Once over the Muscle. Can I Now Go Under Muscle?

asked 1 year ago by Nikkipop000 in nj
Latest answer by Tom J. Pousti, MD
Question viewed 596 times
Tags: saline implants, under muscle, D cup, over muscle, revision, TUBA

If I choose to redo my implants (d cup saline over the muscle TUBA) to silicone, under the muscle same size...will I have issues with look? In other words is going from over to under a problem?

10 answers to Once over the Muscle. Can I Now Go Under Muscle?

Replacing Breast Implants To Under the Muscle?

Thank you for the question. In the event of capsular contracture or severe breast implant rippling replacing implants in the sub muscle position is the best way to go in my opinion. This may or may not be possible depending on your specific situation. Generally, it is possible to replace implants under the pectoralis muscle (dual plane). However, the major issue of concern is the overlying breast tissue and skin and whether further surgery will be necessary to... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Changing an over the muscle TUBA placed implant to under the muscle

Going from over the muscle to under the muscle is a feasible option but this may require sutureing the muscle to the tissue to prevent the implant from "popping" back into the previous pocket. It also would require a scar on the breast.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Changing pockets with implants

Changing the breast implant pocket form overs to under the muscle is done all the time. It should be fine.

Steven Wallach, MD
Manhattan Plastic Surgeon

Changing Breast Implant Position

In my opinion it is difficult to go under the muscle once the breast tissue is seperated from the muscle. You may get better results to just put the Silicone above the muscle.

Robert N. Young, MD
San Antonio Plastic Surgeon

www.dryoungforever.com

Can Breast Implant Pocket Placement Be Changed?

You can definitely change the location of your implant placement. I am glad you are choosing a sub-muscular location as it has several advantages. First, the rate of capsular contracture is lower. Second, and most importantly, it will interfere less with mammography.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Re: Changing breast implant position from over to under the muscle

That is certainly not an uncommon request. Subgladular placement of saline prosthesis over time usually resulted in visible rippling and a palpable prosthesis which is an unwanted long term effect. This has been significantly lessened with the use of a dual plane approach. Switching to a submuscular position is quite common and will give a more natural appearance to the breast and certainly make the prosthesis less palpable. The only issue is the amount of skin present after replacing the... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Subglandular to submuscular implants

As you may know, the submuscular approach is generally the preferred placement of implants. When compared to a subglandular pocket, these submuscular implants are associated with a more natural appearance, a lower incidence of capsular contracture, and less palpability (you can feel the implants less). There are a few options in this scenario. One is to remove the implants and allow the breasts to heal back down to the muscle. After 4-6 months, the implants can be... more

Jason R. Hess, MD
San Diego Plastic Surgeon

Changing Breast Implant Positions - from OVER to UNDER the Pectoralis Muscle

Regarding: "Once over the Muscle. Can I Now Go Under Muscle? If I choose to redo my implants (d cup saline over the muscle TUBA) to silicone, under the muscle same size...will I have issues with look? In other words is going from over to under a problem?" We regularly switch implant position from OVER the muscle to under the muscle and from under the muscle to a new pocket under the muscle. While no breast implant position is perfectly ideal and free of compromi more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Pocket site change after Breast Augmentation

If you have D sized implants on top of the muscle, and you take the same volume and go under the muscle, you could have issues with the overlying skin. In an over the muscle situation, the implant is within the breast itself and fills it up. The under the muscle pocket is high and the implant sits along the ribs and pushes forward. If there is any redundant skin or sagging, the skin may not be filled out properly, and could be loose or sagging above and beyond the level of the implant.... more

Hayley Brown MD
Henderson Plastic Surgeon

Implants Can be Moved from Over to Under Muscle

Your implants can certainly be moved from a subglandular to a submuscular position. However, I don't think this can be done with a TUBA procedure (which I do not perform). You would have to accept a scar in a different location.