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Athlete with Large Pec Muscles Looking for Natural Breast Augmentation.

asked 1 year ago by Natural Look in Northern Michigan
Latest answer by Rian Maercks, MD
Question viewed 771 times
Tags: silicone implant, weight loss, athletic, natural, pectoral

I am very athletic, I work out 6-7 days of the week (muscle training on at least 5 days weights & TRX) I would like breast augmentation, my breasts are truly just loose skin from being larger & then weight loss, there's no fat-this is the only place on my body with this issue (I wear a 36 B,a smaller size skin would push out sides/top of bra). I don't want to lose any of my abilities in athletic side & just want to fill the skin not oversize. I am good with silicone, not sure on the placement.

22 answers to Athlete with Large Pec Muscles Looking for Natural Breast Augmentation.

Implant placement in athletes

I have found that submuscular placement in athletes and body builders results in undesirable muscle movement,where as sub glandular(above the muscle) does not offer sufficient coverage, as these patients have very little fat.The result is usually an abnormal appearing breast Over the last few years I have been placing the implants under the fascia. In extremly thin patients I will add dermal grafts to add further support .Results with this technique have been most gratifying more

Hilton Becker, MD
Boca Raton Plastic Surgeon

Athletes pose special issues for breast augmentation

For many athletic women, like yourself, breast augmentation can still be an excellent option. The main issue that most of the comments above address is the placement of the implant; whether it should be in front of or behind the pectoralis muscle. Most plastic surgeons in the US would recommend sub-muscular placement because of the lower rate of capsular contracture. If you are concerned that placement below the muscle may hinder your athletic activities or be visible when you contract... more

Steven L. Ringler, MD
Grand Rapids Plastic Surgeon

www.stevenringlermd.com

Breast augmentation in athletic women

There are several things to consider here – amount of loose skin, size of implants you desire and how much of your workout involves your pectorals. With very little breast tissue to cover the implant- under the muscle may give you the best result, but may interfere with your workouts. Silicone implants are less likely to ripple and may be more natural in a woman with very little body fat. Good Luck!

George John Alexander, MD
Las Vegas Plastic Surgeon

Natural appearance with breast augmentation

Based on your information, I would recommend implant placement under the muscle with a moderate sized silicone gel implant. An implant above the muscle is more likely to result in visible rippling unless you have a rather full breast to start with. Silicone gel implants are more natural in feel, which is an advantage in slim individuals, or women with minimal breast tissue.

Andrew P. Giacobbe, MD
Buffalo Plastic Surgeon

Placement site?

Submuscular placement is still the best option for you. It will prevent rippling, reduce the risk of capsular contractor and does not interfere with mammogram. Given all these advantages I would choose submuscular placement for you. Good luck

Moneer Jaibaji, MD
San Diego Plastic Surgeon

Natural breast augmentation

Because you have minimal breast tissue and body fat in general a subpectoral augmentation would be prefered. This puts more tissue between the implant and the skin and typically results in less risk of capsular contracture. Also, with a saline implant, the subpectoral muscle approach will result in less chance of visible or palpable rippling. With your anatomy a gel implant may give the best result.

David A. Bottger, MD
Philadelphia Plastic Surgeon

www.drbottger.com

You should have them placed under the muscle

For the most natural look, you should go under the pectoralis major muscle. Even if you have strong muscles and love to work out - this greatly decreases the rate of capsular contracture (bad scar tissue formed around the implant). You will not notice a difference in your body building after you are all healed. I often place subpectoral implants in body builders who do great. Good luck!

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Breast implants and bodybuilding

Never having seen or examined you it is impossible to say what would be best in your situation. Female body builders in general have little body fat and the process can also melt away breast tissue. Refilling the breast skin envelope is then challenging in this situation because there is so too little fat or breast tissue to cover the edges of a breast implant placed on top of the muscle. So saline implants above the muscle is out of the question. Implants placed under the muscle are even... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast Augmentation in Athletic Woman

I have done many people like you and gotten very natural results. I recommend textured Silicone Implants on top of the muscle. The texturing keeps them feeling soft and the Silicone makes them as natural feeling as you can get. Since the fascia is so thin, I have found no advantage of trying to elevate it. Putting the implant under the muscle risks exactly what you wish to avoid.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Sub glandular silicone gel implant is the best choice for you

In a body builder with large pectoralis Major muscles, a peri areolar sub mammary silicone gel implant would be my recommendation. As you well know the problem with sub mammary placement in patients with limited breast tissue and soft tissue is the problem or ripples. While all implants ripple, gel ripples less. It is not a question of rippling so much as to can the ripples be seen or felt. If they become a problem then fat grafting over the areas of rippling has worked well for me. Even in... more

Carl W. "Rick" Lentz III, MD
Daytona Beach Plastic Surgeon

Breast augmentation in athletes: Go subfascial!

