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Advantages and Disadvantages for Both Breast Implant Placement?

asked 2 years ago by Linda in NY in New York City
Latest answer by Sutton Graham II, MD
Question viewed 871 times
Tags: breasts

What are the advantages and disadvantages of placing the breast implant above or below the muscle?

4 answers to Advantages and Disadvantages for Both Breast Implant Placement?

+1

Implants subpectoral vs. subglandular, and alternatives

To over-simplify, subpectoral has better soft tissue coverage, more natural look in thin women, less rippling, probably better mammogram imaging, probably less chance for capsular contracture, while having more chance of muscular motion distortion and more early postop discomfort. Dual plane is more like subpectoral placement, but can fill mild laxity of the lower breast. The best option for you should be reached after in-person examination and discussion with experienced plastic surgeons.... more
Sutton Graham II, MD

Greenville Plastic Surgeon
+1

You have to individualize.

Hi! For women with small firm breasts, we generally place breast implants under the muscle. (The "dual plane" is just a variation of under the muscle.) Under the muscle, the implants are covered by more of your own tissues, and may look more natural. Also mammography may be easier with implants under the muscle. But the implants will move when you flex your pectoral muscles, which can look funny if, for example, you like to lift weights in a wet T shirt (I have a patient who... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Dual Plane - have your cake and eat it, too!

Your question is still frequently asked, but it is somewhat passe... In the old days, you either placed the implant in front or behind the muscle. In front expanded and filled the lower breast more, had less pain, an didn't have distortion from contraction of the muscles. Behind gave more tissue coverage so the breast looked and felt more natural, made mammograms easier, and the implants had less of a tendency to get hard. Dual plane is a way of placing the implant behind the muscle where cover more
Steven Teitelbaum, MD

Los Angeles Plastic Surgeon
+1

Common question

There are options for breast augmentation whether it be implant choice, incision choice and placement of the implant above or below the muscle. If you have minimal breast tissue I feel you are best treated with a partially under the muscle breast augmentation to give more upper and inner breast coverage of the implant. I tend to place the great majority of breast implants partially below the muscle because I personally feel it gives the best overall look in the short and long run. You... more
Michael C. Edwards, MD

Las Vegas Plastic Surgeon

www.medwardsmd.com

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