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With Breast Implants, What Placement Is Best For Me? What Could Cause Rupture?

asked 3 months ago by C Lynn in Worcester, MA
Latest answer by Brooke R. Seckel, MD
Question viewed 143 times
Tags: under muscle, causes, over muscle, rupture

I'm 18, 5'1", 112 lbs. I'm naturally a B cup and I'm considering saline breast implants to become a D cup. Should I go for under or over the muscle and would it cause the chances of the implant to rupture more one way?

12 answers to With Breast Implants, What Placement Is Best For Me? What Could Cause Rupture?

Best implants for you

The rupture rate for implants is the same above or below the muscle, it is 1% per year. As to a D cup and your dimension, I will first say that it is very difficult if not impossible to guarantee a cup size. Also, if you are a B cup, I think the size implant you likely would require to get you to a D cup will not be able to fit and stay underneath your muscle, especially long term, as the muscle will push that size implant out. Placing the implant above the muscle has a higher capsular... more

Julio Garcia, MD
Las Vegas Plastic Surgeon

Breast Implants Best Placement-under muscle or over breast?

If possible placing breast implants under the muscle provides thicker coverage of the implant and a more natureal. This is particularly important for saline implants because they tend to form ripples with time and there is a better chance of hiding the ripples under the muscle. However if your breasts are sagging, under the muscle may cause a snoopy deformity. Rupture rate for saline or deflation rate is the same under or over the muscle. Cup size is hard to predict. Check the link... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Breast Implant Positioning and Rupture?

Thank you for the question. I think there are many advantages of placing breast implants and the “sub muscular” ( dual plane) position. Although breast implants in the sub muscular ( or dual plane) position may experience “distortion” with muscle movement (workout) I still think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Saline submuscular implants

The submuscular placement has many advantages such as a lower capsular contracture rate, and better coverage with less thinning and implant show over time. Implant rupture rates will not be affected by the pocket location. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breast implants will probably achieve your goals

If you are presently a B cup and want to be a D cup, then breast implants will most likely help you achieve your goals. I suggest either saline or silicone implants, placed underneath the muscle. With your height and weight, I would recommend implants in the order of 390 to 420 cc's would probably be about the right size to achieve your goals.

James Tang, MD
Houston Plastic Surgeon

Saline breast implants should go under the muscle

As an 18 year old, your breast implant choice is limited to saline. Those are the rules based on the FDA approving breast implants. At 22 years of age, one can chose between saline and silicone. Saline implants don't look or feel very good on top of the muscle. They often show ripples and wrinkles. I strongly recommend submuscular implants for you.

Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon

Subglandular v. Submuscular Implants

There is no data that shows that the plane in which implants are placed makes a difference in rupture rate. It does make a difference in the way the implants look and feel In a thin woman, like yourself , an under the muscle inplant gives more coverage to the implant and thus appears more natural. You are still too young for mammograms, but when you are at the recommended age for breast screeniong, an under the muscle (dual plane placement) allows for better reading... more

Mary Lee Peters, MD
Seattle Plastic Surgeon

www.maryleepetersmd.com

No good reason to put implants on top of the muscle

Thank you for your question. There is no difference in rupture rates under the muscle vs on top of the muscle. There are a variety of problems with implants on top of the muscle including a less natural feel, less natural appearance unless you have a lot to cover up the implant, more rippling, a higher risk of capsular contracture and they get in the way more when getting a mammogram. You are very petite based on your height and weight. A D cup is probably rather large for your body type and... more

James McMahan, MD
Columbus Plastic Surgeon

Implant size and rupture

Picking implant size depends on your breast dimensions, size, breast tissue and shape. The size cannot be promised since it depends on which bra you wear (I.e. A "D" in one brand may be a "C" in another brand- much like dresses or shoes). There are advantages to placing the implants under the muscle. Placement of the implants does not influence rupture rates. Saline implants usually deflate from either fold failure or problems with the fill valve.

Todd C. Case, MD
Tucson Plastic Surgeon

Breast implants

If you are very tin and do not have a lot of soft tissue coverage, I usually prefer to place the implants under the muscle. It provides more upper pole coverage.

Steven Wallach, MD
Manhattan Plastic Surgeon

Implant Rupture Rates not affected by pocket location

Hi there- While there can be no doubt that there are many advantages to the average woman of placing her implants under her chest muscle, lowering the risk of rupture is not one of them. Remember also that the decisions you make now will affect your life in many ways in the future- larger implants will cause your breasts to sag more than they would if they were more appropriate for your body, requiring more operations over your lifetime, with more expense, and more scarring... more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Causes Of Implant Rupture

The cause of implant rupture is usually "normal wear and tear". The defect typically develops at the seam which is necessary for the manufacturing process. In over 20 years I have never seen a ruptured implant which can be directly related to specific trauma. I am unaware of a difference in rupture rates related to implant location.