Cosmetic breast surgery

What are the best breast implants?

What are the best breast implants?
Cosmetic breast surgery · Girona
What are the best breast implants? Types, shapes and how to choose

There is no universally "best" breast implant. Implants can be round, anatomical (teardrop) or ergonomic, with different profiles, cohesive silicone gels and placement approaches. The best one for you is the one that fits your anatomy, your breast tissue and your aesthetic goal. Choosing the implant is a medical act: the plastic surgeon decides it with you in an individual consultation.



Author Medical team of Medics Integral Salut



Reviewed by the Breast Aesthetic Surgery Unit

Updated: 30 June 2026

Estimated reading time: 7 minutes

Breast implants have improved a great deal over the years: silicone gels have an increasingly natural movement and high cohesiveness, surgical techniques are more precise, incisions smaller and recoveries faster. That is why the question “which is the best implant?” does not have a single answer: there are many combinations because every patient is unique. What matters is choosing the shape, size, profile (projection) and type of gel well. If you are considering a Breast augmentation in Girona, the plastic surgeon specialised in breast surgery will advise you after listening to you and studying your case.

Types of breast implants: round, anatomical and ergonomic

Implants differ above all in their shape, but also in their profile (projection), their Contents (type of gel) and the placement route. This table summarizes the usual options:

Tipo de prótesisFormaProfile / projectionContenidoUsual route
RedondaSymmetrical: same volume top and bottomLow, moderate, high or very high, depending on the desired necklineCohesive silicone gelSubmamaria, periareolar o axilar
Anatómica (en gota)Teardrop: more volume in the lower partProfile defined by height and projectionFirmer gel; cover usually texturedSubmamaria o periareolar
ErgonómicaRound at rest and anatomical when upright (adaptive)Projection that follows the body's movementCohesive gel that adapts to your postureSubmamaria o periareolar

Shape is only one of the variables. The placement plane (in front of or behind the pectoral muscle), the size and the incision route also influence the result and are decided at the consultation.

Shape, profile, gel and route: the four key decisions

1. La forma

Round implants provide more filling and projection in the upper pole, with more pronounced cleavage. Anatomical ones imitate the natural slope of the breast. Ergonomic ones combine both behaviours: a rounded shape when you are lying down and a teardrop shape when you stand up.

2. The profile or projection

For the same volume, the profile determines how much the implant “projects”. A high profile gives more projection with the same base; a low profile, a more discreet result. The choice depends on the width of your chest and the look you want.

3. The filling (silicone gel)

Today's gels are cohesive: they hold their shape and reduce the risk of leakage. The more cohesive the gel, the firmer the feel and the better it holds its shape; a slightly softer gel offers a softer feel. The balance is adjusted to your breast tissue.

4. The placement route and plane

The incision can be inframammary (under the fold), periareolar (edge of the areola) or axillary. The prosthesis can be placed in front of or behind the pectoral muscle. Each combination has advantages depending on your anatomy and the amount of your own tissue.

Why do feel and the risk of rotation matter?

The feel depends mainly on the cohesiveness of the gel and on the amount of tissue covering the implant: in very slim patients the difference between a firm and a soft gel is more noticeable. Rotation matters with anatomical implants: if a teardrop implant rotates, it can distort the shape of the breast; round implants, being symmetrical, do not cause this problem even if they move. That is why lifestyle (sport, activity) also weighs in the decision.

How is the right implant for you decided?

No implant is absolutely better than another. The choice is based on a consultation that takes into account:

  • Your anatomy: chest width, amount of breast tissue and position of the breast.
  • Your aesthetic goal: a more natural or more projected result, desired size.
  • Your lifestyle and your preference regarding feel.
  • The condition of the skin and whether or not it needs to be combined with a lift (pexy).

The final indication is always established by the plastic surgeon. Round vs. ergonomic: detailed comparison →

Sort out your case with the plastic surgeon

Personalised breast augmentation consultation, in Girona.

Related video

Breast augmentation testimonials in Girona · Watch on our YouTube channel

Frequently asked questions

What is the best breast implant?
There is no universal best. Round, anatomical and ergonomic implants each have different advantages. The optimal one is the one that suits your anatomy, your breast tissue and your aesthetic goal, and it is chosen at the consultation with the surgeon.
What is the difference between round, anatomical and ergonomic implants?
Round implants have the same volume at the top and bottom and give more projection in the cleavage. Anatomical implants are teardrop-shaped and mimic the natural slope of the breast. Ergonomic implants are round at rest and anatomical when you stand up, adapting to movement.
What is the profile or projection of an implant?
It is how far the implant projects for a given base. There are low, moderate, high or very high profiles. The higher the profile, the more projection with the same width; the choice depends on your chest and the result you are looking for.
Do modern implants feel natural?
Yes. Today's cohesive silicone gels offer a very natural feel. The difference between a firmer and a softer gel is noticed mainly in very slim patients or those with little existing tissue.
Can the implants rotate?
The risk of rotation is relevant mainly with anatomical implants, because when they turn they can distort the shape of the breast. Round implants, being symmetrical, do not cause that problem even if they move, which may be of interest in active lifestyles.
Can I finance a breast augmentation?
The clinic offers financing options. You can check them on the funding page or ask us during the consultation.

Treatments and related units

Explore the treatments for Breast Aesthetic Surgery Unit and other areas of the clinic. Filter by area:

Breast augmentation

Personalized breast augmentation with implants and a natural result.

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Breast augmentation AMI technique

Breast augmentation technique with minimal incision.

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Breast lift (mastopexy)

Mastopexy to correct sagging and reposition the breast.

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Breast reduction

Surgery to reduce volume and relieve associated discomfort.

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Breast implant replacement

Replacement or removal of previous prostheses.

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Vaser liposuction

Body remodelling by ultrasound for localised areas.

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Abdominoplasty

Abdominal surgery after pregnancies or weight loss.

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Body lipofilling

Filling with your own fat to add volume naturally.

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Facelift

Facial rejuvenation for sagging and signs of ageing.

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Gynaecomastia

Correction of breast enlargement in men.

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Notice: this content is informative and does not replace a medical consultation or constitute a diagnosis or personalised recommendation. Choosing the type, size and approach of the breast implant is a medical decision that the plastic surgeon will assess in each case. Breast augmentation is a surgery with indications, contraindications and possible risks and complications. Information prepared in accordance with health advertising regulations.
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