Breast Augmentation: Q&A
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Breast Augmentation Decision Confusion about Subglandular or Submuscular Placement.
Ive been researching subglandular and submuscular for weeks now. im not sure where the best placement for my body is! Ive had a little weight loss and my breasts have sagged slightly this past year. Ive been to 2 consultations and both Drs said different things. Also, not sure what size to get either but was recommended 275-325cc silicone. i want to fill out where my breasts look flat and empty above and on the sides of my chest while achieving perkiness and the most natural looking and feeling
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31 Doctor Answers |
Asked by
CanadianGirl001
in Canada
+2
Subglandular vs Subpectoral Breast Augmentation
I utilize primarily subglandular, submuscular, and dual plane breast augmentation. I believe you would best benefit from a subglandular augmentation based on the information given, but a breast consultation in my office takes time and effort because of the many options, theories, and preferences that have been listed on this page. I believe all methods have their place for the following reasons. the main considerations are listed below in simplified form
Submuscular is preferred...
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4 options for breast implant placement, not just under or over muscle
Though we have traditionally considered only 2 options, there are actually 4 in use today: subpectoral or under the muscle (typically "dual-plane"), subglandular (in front of the muscle), subfascial, or split subpectoral. The first part of the decision is coverage; a thin patient will usually do better with under muscle placement. However, with the implant under the muscle there is the potential for distortion of the breast with muscle flexion, called animation deformity. This...
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Sub-glandular vs. sub-muscular breast implant placement
As in researching the issue, it's clear that you won't get a solid consensus on this issue with plastic surgeons.
I agree with Drs. Law, Rand, and Pousti among others here. The reason to do breast augmentation with the implant under the pectoralis muscle for the central, upper, medial part of the breast is because of experience with thousands of patients over many years. The results are better and more controlled (assuming the surgeon knows how to size the implant properly and to...
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Subglandular vs Submuscular
The term subpectoral and submuscular are often used interchangeably and describe placement of the breast implant beneath the pectoralis major muscle, which lies under the breast tissue. This position is the most commonly used and allows the superior and medial portion of the implant to be covered by breast tissue and muscle. Subpectoral placement is best for thin patients with little (less than 2cm) superior breast or subcutaneous tissue. This position helps decrease the chances that the...
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THere are advantages to both the submuscular and subglandular placement of the implants in
Breast augmentation, and the decision is too complicateed to make on line without a consultation and a discussion with the patient to determine her goals and expectations. The submuscular placement helps hide any rippling and smooths out the "feel" of the implants. If your preference is a saline implant, and particularly if you are thin without a great deal of breast tissue to cover the implant, this becomes an extremely important consideration. Mammograms are...
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Breast Implant Position
My preference when possible is to place the implants underneath the chest wall muscle as I feel long term there are less problems. Without seeing photos and examining you , I would hesitate to make recommendation.
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Submuscular Vs Subglandular Implant Placement
Submuscular implants as the name implies are placed at least partially below the pectoralis muscle whereas subglandular implants are placed on top of the muscle. I place 95+% of my breast implants below the muscle which I feel usually gives a softer and more natural result. The downside is a bit more discomfort for the first few post-op days and the need for a strap on the upper breasts to encourage the implants to descend into a favorable position. Perhaps you should seek...
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Above or Below: Never Ending Debate
Thanks for the good pictures. The big debate about underneath or above the muscle revolves around coverage. This is judgement made at your exam. if your tissue is thin above the breast then placement of the implant beneath the muscle is warranted. if there is ample tissue in this area then placing the implant above the muscle is reasonable. As an educated guess I would place your implant beneath the muscle.
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Breast Implants Selecting the apropriate position
This may be a somewhat controversial statement, but in my opinion there currently is really only one acceptable position for breast implants in an elective cosmetic surgery patient: behind the pectoralis major muscle (sub-pectoral augmentation). There are a number of very compelling reasons to place implants behind the pec major, and the most compelling one of all is the fact that radiologists report that the mammographic imaging of breasts for the purpose of breast cancer screening tends to...
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Sub muscular implants
Sub glandular implants do not "lift" the breast, can gave problems with tissue thinning and changes and have a higher rate of contracture. I see very little reason to go in the sub glandular position and almost entirely use the sub muscular, dual plane position. You will do well with this procedure.
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