I would strongly recommend subfascial placement. I use it almost exclusively with a modification I call 'cold-subfascial augmentation.' Submuscular will lead to too much unnatural movement, feeling and premature aging in athletes. Subglandular will look great immediately but quickly ages and tends to develop a 'rock in a sock' appearance. By harnessing the supporting and shaping power of the fascia, a beautiful, natural appearing and long lasting... more

Rian Maercks, MD
Miami Plastic Surgeon

Muscled thin body types pose special problems in breast augmentation

If you proceed with breast augmentation you will be having to choose from the submusclular placement of implant where the muscle twitch will likely indent the implant and cause movement vs submammary where movement is not a factor but the thin subcutaneous skin may permit visilbe seams and ripples of the implant show through. This is especially a problem with saline problems. If you do proceed with submammary do it with the silicone cohesive gel implants as the ripples and seems... more

Chen Lee, MD
Montreal Plastic Surgeon

Under the muscle breast augmentation works well in body builders and athletes

Athletic women with low body fat and little breast tissue are at risk for rippling and implant visibility with subglandular (over the muscle) augmentation. Although smooth implants may move upward a little when the pectoralis major muscles are flexed, this has not been a problem for my patients. One of my patients won her natural body building competition and felt her breast implants looked natural and complemented her physique well during competition. Hope this helps.

Steven Goldman, MD
Cleveland Plastic Surgeon

www.drgoldman.com

Possibly wait for the so-called Gummy Bear Implan

Sight unseen it is difficult to accurately answer your question. However, from your description you are in one of those damned if you are damned if your not situations. The stumbling block with your anatomy is whether to place the implant either above or below your well developed pec muscle All I can do is enumerate the pros and cons of each approach for you Ultimately, it will be your decision which way to go. Ideally, with your thinned out breast envelope a submuscular placement... more

David A. Ross, MD
Chicago Plastic Surgeon

www.thecosmeticsurgeryinstitute.com

Athlete Breast Augmetation

Breast augmentation in an athlete with large pectoral muscles can be tricky. Sub-muscular pocket is an acceptable option but there will be visible movement of the implants with these patients when they are placed under the muscle, also certain attachments of the muscle will be severed during this procedure that may cause a slight weakness of the muscle. On the other hand, usually the athletes do not have enough tissue to cover the implant, if the implant is placed in a subfascial pocket, and... more

S. Ozan Sozer, MD
El Paso Plastic Surgeon

www.elpasoplasticsurgery.com

Subfascial breast augmentation for athletic women

Athletic women have a special set of issues to deal with for breast augmentation. On the one hand, they typically have low body fat so not much tissue for coverage unless the implants go under the muscle, but the more active muscle causes its own set of problems if the implants are placed under. These include what are called animation deformities which are actually quite common. The subfascial plane adds some support but not much coverage, though it will eliminate the issues of going under.... more

Richard Baxter, MD
Seattle Plastic Surgeon

Augmentation

My experience is that people who are into body building or sculpting do not do well with subpectoral implants. i agree with the docs above who feel that a subglandular implant is more approprite for you. neither will be perfect. the risks of implant visualization, rippling and bottoming out quite real and not rare. dont go too big good luck

Jonathan Saunders, MD
Newark Plastic Surgeon

Placement of implant

I would recommend silicone and your options are placement below and above the muscle. As athletic as you are you may benefit from above-muscle placement due to shorter recovery time and not having to make many changes to an already established work-out routine. There are compromises in this, however. Assuming you have thin breast tissue coverage you will most likely see some rippling and edge to the implants. You also have to advise a mammographer that your... more

Edward J. Bednar, MD
Charlotte Plastic Surgeon

Breast augmentation

You might consider a silicone gel implant and it could be placed above the muscle although this can lead to more rippling. It really depends on you skin quality, the amount of pectoralis definition and the size implant you are planning to put in.

David L. Abramson, MD
New York Plastic Surgeon

www.drabramson.com

Breast implant placement in an athlete

I still prefer submuscular placement even in an athlete but it sounds like you will be unhappy with that and are asking us to bless a subglandular placement for you. That is fine as long as you use gel and get the right width for you and not too high profile. The downsides will be that your mammograms will be more difficult, there will be more edginess and maybe even rippling because of the thin tissue, and the capsular contracture rates will be higher above the muscle. more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Natural breast augmentation with large chest muscles

For some breast augmentation can require compromise, especially if the breast tissue available is thin or limited. With your extensive workout schedule and large chest muscle, the typical sub pectoral placement is bound to trouble you. Next, a saline subglandular breast implant with a thin breast again is bound to ripple and be a problem. The best compromise is a lower to moderate profile silicone gel breast implant, not too big. Best of luck, peterejohnsonmd more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Athletic breast augnentation

In general, subglandular placement with the implants placed on top of the muscle is considered for body builders and serious athletes since the muscle will get distorted by submuscular plpacement. You need tomeasure this against some of the issue related to leakage and mammograms and the increased risk of capsular contracture. Another consideration is the amount of soft tissue coveraage. Rippling is an issue with subglandular placement, particularly with saline and textured implants... more