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Concerns with over the muscle breast implants after pregnancy

I am about to get married and we wanted to start a family right away. My whole family has breast fed and I plan on doing the same. Also, I know that typically after pregnancy you tend to lose volume in your breasts. What are the odds with over the muscle placement for breast implants? Will be able to breast feed, and is it safe for the baby? Am I more likely to retain the volume in my breasts due to the implant being on top of the muscle?

Read my review "On top of the muscle implants"

3 answers to “Concerns with over the muscle breast...”

A: Go under the muscle

Richard P. Rand, MD

There is really no good reason to be above the muscle in my opinion.  The mammograms are less accurate, the implants look more edgy and are more palpable, the capsular contracture rates are higher and they don't look as natural.   These issues plus the fact that above the muscle implants DON'T... more

A: Under the muscle is your best option

Michael C. Edwards, MD

    The less that is done between the breast tissue and the nipple the better the chance of successful breast-feeding. I tell all of my patients that I cannot guarantee that  they will be able to breast feed with or without surgery. Under the muscle isolates more of the implant from your... more

A: If you are concerned about breast feeding then under the muscle implants are a better option.

David Rankin, MD

When implants are placed under the muscle through an incision underneath the breast (in the crease), there is no division of the breast tissue or breast ducts (well, very little). However, when implants are placed directly under the breast over the muscle, there is a greater liklihood that milk ducts will be... more

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