Should I Have Gone Behind the Muscle?

asked 1 year ago by bubble277 in Savannah, GA
Latest answer by Robert Brueck, MD
Question viewed 1,060 times
Tags: saline implants, 300-349cc, overfilled, results, revision

300cc saline mod overfilled to 360cc implants-SUB FASCIAL plane. I am just not satisfied, I feel that i have no upper pole fullness making them look too round,they aren't big enough and they look strange when i lift my hands above my head or lay on my back, the gap in between is wide and i now am rippling on the top. They also feel pretty hard. What can i do to acheive the fuller, natural look and feel that i am wanting? I really would like to stay with saline if possible for safety. Thank you.

10 answers to Should I Have Gone Behind the Muscle?

Breast Implant Pockets: Risks and Beneftis

Breast implants can be placed in 3 pockets: on top of the muscle, under the muscle or under the fascia. There are advantages and disadvantages to each, which should be discussed before hand, though the sub-fascial pocket is utilized because of its theoretic combination of advantages of both over and under the muscle, with a shorter recovery and adequate implant coverage. The subfascial plane is likely closer to an over the muscle implant which in your case seems to have revealed the... more

Andrew P. Trussler, MD
Dallas Plastic Surgeon

www.drtrussler.com

Implants are not large enough

There are conflicting statements in your question. You say that they look too round but then you state that you want more fullness. You will get LESS upper fullness if you go under the muscle and I would truly caution you about going any larger. There are numerous increased risks associated with this, and I am sure I will not even touch on half of them, but consider the following. The size of the implant has been associated with: 1.Increased risk of loss of nipple... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Implants

Cleavage depends upon your anatomy and trhe size of the implants. However, if you try to force them, you can have trouble. Upper pole fullness never stays as high as some patients woud like, only a bra pushes them up that high.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast enhancement

Achieving upper pole fullness is often a goal of patients seeking breast augmentation. This is especially true of women after childbirth, breastfeeding or weight loss. Upon reviewing your photos I agree that you are still lacking in some superior pole volume. While a submucular position can be associated with a more subtle and better camoflaged implant the superior poles are often similar in volume to subfacial implants. Given that your goal if to have upper... more

Delio Ortegon, MD
San Antonio Plastic Surgeon

www.sacs-sa.com

Aug redo

I think you have severe encaspsulation and need to have them redone with silicone.Silicone is safe and there should be no worries.Sometimes the surgeon may consider textured implants which may decrease the hardness you have.

Robert Brueck, MD
Fort Myers Plastic Surgeon

www.beauty-by-brueck.com

Just not satisfied with my subfacial saline Breast Implants - Not big enough, too round, rippling at the top etc

Regarding: "Should I Have Gone Behind the Muscle? 300cc saline mod overfilled to 360cc implants-SUB FASCIAL plane. I am just not satisfied, I feel that i have no upper pole fullness making them look too round,they aren't big enough and they look strange when i lift my hands above my head or lay on my back, the gap in between is wide and i now am rippling on the top. They also feel pretty hard. What can i do to acheive the fuller, natural look and feel that i am wanting? I... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Options for Breast Augmentation

Boy, you have opened up a can of worms! I recommend visiting our website and then click on the blog link. There is a wealth of information on almost every thing you ever want to know about breast and other aesthetic procedures.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Understand the shape of the breast

If you would like to understand shaping the breast with an implant, look up our article: Tailoring the shape of the breast with an implant. It is located on our blog on our website. Unfortunately, we cannot put links directly on these responses.

Marc Schneider, MD
Fort Myers Plastic Surgeon

You can't always get what you want

Implants basically make bigger versions of what you started with. What you need to do is prioritize what makes you most unhappy and see what can be improved on your checklist: Sub facial implants offer little if any upper pole camouflage, toss in a saline implant and you get upper pole ripples. If the implant is overfilled past a certain degree to decrease rippling you get shell scalloping and a rounder/faker look. Issues of "safety" aside (most safety issues about silicone gel... more

Marcel Daniels, MD
Long Beach Plastic Surgeon

Confused about breast implants

I can tell from your question that you really don't understand breast implants at all and that your surgeon hasn't made some simple facts clear. Please also understand that some perple's bodies just will not allow them to have the result they want. First of all, upper pole fullness equates to a round look so going fuller is also going rounder. And both of these are LESS NATURAL so you can't have fullness without roundness and unnaturalness. Hardness... more