Concerns with over the Muscle Breast Implants After Pregnancy

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 LIFT YOU make this position useless in my practice.

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 breast tissue, at least in the upper half to 2/3 of the breast. Additionally some literature suggests that incisions aroud the areola may decrease your ability to breast feed. This is a great question as... more

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 divided (especially if the incision is around your areola/nipple), and you will have decreased milk production. I would recommend submuscular implants for you if you are concerned about... more