Breast Implant Muscle Distortion

I am considering saline unders, only about 125 c. I am worried about muscle distortion as I work out strenuosly 8-9 hours a week in kickboxing and self defense classes where we work in partners. How noticable is it normaly, and does it worsen with larger implants vs. smaller?

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11 Doctor Answers | Asked by blueseptember

Doctor Answers (11)
Community Comments (0)

Muscle Distortion of Breast Implants

Placement of your breast implants underneath the chest wall muscles does cause some distortion when the muscle is contracted however at rest, they will appear fine. Placing the implants on top of the muscle avoids this problem but at an increased risk of breast hardness. I do not know your height and weight nor have you provided pictures but 125 cc implants will hardly be noticeable and I seriously question using such a small implant.

Implants under the muscle

I prefer in most patients to place implants under the muscle. It is difficult to predict who will have this motion issue.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

"Dancing breasts" implants that move with muscle contraction

This is an unusually small implant when it comes to the typical breast augmentation. In most activlites you do not use pectoralis contraction and an "animation deformity is not likely to occur. However, the alternatives to a small implant include breast augmentation with fat grafting. This is less likely to result in distortion with contraction.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Muscular distortion not often a problem

Hi there- While, mechanically speaking, contraction of your pectoralis muscles will necessarily cause alteration of your breast shape, this is generally not a problem for even very active patients (as long as you don't exercise nude). I also agree that silicone implants will give you a better outcome with less risk for rippling and an unnatural appearance.

Distortion with implants under the pectoralis muscle

As you can see from the answers there is no uniform answer or approach to this issue. There are always advantages and disadvantages and tradeoffs. I disagree with the statements about the size of the implant. If the implant is properly sized and positioned, it's size in cc's has nothing to do with the animation issue. The issue can be avoided by implants placed above the pectoralis muscle but they almost have to be silicone gel without the muscle for padding and there... more

Subglandular breast implants best in very athletic women.

Hi. 1) Definitely, small implants are best for you. 2) For someone like you, muscle distortion can be very noticeable. So I would only put them over the muscle. What makes you think that is a bad option? 3) I would also recommend silicone implants. They are safe and avoid rippling.

Breast Implant Muscle Distortion

Yes you should be concerned if you do so much "working out"1 As the size increase so does the distortion as you correctly understood. Best to think about above placement.

Over

Put them over the muscle and you will have no distortion problems ( unless you get capsules which can happen no matter how they are done).

Breast augmentation

They important issues here are your body type, current breast size and anatomical characteristics as well as the activities you describe. WIthout knowing all of these factors a plastic surgeon cannot make any specific recommendations to you. For a lean individual who wants only a slight increase in breast size 125cc saline under the muscle is a valid option. Large implants under the muscle certainly have a higher risk of distortion with muscle animation. How large depends on the... more

Prevention of animation distortion with under muscle implants

This is a very important question because of how the standard technique of under-muscle placement contributes to animation distortion. Picture the pectoral muscle like a Japanese fan, with the handle at the armpit end and the outer edges attaching along the breast bone and then horizontally across the ribs. This point of attachment on the rib cage is higher than the bottom fold of the breast so in the dual-plane procedure it is cut in order to let the implant rest in the proper position.... more