(yrs old, 2 children, breastfed for 2.5 years, 34C pre-pregnancy, 34B two years post-nursing, 110 lbs, 5"3. ) I will be having a BA in May, using a gel implant approximately 300-325cc. My goal is to fill the "sac", not to have high cleavage. My PS has advised me of the benefits and risks of each placement. I am concerned I may end up with the "double bubble". My PS believes that I have enough tissue in the upper pole to cover the implant. Thank You kindly.
Subglandular Vs Submuscular (W/preoperative Mild Ptosis)? (photo)
Doctor Answers (5)
Subglandular Vs Submuscular
With occasional exceptions, my preference is for subpectoral placement of implants.
There are a number of conditions that are described as double bubble, and they have different causes.
- indentation on the breast implant caused by the breast fold when the implant is lower than the fold
- indentation on the breast implant caused by the lower edge of the pectoral muscle
- breast draping off the implant when a lift was needed but not done.
I don't see anything in the photos or narrative suggesting that you are at any particular high risk for any of the three causes noted here.
Subglandular Vs Submuscular (W/preoperative Mild Ptosis)?
Based upon the posted photos and statements I believe you need to better understand the operative choices. I would ONLY go sub muscle and I feel you need a larger size implant to "fill" the 'sac'. I might consider a lifting also.
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Subglandular Anatomical shaped implants.
Thank you for your interesting question.
I think that your concerns related to "double-bubble" problem are correct. If implants are placed in a subglandular (sub-fascial) plane, you'll avoid this possible complication in a near future.
If you combine it wit placing anatomical-shaped cohesive gel implants -f.e. Natrelle (Allergan) Style 410MF120295 or 410MM125320- the final results will be very natural and pleasing. Round implants with volumes over 300cc, when placed in a subglandular plane, in thin/slim people, make the final results too obvious ("operated look").
Currently, FDA has approved the Style 410 -anatomical shaped implants- in the US, so your plastic surgeon can give tou more information about it.
In Europe (EU) we use this combination since 1999, with optimal results (compared with round subglandular implants).