Breast Augmentation: Q&A

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I Am 28 5'8 165lbs 36A Wanting Saline Implants Uncertain Over/under Muscle?

29 Doctor Answers | Asked by sweet33 in Ohio
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Usually, Saline Implants Are Placed Under Muscle

First, consider what your body type is and how much of your natural breast tissue you have. If you are thin and have little of your own natural breast tissue, then chances are sub muscular placement is better. This is because the implants (regardless of whether they're saline or silicone) won't be as palpable. Their outline won't be as visible, as well, giving you a more natural result in both feel and look. Saline implants tend to create more visible rippling than silicone.... more
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Under the muscle is BEST

At size 36 A each 200 cc of implant will correspond to 1 cup size change. Once you know you desired size then you can calculate the size implants you will need. Since you are very small (size A), implants will be palpable through your skin. I would recommend underneath the muscle for this reason. Also, silicone gel implants feel and look more natural than saline and will not ripple as frequently as saline implants. I suggest you consider silicone gel implants... more
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Implant Under or Over Muscle?

Whether using silicone or saline implants, most women choose going under the muscle because it gives you a more natural look. It also makes reading your mammograms easier, so that alone is a great benefit. With saline implants, going under the muscle may be better choice because the muscle and breast tissue will help to camouflage the implant better and help give you a softer more natural look. There is a good chance you may feel the implant more and possibly see and feel... more

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Saline implants over or under the muscle

With saline implants I always go under the muscle. I like to have as much coverage as possible so that it looks as natural as possible with the least possibility of rippling.
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Implants above or below the muscle

Thank you for your question. This is a very common question that many women have. As with so many things in life, there are trade off's with placing an implant in both positions. In order to safely place an implant above the muscle, there must be adequate breast tissue to help cover the implant. If not, a person will be able to see the implant easier, they will be able to feel the implant easier and as you get older and need mammograms, the... more
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Saline Implants

Whether you are a candidate for a saline implant should be determined by your surgeon. There is nothing wrong with a saline implant if you have the correct body habitus. I use both saline as well as silicone implants but most females choose silicone because they feel it is more natural and similar to a breast. If you have enough breast tissue coverage then saline works fine below the muscle (never above). I would recommend you seek out a surgeon who gives you both options and decide for... more
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Breast implants over or under the muscle

Thank you for your question. Regardless of the type of implants used, many plastic surgeons, myself included, favor placement of the implants under the muscle. This creates more coverage above the implant, which can limit rippling and make a more gradual transition on to the implant. This is especially true when using saline implants, which have more concerns about rippling to begin with. In order to place a breast implant above the muscle, there has to be sufficient tissue thickness of... more
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Under the muscle

Submuscular implants perform much better long term. Lower incidence of capsular contracture, malposition, wrinkling and palpability. Saline or Silicone are reasonable choices. Discuss these choices further with your surgeon.
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Location for saline implants

Saline implants, as well as silicone implants, are fine choices for breast augmentation. With your decision for saline implants, certainly they will provide a fuller and more rounded appearance, particularly of the upper pole of your breasts. Recent studies have shown minimal to no change in complication rate for submuscular vs. subglandular placement of implants in terms rupture, infection, capsular contracture, and radiologic imaging of your breast. So, your final aesthetic... more
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Saline implants and location placement

Hello, Thank you for the question. I think under or over the muscle can and is argued over among plastic surgeons really indicating that in the right patient and in the right hands either can provide a safe and beautiful result. Saline implants, on the other hands, are better placed under the muscle. The reason for this is the inherent characteristics of the saline implant. It tends to be firmer with a fuller and rounder upper pole. This in combination with... more
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Comments (2)

What did you decide?
  • Reply
  • SarahP (Community Manager)
  • 4 months ago

Hi There,

I just wanted to let you know that for questions like these, it is always helpful to attach a photo.

  • Reply

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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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