprint and with a good nipple position is unlikely to benefit from using an anatomical implant, therefore a round implant can achieve a pleasing augmentation in this situation. An anatomical implant is necessarily textured to increase its friction coefficient and minimise risks of malrotation. The use of this implant and its correlation with BIA-ALCL must be weighed up and discussed with the patient on an individual basis.
