There is so much talk about “Tear drop” shaped implants to get the most natural outcome that I think this is a great example of how the shape of the implant isn’t the most important factor, in many patients. This patient had saline implants placed at age 19, then removed at age 32. She then came to me for a re-augmentation and wanted tear drop cohesive gel implants 395cc, which we did. 18 months later she reported not liking the feel of the new implants, and we then changed them out for Saline round implants 425cc on the right and 400cc on the left. The patient likes the slightly larger size and feel, with not much noticeable difference in the two!