If I Am Getting a Lift and Natrelle Implant Can I Go Under or over the Muscle? (photo)

I want to go under the muscle but the Dr said it probably wont be. I am also getting a large tummy tuck

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9 Doctor Answers | Asked by armystrong

Doctor Answers (9)
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If I Am Getting a Lift and Natrelle Implant Can I Go Under or over the Muscle?

Thanks for posting the photo. I would approach you in a staged operation. Stage 1 Full lift, Full TT with lipo. Stage 2 Breast implants. This isa my opinion based upon the info and photo.

Should the implant go under a muscle when getting a lift?

You can have the breast implant placed either above or below the muscle. If the implant is placed under the muscle, it will likely sit higher up and thus you will require a bigger lift. Placing the implant over the muscle won't require as much lifting and will leave you with an implant that sits a little lower. Which look is better? That depends on your perspective. Under the muscle will give you 'perkier' look, while over the muscle will give you... more

Implant pocket

I prefer in most patients to place implants below the muscle because it can camouflage the upper pole better, especially in very thin patients.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast lift and implants at same time

Based on your photo, I personally would place the implants under the muscle, and do a lift at the same time. While each plastic surgeon has his or her own preferred techniques, I do not see a good reason to place them above the muscle. Placing implants under the muscle reduces the risk of capsular contracture. Also, the lift will involve manipulating the breast gland, and by placing the implants under the muscle you avoid further manipulation of the blood flow to the gland and nipple areola... more

You do not need implants

You have fair amount of breast tissue and implants will make your breast too big and sag too early. Implant are for patients with small breast tissue . I would recommend lift only if you are happy with your breast size when wearing bra.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Breast Implant Placement

Hello, Most doctor's opinions lean toward submuscular placement of implants, and for good reason. Looking at data available, there is a clear association between subglandular placement of implants (overs) and a higher risk of complications like rippling in the upper portion of the breast, capsular contracture, and unpredictable tissue stretch, especially with larger, high profile implants. Your doctor's decision not to honor your wishes makes me concerned, and also... more

Breast implant pocket location

I know you will get different opinions on this from plastic surgeons so I will make it clear that this is my opinion. I strongly prefer to use an under muscle pocket for long term stability. I have seen too many patients seeking revision because of pocket thinning and implant visibility in the above muscle position. The above muscle pocket works great in the short term but after several years the tissue thins and the implant becomes too visible and palpable... more

Marcus L. Peterson, MD

4 reviews

Saint George Plastic Surgeon

Breasts Implant Positioning (Sub Muscular or Sub Glandular)?

Thank you for the question and picture. In my opinion, in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which... more

Under or over the muscle?

Based on your photo I think you could go either way. It also depends on the size of the implant. The larger the implant the more I would recommend under the muscle in order to avoid too much visibility of the implant. I think that there is slightly less long term capsule contracture when the implant is beneath the muscle as well. Good luck.