Hey, I had unders today with Dr fiumara and no drains. It is painful though 🙁 go with who makes you feel most comfortable. Implants used nowadays are a lot more stable than the ones used years ago. They can last in excess of 25 years if cared for properly. I varies person to person. They prefer using round, as teardrop can rotate and end up in a fully position as implants aren’t secured in place. Under muscle gives the same sort of result as teardrop over the muscle as the pectoral muscle compresses the top of the implant to give a more slanted result. Hope you get all the info you need and choose yourself a surgeon xxx