Will over the Muscle Saline Breast Implants Look Natural?

asked 2 years ago by countrygirlatheart in California
Latest answer by Steven Wallach, MD
Question viewed 900 times
Tags: saline implants, breast size, natural, over muscle

I am naturally a 34B and am getting Saline breast implants. The doctor says I have enough breast tissue to go over the muscle, but I'm just not as familiar with it.

Will they look as natural as going under the muscle?

7 answers to Will over the Muscle Saline Breast Implants Look Natural?

Implant position

Decidiing on the pocket location for implant placement really depends upon the anatomy. I prefer under the muscle in most patients to add more soft tissue coverage.

Steven Wallach, MD
Manhattan Plastic Surgeon

I generally prefer smooth implants placed under the muscle.

I generally prefer smooth implants placed under the muscle using an incision around the areola or under the breast. Reasons are: 1)more tissue covering the implant for a more natural look. 2) improved mammograms when compared to the subglandular implants. 3) decreased rate of capsular contracture. I reserve the textured implants for patients with capsular contracture or in patients with significant breast tissue and ptosis requiring a subglandular placement.... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Appearance of Saline Breast Implants Placed over the Muscle

Saline breast implants can be placed either above the pectoralis muscle or below it. Even when the implant is considered under the muscle, the bottom 1/3 of the implant is truly not under the muscle and the entire outside of the implant is only under the breast tissue itself. That is where patients complain of the rippling and palpability of the implant after a saline breast augmentation if they are very thin or have very little breast tissue. Saline implants can be placed above the... more

Kent V. Hasen, MD
Naples Plastic Surgeon

Breast implants over the muscle.

Hi! It really depends on the details of your anatomy. In New York, we do occasionally place saline breast implants over the muscle in selected patients, and they look natural. You need to trust your surgeon. Get another opinion if you are not sure

George J. Beraka, MD
Manhattan Plastic Surgeon

Will over the muscle Saline breast implants look natural?

Maybe or maybe not. I prefer to use saline implants but do put them under the muscle. Looking natural depends a great deal on your expectations. Then, there is the amount of breast tissue - you and your doctor are OK with this - and the amount of subcutaneous fat. If you have "enough" of the above, then you should be OK with above the muscle placement. It is less painful after surgery - that's a plus vs putting the implant under the muscle. "Rippling" of the... more

Michael Kulick, MD
San Francisco Plastic Surgeon

Saline Implants over the Muscle

Saline implants placed btween the breast and underlying muscle have the greatest chance of appearing abnormal. Saline implants have a higher rate of wrinkling. If they are placed under the muscle, the muscle can hide the wrinkling somewhat. I think that you would probably be happiest with silicone implants placed under the muscle. If you have concerns, you should address these with your surgeon.

John Whitt, MD
Louisville Plastic Surgeon

Naturalness of appearance will depend on your tissue

In the United States the majority of saline implants are placed beneath the pectoral muscle. Saline implants, which tend to wrinkle or ripple a bit more than traditional gel devices look more natural with more of your native tissue covering them. Your surgeon will assess the thickness of your natural tissues, and if considering above the muscle the thickness in the upper portion of the breast seems most critical to a natural result. in patients that are thin up top, the extra layer of... more

John E. Gross, MD
Los Angeles Plastic Surgeon

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