Smooth shelled breast implants definitely "settle". Submuscular breast implants almost always appear too high and tight in the early post-operative period. They almost always get lower as the muscle relaxes. This occurs regardless of the location of the incision. In my... more
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Slow implant settling process for transaxillary approach?
I had silicone implants placed submuscular via the transaxillary approach. The disadvantage is that it will not give my PS dual plane access or the ability to do the dual plane (according to him), and it will tend to ride higher and settle slower than through the inframmary approach. Would this mean that I am at a disadvantage of having less natural results because I have full submuscular vs dual plane? I am one week post op, was a preop 32A, and my muscles are holding the implants high close to my collarbone.
3 answers to “Slow implant settling process for...”
A: Unfortunately, I don't think they will come down.
Hello again, stomachsleeper! We are all prone to wishful thinking, even plastic surgeons. So this notion has developed that implants will somehow "settle". I have done many hundreds of breast augmentations, and that is not my experience. Breasts need to look great and implants need... more
A: Not a question of dual plane...
All subpectoral muscle implants are dual plane as opposed to completely submuscular since the pectoralis muscle is triangular in shape and normally does not mirror the surface area of the breast tissue. The problem with the transaxillary apporach is that if the dissection is done in a usual blind and blunt... more
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