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Complete Submuscular Placement? Scared.

I am having breast implant surgery on Feb 8th 2013. My surgeon wants to do complete underst not just pectoral. I am having 625cc's and I worry that they will sit too high. Or is it because of the large implants that it will be fine? I am 5'4, 130, medium frame. Can I ask my surgeon to do partials on the day of surgery? My nipples are low and he says they will always be low without a lift but wouldn't the sub pectoral help fill the lower pole? Is my implant too large for the sub pectoral?

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18 Doctor Answers | Asked by minkygurl

Doctor Answers (18)
Community Comments (1)

"Submuscular" Implants

Your surgeon must mean a dual plane procedure? Meaning partially sub-muscular. It would be difficult if not impossible to place this size implant under the muscle. AT 5' 4" and 130 lbs. If your nipples are low they will stay low and risk being even lower with such a large implant unless there is a lot of skin between the bottom of the areola and the infra-mammary fold. Is the big implant an attempt to fill out a very deflated breast? When a patient needs a breast lift I will not substitute a... more

Complete Muscular Breast Implant Placement Concerns?

Thank you for the question. I think that you will benefit from additional time spent with your plastic surgeon in the office days prior to surgery. I would suggest that you not wait on having these types of conversations until the day of surgery. Although I do not know your situation precisely enough to give you specific advice, my concern with “complete” sub muscular augmentation is the increased risk for animation or flexion deformity; these terms... more

Implants

If you need a lift unless you have pseudo ptosis then you will still need a lift afetr breast augmentation

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Complete submuscular breast implants

I wasn't aware that anyone was still even trying to use total submuscular implant placement in cosmetic breast augmentation. That was tried back in the day when it was thought that there was something magic about being under muscle that prevented capsule contracture. The technique doesn't work and certainly not with large implants. I suspect 625 cc implants are too big for even under the pectoralis muscle with a dual plane release and that they won't fit or look right. To fit and fill out... more

Breast implants

Those are pretty big implants and will not be a provide suitable lift, if that is actually what you need. The sub muscular issue is an entirely separate one altogether. I do prefer the sub muscular placement but I don't think there is much if any difference between the so called partial versus the complete muscle coverage.

Submuscular vs subpectoral

There are many issues to resolve before sugery: this is a large implant how big do you want to be submuscular would be tough biplanar sould be considere a small lift to reposition the areola may be worthwhile

Complete Submuscular Placement? Scared

I would be scared too. I honestly don't think it is possible to get full muscle coverage of an implant so large in a patient of your size. The day of surgery is not a good time to change plans, as some thought and consideration will be required of both surgeon and patient. Now is the time. Without a photo, I cannot comment on the issue of nipple position. Call your surgeon today to discuss. Thanks for your question, all the best.

Submuscular implants

Hello Minky, You must have been mistaken (I hope) about what your surgeon said to you regarding a full submuscular pocket. You simply cannot place anything more than a very small implant completely under the muscle in one surgery. Aside from the large and capacious pectoralis major, the other muscles required to make a true submuscular pocket (pectoralis minor, serratus anterior, and rectus abdominus) don't stretch that much, and trying to do so will simply tear them... more

Complete submuscular placement is not done for breast implants.

Hi. 1) There may be a miscommunication. Complete sub muscular placement is only used for post mastectomy breast reconstruction. And you are right that the implants would sit higher. 2) You did not ask this, but we never use breast implants larger than 500 cc's for breast augmentation. see video

Completely submuscular breast augmentation

Your concerns are legitimate and due to these issues, I would highly recommend further consultation with your plastic surgeon again, prior to your surgical date. I am concerned that implants of that large of a size would fit in a completely submuscular pocket, especially in the body habitus you describe - a clarification of the definition of "submuscular" should be discussed. In my experience, implants truly in the submuscular pocket do "ride high" since the insertion of the... more

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Comments (1)

minkygurl
4 months ago

I have already had this done. I wasn't mistaken. I had the full unders. With full submuscular, the implant is placed below the pectoralis major, the pectoralis minor, the serratus and the fascia(connective tissue covering the muscle)of the rectus abdominal muscles of the abdomen. He lowered my breast crease which has added to my pain. I am wrapped so tight in an ace bandage its ridiculous, its hard to breath.The bottom can be lifted up and I can see the bottom half of my breasts. They are badly bruised I cannot see my nipples they are bandaged because that's where my incision is. PS won't see me until Valentines day. The pain is unbearable. I cannot go on this way. Please help me.

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