Age 27, Mother, 5'5, 112lbs, Breasts Have Lost Volume?

I am a 27 year old, mother of two. I'm 5'5 and weigh 112 pounds. My breasts have lost volumesince I had my children and had dropped a little. I am now a small B cup and lack volume. I have had 3 consultations with 3 different surgeon each one telling me different. 1 advised over muscle, one said under and the other consultant said dual-plane. How much breast tissue would you say is necessary for over muscle?how do I know best method for me? Am thinking 280cc as want to suit my small frame.help!

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9 Doctor Answers | Asked by Biddy2010

Doctor Answers (9)
Community Comments (0)

Above or below the muscle

Getting differing opinions has to only add to the confusion you feel. To simplify it a bit, I think you got two opinions with three names. Implants placed below the muscle almost always fit the definition of dual plane. This means that the implant is partly under the muscle, partly under the breast. (The lower edge of the pectoral muscle is about even with the nipple, so if the implant were entirely under that muscle it would be way too high.) Now the decision is down to above or below... more

Simple choice...

Its shocking to see that some physicians still recommend placing breast implants above the muscle. Placement above the muscle leads to a myriad of problems and should only be performed in a very few, select cases! Without seeing your photos I would recommend a dual plane technique that places the implants under the muscle and releases the overlying breast tissue allowing it to redrape over the implants and give you a slight "lift". If the position of your areolas is still not... more

Breast Augmentation

You present a tough scenario with no pictures for us to judge. Since there are no photos I have never seen your body type I can only speak general. Your situation is common. There are still lots of surgeons that feel above the muscle is a good operation. I do not. There are some situations where it might be good but I really can not think of many. You would be hard pressed to find many younger Plastic Surgeons that do not go under the muscle. I do use the dual plane technique in many... more

Breast augmentation

If the skin and fat pinch of where the upper edge of the implant would sit is less than 2cm it is likely that you will not have enough tissue there to cover the upper edge of the implant if it is placed on top of the muscle. It is not just the amount of breast tissue present it also also involves how it is distributed under the breast skin envelope. The best method for you will depend on your current condition and the surgeon doing the surgery. The same surgical approaches can have different... more

What type of breast augmentation is best for me?

In order to lessen the risk for capsular contracture and visible implant rippling almost 100%of my patients have sub pectoral augmentation (under the muscle). I often employ a dual plane approach in patients with a little breast drooping or ptosis. I think that having different recommendations can be confusing, but plastic surgery has a lot of variety and that’s what attracts most surgeons to it originally. I would typically look for a sub muscular augmentation as the... more

Mahlon Kerr, MD

16 reviews

Austin Plastic Surgeon

Implant pocket location

In most patiens I prefer under the muscle( dual plane) because it offers more soft tissue coverage in the upper pole. But, every patient is different.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Post Pregnancy Breast Volume Loss

It certainly is not uncommon to lose breast volume following pregnancies, especially in the upper pole. I would suggest placing your implants under the muscle regardless of how much tissue you have since this will provide a more natural result which it sounds like you wish becaus eof the implant size chosen.

Over/Under

Dear Biddy2010, I agree with Dr. Pousti's thorough answer. I generally guide patients in your situation to choose under the muscle (dual plane is a form of under the muscle augmentation). My reasoning is that it reduces the rate of capsular contracture, feels more natural, provides more upper pole fullness (which many women want), and hides rippling. Unless you're a weight-lifter, I rarely recommend a subglandular or over the muscle position to patients.... more

Confused about Best Option for Breast Augmentation After Differing Opinions?

Thank you for the question. It is extremely common to receive different opinions from different plastic surgeons about the best way to treat a specific “problem”. Each plastic surgeon may have his/her opinion that is based on their specific/unique education, experience, and personal preferences. Their opinions may also be shaped by unfavorable results they have encountered in their practices. Although I cannot provide you with precise advise without direct examination and a full... more