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I Asked my Plastic Surgeon for Under the Muscle Implants, and He Put Them over the Muscle.

asked 1 year ago by marykathryn21 in Loudonville, NY
Latest answer by Steven Wallach, MD
Question viewed 248 times
Tags: female, under muscle, over muscle

Today I went to a P.S. to have a consultation about my breast implants, that did not come out how I wanted. I wanted to discuss maybe changing to silicon implants, from current saline(put in 2yrs ago). I thought maybe this would correct the droopy look my breast have, as I wanted the "fake" look. He confirmed my suspiscion that the implants were definently over the muscle, and just sagging in my breast. Is it common for platic surgeons to just lie and do what they want? What can/should I do now

8 answers to I Asked my Plastic Surgeon for Under the Muscle Implants, and He Put Them over the Muscle.

Implant confusion

Hello, It is possible but unlikely that any physician would intentionally give a patient misinformation, especially in this situation of your primary surgeon describing to you your initial surgery. Much more frequently is the case where a second surgeon makes statements about your current condition that seem to refute previous information that you were given. The issue you are having is more likely implant dropout, which is what the second surgeon is describing. This... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Implant choices

If your breasts are sagging, placing larger implants will not necessarily lift them. Commonly a breast lift procedure should be combined to improve the shape as well. I can not really comment on yoru other concerns because I did not do your original surgery and do not know exaclty what was done.

Steven Wallach, MD
Manhattan Plastic Surgeon

Over or under for fake look and droopiness correction

I am a little confused. You say you want a fake look and correction of droopiness. Generally this is better accomplished with over the muscle (rather than under) which is what you got. If you put the implant under the muscle, it will look less fake and you may be aware of more ptosis.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Implant placement

Was your original plastic surgeon a plastic surgeon? Cosmetic surgery is performed by many doctors, not all of whom are plastic surgeons. Some of these doctors do not have the training to allow them to offer service at the level of a board certifiedplastic surgeon. Also, sometimes if the muscle is released too aggressively, it will over time slip up and the implant that was originally below the muscle will then end up above the muscle. Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Issues with Plastic Surgeons Performing Operation Without Patient's Permission

I am sorry for your predicament but your situation is NOT common. Plastic Surgery is a super-specialty; the vast majority of Plastic surgeons have trained in and certified in other surgical fields before training in Plastic Surgery. In addition, upon completion of their training, as condition of membership Plastic surgeons undergo a rigorous selection system which focuses on clinical competence, safety and ethics. This does not mean that we do not have issues with ethical misconduct or... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast Implants "Over the Muscle"

Subglandular (relative to submuscular) placement of implants more reliably produces the "fake" look you were originally after. Also, understand that your final result reflects many variables, some predictable and others unpredictable. For example, the interaction of the mechanical implant with your tissue is unpredictable in advance, the amount of skin stretching caused by the implant is impossible to predict, your skin elasticity and post surgical settling also... more

Steve Laverson, MD
San Diego Plastic Surgeon

feelbeautiful.com

Do plastic surgeons lie and do whatever they want?

A Board Certified Plastic Surgeon has been cleared by a very strict standard to be competent and ethical. This doesn't mean they all are all the time or that they might not change. You need to understand that lifting of your sagging breasts would not be accomplished by putting the implants above the muscle. You should get the notes from your surgery, the preop and op notes and find out what happened. It would be good for you to track the discussions that are... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Answer to your question

Marykathryn, I am sorry to hear about your problem. To answer your question, no it is not common for plastic surgeons to lie to their patients and do what they want. Based on the experience you describe, I would suggest you request a copy of your operative report. This way you can read exactly what was done. It will also be of benefit for any future surgery you may have to have your operative report available for your new surgeon. Best of luck.

Bernard Shuster, MD
Hollywood Plastic Surgeon

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