Best Option for Breast Enlargement?

I am currently seeking advice for a BA. I am 157cm 48kg have minimal breast tissue after having 3 children. I have seen 2 plastic surgeons both whom have given me 2 different opinions on the type of procedure would suit me best. Surgeon 1 says they would place the inplants behind the muscle as I am so small, and feels I am at risk of rippling. Surgeon 2 says no definately in front of muscle, that I have enough breast tissue, behind muscles causes too many complications. Which advice do I trust?

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5 ft 0 in to 5 ft 3 in 090-109 lbs second opinion

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6 Doctor Answers | Asked by th123

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Slender, Small Breasted Women Do Better With Implants Below The Muscle

With minimal breast tissue and being very petite, I would strongly recommend your breast implant go below the muscle. The implants statistically have a better chance of staying soft, you will get a better mammogram, less chance of seeing the edge of the implant, and less chance of rippling. I am concerned about plastic surgeon #2. The comments you attribute to him or her do not sound to me like a Board Certified Plastic Surgeon. When choosing a surgeon to do... more

Best Placement of Breast Implants

The placement of implants can be done safely both above and below the muscle. If the skin at the upper pole of the breast is thicker than 2 cm, implants can be placed above the muscle with positive results. If the skin is thinner than 2 cm, an implant under the muscle will produce better results. The majority of my cases have been under the muscle and these patients are happy with their results. When choosing a plastic surgeon, be sure to find someone who has a board certification and is... more

Submuscular vs. Subglandular Breast Implant Position

Thank you for your question. I would highly suggest that you make sure that the surgeons you are visiting with are board certified plastic surgeons. You can get more information on the ASPS website regarding board certification. Both positions have pro's and con's but I believe that most board certified plastic surgeons place implants in the submuscular position for better, longer lasting breast augmentation results. Although breast implants in the sub muscular ( or dual... more

Under or over the muscle in breast augmentation

This is a confusing area, as there is usually no right and wrong answer. Surgeon preference, patient preference, the size you want to be and your natural anatomy are the factors which influence the recommendation of the surgeon. Each plane has its pros and cons. Essentially, the thinner you are the more the decision matters. At 48kg you are thin, and if you have very little breast tissue then it's more likely you'd be better to have the implants under the muscle. However,... more

Breast Augmentation placement

For starters, be sure you are consulting with a Board Certified Plastic Surgeon, certified by the American Society of Plastic Surgeons (ASPS). That's the first thing. Some surgeons call themselves Plastic Surgeons, and are not certified by the only recognized board. Be sure to ask if you need a lift at the same time as the Breast Augmentation. Without seeing pictures of you, I cannot recommend the placement. Best of luck with your surgery.

Robert E. Zaworski, MD

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Atlanta Plastic Surgeon

Above or below the muscle?

Most surgeons in the US prefer placing breast implants behind the pectoralis muscle. The advantages of having more of your own tissue covering the implants is less rippling, and less chance of capsular contracture. There also may be a more natural appearance since the upper pole of the implants blends into the chest wall better when the implant is under the muscle in the slender patient. The main disadvantage is "animation," or movement of the implant when the pectoral muscle is flexed.... more