Breast Implants: Q&A
Ask a QuestionWhat's Better - over Muscle or Under Muscle Implants?
Should I get my implants over or under muscle? I am recieving conflicting opinions from plastic surgeons.
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20 Doctor Answers |
Asked by
confusedaboutboobs
in Australia
+3
For flat breasts, breast implants work best under the muscle.
Hi.
1) We individualize based on the anatomy. For relatively flat breasts with no excess skin (like yours), I think under the muscle is better (more of your own tissue covering the implants).
2) When you are trying to correct some sagging with implants, then over the muscle generally better (implants fill skin envelope better if they are over the muscle).
3) For body builders, always over the muscle.
+2
Breast Implants - Above or Below the Muscle?
This may be a somewhat controversial statement, but in my opinion there currently is really only one acceptable position for breast implants in an elective cosmetic surgery patient: behind the pectoralis major muscle (sub-pectoral augmentation). There are a number of very compelling reasons to place implants behind the pec major, and the most compelling one of all is the fact that radiologists report that the mammographic imaging of breasts for the purpose of breast cancer screening tends to...
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Breast implant placement
There are various factors regarding how you want your breasts to look and feel, but if you and your doctor have a good, open line of communication, you shouldn’t need to go back and forth on your decision. A major factor that effects how breast implants look and feel is whether they're inserted over or under the chest (pectoral) muscle. I do submammary and submuscular implants, inserting the implants under the breast tissue and over the muscle through an incision in the breast fold...
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Different opinions on this one
Personally, i place almost all of my implants under the muscle. this is usually done in a "dual plane" fashion, meaning, the upper 1/2 of the implant is covered by the pectoralis muscle, while the bottom of the implant is covered by the gland.
the main motivation for this is to help to camouflage the upper pole of the implant. a simple look at your picture shows that your ribs are quite visible. you do not have much soft tissue in this area, and using...
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Location of Breast Implants
Thank you for the question.
In my opinion, there are numerous advantages of sub muscular (dual plane) breast augmentation. This implant positioning will give you the best long-term aesthetic results and reduce the chances of complications such as significant rippling/comparability/ encapsulation and interference with mammography.
Best wishes.
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Choose the "plane" which is optimal for your situation.
Based on the photo submitted, I concur that the optimal position would be "dual plane": under the pectoralis major muscle in the superior portion and below the breast tissue in the lower pole. This plane confers the following advantages: a) better superior pole (area between collar bones and nipples) soft tissue coverage, as the pec muscle drapes over the upper part of the implant; b) lower rate of capsular contracture (scar formation around the implant); c) superior...
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The Unders Have It
Dear Confused,
Although the choice of over versus under the muscle is there for almost everyone, certain body types lend themselves better to under the muscle. Thin tissues on the chest wall such as yours is one of those body types. Placement under the muscle would give you a thicker implant coverage a most likely a more natural result. Also, placement under the muscle is less likely to result in tight capsular contractures, which can distort and displace implants...
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Which is Better OVER or UNDER the Muscle Breast Implant Placement
All breast implants form ripples and folds (saline much worse than silicone filled). The most attractive breast augmentation results are obtained when the implant is covered completely by your tissues. Unfortunately, women present for breast augmentation precisely because they do not have sufficient breast tissues and want more volume. To cover the ripples of the implants, they are best placed under the pectoralis muscle under the breast in the majority of women.
Dr. Aldea
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Implant pocket choice
First, it is a personal choice by the patient. However, a patient's anatomy may lean them in one direction versus another. If you are very thin and do not have alot of breast tissue, you may wnat more soft tissue coverage and therefore have them placed under the muscle.
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Under muscle implant placement for thin women
There are of course many factors to consider but an important one is coverage of the implant. This is especially important for the upper portion of the breast, in order to smooth the transition from the chest wall into the upper breast mound and avoid a fake look. Under muscle placement is very helpful in that regard. It is important to keep in mind though that the muscle doesn't cover the side or the bottom.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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