Breast Augmentation: Q&A
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Do I Need a Lift/Advice Benefits of Going over the Muscle? (photo)
Hi,I am currently looking to have a breast augmentation but wondered do i need a lift. I have had different consults with different opinions. I have also been advised I have enough tissue to go over the muscle, but regardless of how much tissue I have isn't under the muscle more beneficial. I get the feeling from my last doctor he wants to make this really EASY, but i want long lasting results. I am currenltly leaning toward saline over the muscle. I am 31years old, 2 kids 112lbs. Please help!
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25 Doctor Answers |
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Upforchange
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Benefits of Going Over Muscle #breastimplants
A few things I did not get was how large you want to be. That may affect whether you need a lift or not. So there are so many things with regards to saline or silicone above or below the muscle. I feel that a better long term result will be in the sub-muscular pocket. Capsular contracture rates are higher above the muscle and higher with saline above the muscle vs silicone. Below the muscle the contracture rates are the same for either silicone or saline. Above the muscle you will find more...
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Lift? Not yet. Saline above muscle? NO!
Though my headline seems more definite, the answers my colleagues are giving indicate that there is no clear-cut consensus and therefore no "right" or "wrong" answer. Yet, the majority of us feel that saline implants have a higher likelihood for visible/palpable rippling, not to mention deflation risk (re-operation), and (above the muscle) a scientifically-proven increased risk of capsular contracture (big re-operation, and one that doesn't always "work").
Yes, there are issues with...
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Breast Implant Placement
Hello Marie,
You are very astute with your feeling that the doctor wants to make this as easy as possible FOR HIMSELF. There are two issues going on here, one is the need for a lift or not, and the other is implant placement above or below muscle. Unfortunately these two issues are sometimes linked together (placement above muscle will negate the need for lift), but this is incorrect, despite many surgeons (and patients) believing this to be true.
Women with your breast...
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Over versus under the muscle with lift
Hi, placing the implants below the chest wall muscle greatly reduces your risk for capsular contracture (hardening of the breast requiring more surgery). Also, by placing the implants below the muscle there is less risk of being able to feel the implants. Although, gel implants feel more natural than saline implants. Also, the larger your implants are, the more risk you will have for sagging of the breast. When the nipple is below the fold of the breast, a lift will give a nice shape so that...
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Most women need lifts
You need silicone implants placed retro-pectoral. They give the most natural appearance and feel. You definitely need a lift. This can be done leaving only a scar around the areola. The goal of this procedure would be to lift your areola, lift your breast tissue and place implant high on the chest wall. Aligning all 3 in the same horizontal place will provide maximum projection and give you a more attractive appearance. You are a perfect candidate for a...
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IMPLANTS first and LIFT later
Choosing an implant size that is a little larger (think around 400-450cc or more) in size may give you the look you want. With your size of breasts and the nipple position, why don't you get the implants, let them settle for 1 year and then decide if you want the nipples higher. Under the muscle is the very best choice for many reasons. First, they will look more natural with a muscle covering, less rippling, and more protection for the implant. Hope this was helpful...
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Breast implants
I feel that you need a lift as well as implants. If you are using saline implants, you definitely want them under the muscle. If they are above the muscle, you are likely to see some rippling of the implant under the skin.
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Lift or sublgandular augmentation
HI,
Based on your pictures, you do have some post child bearing droop to the breasts. In all cases I never recommend sub-glandular saline implants. It is too likely that you will have visible or palpable rippling or wrinkling of the implant. I would probably recommend a sub-glandular silicone implant to fill out the deflated tissue and give you the most natural result. If you were very interested in a a sub-muscular approach I might recommend a small lift (peri-areolar) to centralize...
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Under the Muscle for a Long Lasting Result
Based on your photographs, a breast lift is not necessary. I would recommend saline or silicone gel implants under the muscle for a long lasting result with the fewest complications and risks. Good Luck!
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What type of breast Implants should I get? (photos)
There is no right or wrong answer, only alternatives with expected advantages and/or disadvantages which may or may not materialize. Looks to me like formal breast lift unnecessary, but you have enough skin to accommodate high or ultra high (full) profile implants, and as of now, areola low. Choice may be to slightly lower inframammary crease, or select anatomically shaped implants. Only good examination and frank discussion with you will help determine best course.
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Hello
In our practice we wouldn't recommend to get saline over the the muscle. Getting them over the muscle is going to increase your chances of rippling. From your pictures it does not look you would need or require any kind of lift.Seeing you in person would be better to give you adequate advice.
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Is lift necessary?
Thank you for the question. It is one that s asked frequently by women who have had children. From the frontal view, the ptosis is not apparent although the loss of volume is notable in profile. placing implants above the muscle will produce a quick fix but I have concern as to the longterm outcome. See a board certified plastic surgeon in consultation to explore your options. Without knowing your goals in terms of size, it is impossible to be more specific.
