Breast Implants: Q&A
Ask a Question
Under Vs over the Muscle Placement for Silicone Breast Implants?
I am getting 400cc moderate plus Mentor Silicone gel implants on Monday! And I still have to choose over or under the muscle. I am 5' tall and weigh 101 lbs. I have only one child and do plan to have more. I am full 32A/B in cup size now. I just still don't know what to choose.
Tags:
11 Doctor Answers |
Asked by
yrs09
in Georgia
+3
Breast implant sizing
Generally submuscular implants have many advantages. You should also be aware that there are many other factors that will determine the quality of your results.
Much of the final “look” achieved after breast augmentation surgery depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation...
more
+2
Over or under the muscle for silicone breast implants requires careful decision
Your surgeon should be helpful in your decision whether to have silicone gel implants under the muscle-subpectoral or under the breast-subglandular.Both methods of breast augmentation can provide pleasing results if done by a properly experienced board certified plastic surgeon.Submuscular breast implantation is an easier, less complex surgical procedure with less post operative pain. The coverage of the implant by muscle provides additional coverage of the implant which helps hide the...
more
+1
Above or Below the Muscle Breast Implants
There are advantages and disadvantages to both that must be understood for an intelligent decision to be made. First of all, as by other doctors, present day opinion (without scientific validation) favors a submuscular placement when considering the interpretation of mammograms. It is debatable that this is a major consideration. The placement of your implant will be determined during consultation with your doctor or physician.
If a breast is tubular in shape or if it is modestly ptotic...
more
You might also like...
Real Stories
Breast Augmentation In Tijuana B.C Mexico HELP!! - Mexico, MX
Hello everyone. Im 21 and have a son whos 4 and to all you ladies that have had children,...
+1
Depends on your physical makeup and what you are trying to achieve
Implants placed under the muscle tend to sit higher on the chest and give more fullness above the bra line. Implants placed above the muscle are more natural looking and tend to sit lower. Putting a 400 CC implant in someone of your cup size, height, and weight will probably put you into the full C cup range. Silicone implants don't ripple as much as saline implants ,and are the implant of choice when going sub mammary (above the muscle). This is the more common placement for patients in...
more
+1
Between you and your surgeon
Although there is no question what I would do for you, which is placing the implants partially under the muscle, your decision depends on the discussion between you and your plastic surgeon. I firmly believe that partially under the muscle yields a prettier upper breast look, especially in a thinner woman such as you. Look at your surgeon's before and after photos to see what you like. Best of luck.
Dr Edwards
+1
Ask your surgeon...
This is not generally an option that I give to patients. Based on her build and desires, I MAKE the decision to go under or over the muscle and RARELY do I go over the muscle. You really sound like someone who should go under the muscle, but I also think you're implant is probably too big for you!
+1
Silicone breast implant placement depends
Most surgeons prefer to place implants under the muscle for two reasons.
First of all, in someone who is thin (like you seem to be given your height and weight), the muscle can provide an additional thin layer of coverage over the implant.
Secondly, and most importantly, there is evidence that shows that there is a lower risk of capsular contracture when the implant is below the muscle.
Since I have not examined you, I can't know if you have any reasons why it should not be put under the...
more
+1
I would almost always go under the muscle in a patient as thin as you.
In my practice, under or over the muscle depends on the patient and the breast tissue and appearance before implants. In your case, you sound quite thin and though silicone ripples less than saline, rippling in the upper pole can still be a problem, so I would usually go under the pectoralis muscle for more upper pole coverage of the implant.
+1
What did your surgeon recommend?
The choice of under or over should have been made in consultation with your surgeon. It sounds like you are thin so coverage will be an issue, which would be a factor in favor of going under. There are other options such as subfascial that are considered for athletic women who are at risk for muscle flexion deformities but this is also a decision that shouldn't be left to the last minute.
+1
Several factors, but you cannot lose by going under the muscle
There are several factors which are important to consider when choosing pocket location. Above the muscle will give you a better projection but the implant could be visible if you do not have enough breast tissue coverage. Other issues to consider include family history of breast cancer and nursing. In case of doubt, you can always go under the muscle.
Comments (0)