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Wondering if I Should Have Gotten Over the Muscle Implants Instead, Is it Possible to Switch Placement During Revision?

asked 5 months ago by katiej83 in uk
Latest answer by Scott E. Kasden, MD
Question viewed 240 times
Tags: 5 ft 4 in to 5 ft 7 in, under muscle, 7 months post-op, over muscle, submuscular

About 7 mnths ago, i had 410 unders. I was also offered 460 or 510 overs, i really wanted the 460 overs, but i was told my my surgeon they can ripple and see the implant if i bent over etc. Im 5"5 & i am a UK size 6-8, i did not have much muscle tissue. I did want them to look natural but i also wanted big boobs. was only a 32aa to begin with, now i measure a 32f but i dont think that i look at f at all, no way.Would i of looked bigger if i had overs??? And can i still have overs in the future?

14 answers to Wondering if I Should Have Gotten Over the Muscle Implants Instead, Is it Possible to Switch Placement During Revision?

Overs or unders

I think you are destined to be "Chasing the Imperfection." Since you are relatively small and want to go relatively large, most of your resulting breast will be comprised of the implant you choose and the characteristics determined in large part by the technique. Each technique and placement has advantages but also unavoidable disadvantages. The further away you get from your natural size, the more undesirable side effects and long-term complications you will potentially face. It... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Over the muscle implants not the best

Over the muscle you will thin out the tissue, potentially impair the mammograms, see and feel wrinkles and age in a matronly fashion. Sometimes a patient just has to accept the limitations their own body places on the result they can have. Maybe see some other doctors, but be very careful about listening to anybody who says you can have "whatever you want."

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

Big boobs and not happy?

From your description, you are mixing goals, facts, and myth. First it is possible to switch from under to over in implant placement, in general. Putting an implant over may make the same size look a bit larger, but with an f cup, what more do you really need? Since you didn't really have great muscles to begin with, how much difference will it make. Placing implants over the muscle, especially that large, will greatly increase your chances of sagging, rippling,... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Over versus Under the muscle and Switching Placement During Revision

The advantages of going under the pectoral muscle include: less rippling, more natural (welllll... depending on the implant size too!), easier to read mammograms, as well as decrease rate of capsule contracture (which is hardening of tissue around the implant). I believe that based on your size, height, and aesthetic goal, that the choice you made with your surgeon is pretty reasonable. I would caution against switching to above the muscle, because: it's more... more

Ghada Afifi, MD
Orange County Plastic Surgeon

Wondering if I Should Have Gotten Over the Muscle Implants Instead, Is it Possible to Switch Placement During Revision?

Yes you can always change location of the implants but should you? With an F cup? I know you don't think you look that big,,,but what about your friends?...Boyfriend/Husband? not that other peoples opinions matter in the end...but they do help give us a reference, just like this site...So I would really think about it. Might not be worth the possible problems...

John J. Corey, MD
Phoenix Plastic Surgeon

Over or under implants

The size will not change over or under, but what may happen over especially if you are very thin is that the implants may show more rippling.

Steven Wallach, MD
Manhattan Plastic Surgeon

Should I Reposition My Implants Above The Muscle?

Dear Katiej83, The key obtaining a "natural" look with breast implants is to camouflage the implants to make them look as breast-like as possible. In someone who is thin, and from your description, you are, and lacking fullness in the upper breast, then plastic surgeons will commonly place the implants under the pectoralis major muscle to hide the implant edges and to minimize visible ripples and puckering in the upper breast. If you move your implants from under... more

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon

Be Careful What You Wish For....

Hi there- If your corner of the world is like mine, you will find that if you waive a bit of money in the air, you will find someone willing to do whatever you want... On the other hand, you should realize that just because someone is willing to do it on you doesn't mean that it is in your best interests, or even advisable. There should be no appearance based reason that implants placed over your muscles would be an improvement relative to their current pocket. Furthermore,... more

Armando Soto, MD
Orlando Plastic Surgeon

Over vs. Under the muscle placement

This is a debatable topic. If you were my patient, your breasts were AA, there is no question that I would strongly recommend submuscular placement and strongly discourage subglandular placement. Additionally, you may change from under to over but keep in mind that every time you have surgery you are subject to all the complications all over again. Furthermore, closing one pocket to create another can create complications within itself.

Jeffrey Hartog, MD
Orlando Plastic Surgeon

Over vs Under the Muscle Breast Implants

You can still change the implant location but the real question is why do it. If you are thin and without much tissue, larger implants will be more likely to result in visible ripple. Since you want them to look natural, going to a larger size is less likely to look good and may leave you leaving less natural. Have a good discussion with your plastic surgeon to determine if going larger is really a good idea in the long run.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Over v. under uncle for augmentation

Since you have noted that you are thin, I do not believe that the over-the-muscle approach would have been beneficial for you. You have have experienced rippling and the result would not look as natural as with the under-the-muscle approach. Given your size and chest width, I do not think that larger implants would produce a satisfactory result. In all likelihood, you are not a 32F but rather a 34 or 36 chest circumference with the implants and certainly a larger cup size than before. It... more

Robert L. Kraft, MD
New York Plastic Surgeon

Over the muscle instead can thin

If your muscle was thin to begin with and you have no particular problems with distortion of the implant or breast with muscle flex, you are best to keep the under the muscle positon, though a future fuller implant is possible. You are petite at 32" and if the 410 is working the 460 has little more, just 50cc to offer. Over would not make you look bigger, though the upper edge of the implant might appear round and unnatural. Best of luck, peterejohnsonmd.com more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Short term goal potential long term issues

Your question requires a detailed examination to determine the most appropriate recommendation. While many women desire "big boobs", not every woman's chest will accommodate 500+ implants. Even in the submuscular position, there are many inherent forces which can lead to common sequela of over augmentation (wrinkling, rippling, lateral displacement, synmastia, etc). Certainly, 500+ in the subglandular position will lead to long term issue as there will be no... more

John Renucci, MD
Grand Rapids Plastic Surgeon

Breast Implant Revision?

Thank you for the question. If you would have had your implants placed “over the muscle” you would not necessarily have looked bigger. You also would have exposed yourself to many downsides of breast implants placed in the sub glandular position. At this point, it is very likely that you will be able to achieve the look you're looking for with revisionary surgery AND keep the implants in the sub muscular (or dual plane) position... more