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LIFT OR NO LIFT
Thanks for the photos. It appears the nipple is at the breast fold. However the breast tissue is covering the fold. This is called glandular ptosis. An implant placed in the subfascial plane should do a nice job filling out the soft tissue envelope and enhancing the breast appearance. I would not recommend a lift at this time. In the future you may require one but for now you do not need the extra scarring.
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Breast Augmentation Under Or Over The Muscle?
Hello Marie,
Your photos are excellent and your question is one that represents a dilemma for many women seeking breast augmentation.
Choosing to place the implants over the muscle can be an excellent option for the right patient. In your case, placing implants over the muscle will give you a very NATURAL result and you may find that a lift is not necessary (which is not usually the case when placing them under the muscle which can result in a 'double-bubble' appearance...
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Saline over the muscle
Thanks for great pictures and good question. I would not go saline over the muscle, as you stated you want long-lasting results and I believe your results would deteriorate quicker and more profoundly over the muscle. As for the lift, you did not mention the size you are looking to go, if you scar well and are trying to modestly increase your breast size, a peri-areolar lift could serve well. If you are going large, then you may be able to avoid lift, but have more natural...
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Going over the muscle
Over the long term, many years, a submuscular implant will tend to have better cover and look better, with the added benfit of a lower capsular contracture rate. Submuscular saline or a silicone gel might be the better option. Do you need a lift? If your nipple (the center) is above the breast fold you might not need one, including the scar that the lift will involve.
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Breast Augmentation with or without lift
Thank you for your question and posting photos.
Saline over the muscle my look okay in the short run but after 2-5 years, the results could be disasterous with rippling and severely thinned out tissues. Under the muscle with silicone implants (with or without a small lift) are likely to give you a better and longer lasting result.
To be sure, see two or more board-certified plastic surgeons for a full consultation to make sure that it is safe for you to have surgery and that you are...
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Lift and / or Breast Implants
Without seeing you in person, it is impossible to give specific advice. However, based on your photos, I feel implants and a lift will give the best, most long-lasting results. In most cases, round, smooth, silicone implants placed under the muscle is what I prefer. However, each patient has to be assessed individually to achieve the best result for them.
Good Luck.
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Do I need a lift?
It appears you have glandular ptosis. This means your skin is not supporting your breast tissue up the way it used to. You may also have some true ptosis where your nipple or areola is at or below your fold. A subglandular implant will fill out your breast well and maintain a natural shape HOWEVER as your skin stretches further you may have the "rock in a sock" result. Ugly term,I know, but it usually gets the point across. A submuscular implant will prevent this but my guess is...
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Breast Augmentation w/Lift Would Benefit You
Good Afternoon,
It's always a challenge to provide advice via photos. In my experience, silicone gel implants placed under the muscle will have a more aesthetically pleasing results, more natural. From the photo, a lift would benefit you as well. I hope this helps.
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Lift vs no lift, above vs below muscle?
In general, below the muscle- dual plane with silicone gel is a better overall outcome. Above the muscle with saline is likely to relate more long term cosmetic issues such as visible wrinkling . As far as the lift aspect of your question, a thorough exam would be necessary to give you all your options.
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Implant Placement With Lift
If I were performing your surgery, I would suggest placement of your implants under the muscle. Even when you have significant breast tissue I feel that you will achieve a superior result when implant is placed below the muscle. I would also suggest using a smooth silicone implant.
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Lift/Advice Benefits of Going over the Muscle?
There are no right or wrong answers, and depends a lot on patient and surgeon preference. From the photos it would seem that a lift could be beneficial due to the relatively low nipple/areolar position, but this would have to be confirmed by examination. Going under the muscle does reduce the likelihood of palpable or visible ripples, and so could be a good option for you if you are going to use saline implants. Good luck!
Daytona Beach Plastic Surgeon
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Over the muscle vs under the muscle
It is impossible to be sure without an in person exam but your nipples appear to be above the level of your breast crease so a lift may not be beneficial other than possibly a donut lift. Going on top of the muscle with breast like yours may lead to more sag with a rock in a sock look, top it off with a saline implant and you may see ripples in the upper portion of your breast. An extended dual plane augmentation would be my initial recommendation and may avoid any need for a lift. Hope this...
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Lift/Advice
Implant position: I generally prefer placing implants under the muscle especially if saline is the patients preference. Although it may well be that you have enough breast tissue to make above the muscle position acceptable, it is still preferable, to me at least, to place the implants under the muscle. Saline implants in particular are at risk for palpable and visible ripples and these are less noticeable in the submuscular postion. Positioning under the muscle decreases the chance of...
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