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500cc Silicone, Under or over Muscle?

asked 9 months ago by curioslatina in Los Angeles, CA
Latest answer by Robert N. Young, MD
Question viewed 1,254 times
Tags: under muscle, A to D cup, opinion, over muscle

I went to 2 diff dr for consults about breast augmentation and im confuse now,,both gave me diff opinion lets see if you can make get the best for me or help im 31 yrs ,height 5' 3" , weight 127 , CUP 34A , BWD 13.0 , MOTHER OF 2 girls and i want to be like D or full D THE first dr said the best for me are silicon with 450 cc over the muscle ,Areola Incision and the second dr said silicon 500cc under the muscle ,Areola Incision.what you think over or under muscle for me and why?

8 answers to 500cc Silicone, Under or over Muscle?

Breast Implant Sizing

Hello Curiouslatina, I'm not sure if you meant to re-post your question or if you just didn't like that answers you were given the first time! As most of the surgeons who responded to your original post had said, including me, under the muscle is almost always the best place to put the implant. You will get a lot of projection and the muscle will provide a cushion to help make the implant both look and feel good. Sub-muscularly placed implants also have a lower risk... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

A to DD

OK- I think you need to take a step back. I'm concerned that you are looking for something that isn't completely obtainable for you and may disappoint you. Now I don't have the luxury of having had a conversation with you but, as a Plastic Surgeon who has performed over 4000 cosmetic breast procedures over 18 years I have become pretty good at learning what will make patients happy and what will make them miserable. First of all, given your frame and height, I... more

Scott E. Newman, MD
New York Plastic Surgeon

www.psurgery.com

Implant over or under the muscle

The placement of implants under the muscle is usually my preference for a natural looking contour - no implant ridge at the upper chest wall particularly in someone as thin as you. There isn't much difference between the 450cc and 500cc implant but I would lean towards the 500cc implant for the "full D" result. Good luck!

Joseph N. Togba, MD
Oakland Plastic Surgeon

Implant size and location

I would generally recommend placement of the implants under the muscle. I believe this is especially true in thin patients (like you). Sub-muscular placement increases the amount of soft-tissue between your implants and the skin and may decrease the rate of capsular contracture. To better communicate with your surgeon your desires in terms of size, I would recommend that you show him/her the above photographs. Based on your apparent goals and base diameter, I would... more

Eric T. Emerson, MD
Charlotte Plastic Surgeon

Breast implant sizing

Clear communication with your surgeon is very important in maximizing the chances of achieving your desired breast size. Demonstrating your goals in front of a full-length mirror is helpful. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is also very helpful. I have found that the use of words such as “natural” or “C cup” means different things to different people and therefore... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Silicone under or over the muscle?

There are benefits to both going over or under the muscle. It really all depends on what you are starting out with. Under the muscle hides the implant better but then you have to deal with all of the muscle activity. In your particular case I would recommend that you go below the muscle since your frame is rather lean to begin with.

Robert N. Young, MD
San Antonio Plastic Surgeon

www.dryoungforever.com

Breast Implants - 500cc Silicone, Under or over Muscle?

I'm not sure it's that simple. There are several factors to consider but I almost always recommend placing the implants under the muscle; it generally looks and feels more natural than implants above the muscle. So that addresses the first issue. The next is figuring out what size would be right. Based on the way you describe yourself I don't know that you'll be able to have a 500 cc implant; you may not have enough tissue available (ie, it may be too... more

Alan Engler, MD
New York Plastic Surgeon

You're looking at way to big an implant

Based on your photos, you are getting very poor advice if someone is suggesting 450-500cc implants for you. It is implausible in most women that your accurate measurement is 13 cm wide , and the devices you're talking about would substancially exceed your true breast border. The single most consistent factor in reoperative breast surgeries involving breast implants from the FDA has to do with oversized implants, such as you're considering. Most implants in that range resemble those... more

Robert Oliver Jr., MD
Birmingham Plastic Surgeon

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