Breast Implants: Q&A
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Should Petite Woman Go Sub Glandular or Sub Muscular?
I have had one surgeon recommend silicone, sub muscular. Another suggested silicone sub glandular. His reason was that I have no fat, and not a very thick chest wall, meaning there won't be a discernible difference with either approach. I am 5'3" ! 107 lbs. He also said current data shows no difference in incidence of capsular contracture based on placement- even though that was widely believed for many years. I am considering 250-300cc.
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18 Doctor Answers |
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Atlanta GA7934
in Atlanta GA
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Position of Breast Implants?
Thank you for the question.
I think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which may...
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"Pinch and Inch" General rule for over or under breast implant augmentation surgery
If you can pinch less than an inch of tissue on your upper breast or you can clearly see your ribs, you should place your implants under the muscle.
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Always go submuscular to avoid capsular contraction
I would always recommend going submusclar when possible because placing the implant subglandular increases the chances of capsular contracture by up to 50%.
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Subglandular vs submuscular
I recommend sub-muscular implant placement. I really can't think of many reasons to recommend subglandular placement; there are few indications.
Saint Louis Plastic Surgeon
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Should I go above or below the muscle
From the answers already provided, you're probably figuring out that the consensus that for a petite thin woman with very little breast tissue, the most optimal placement of a breast implant is under the muscle. Definitely go with silicone gel since saline is almost guaranteed to ripple over time and will look much less natural on your thin frame.
I hope that helps!
see video
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Sub-muscular or sub-glandular for a petite woman with low body fat and thin chest wall?
In someone who is thin with little tissue, then I feel that it is even more important to place the prosthesis in a submuscular position. It is almost intuitive that the more covering to the prosthesis you have, the less chance for visualization, rippling and palpation. I have not performed a total subglandular augmentation in over a decade, and in the appropriate case, find the *biplanar* approach far more satisfactory in giving a natural appearing superior slope to the breast than a...
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Should Petite Woman Go Sub Glandular or Sub Muscular?
!2 answers 11 for sub muscular, one against. You do the math! But in person evaluation can change everything. Best from MIAMI DR. Darryl J. Blinski
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In most patients, below muscle placement is ideal for breast implants.
In most patients, submuscular placement is best. This gives the most natural appearance and the implant is less visible. This is even more important in the slim patient. There are some situations where above muscle placement is better - competetive body builders or professional athletes.
Obviously you news to discuss this with your surgeon because there are other considerations, but I suspect a submuscular silicone implant would be best bases on your brief description. You are correct...
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Submuscular Implants Generally More Natural
I definitely feel that implants placed below the muscle have a more natural appearance. This is especially the case in a petite patient who has little breast tissue and a thin layer of subcutaneous fat. I also feel that you will be happier with silicone than with saline.
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Sub-glandular breast implants
Although there are many advantages of both approaches, I prefer sub-glandular Implants iN someone like you. When done correctly, they give a more natural result, especially with use of the arms. There is no difference in mammographic interpretation. After a few years, there is no difference in most other factors such as palpability and
Rippling. Pick the surgeon you feel the most comfortable with.
Highlands Plastic Surgeon
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Submuscular is better than subglandular for implants
In my opinion, submuscular is virtually always better especially if you are a thin person. I can understand your doctor's point but I would still go under the muscle as there are no disadvantages to it and you get more coverage of the implant and perhaps less capsular contracture.
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Breast augmentation
With your frame and weight in mind, my suggestion is to go with the submuscular placement. It will be more natural in appearance, in my opinion/experience.
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Breast augmentation
Petite isn't the issue. The primary determination is patient preference and the quality of your breast skin (thickness, droopiness,elasticity)
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Position of breast implants
There is no easy answer because there are different and possibly conflicting factors and effects: safety, rippling, naturalness, risk of contracture, easy of mammogram. You have to prioritize these factors.and decide which are important to you.
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Submuscular or Subglandular
In almost all cases, I recommend submuscular silicone implants. I feel that this gives the most natural result and allows for more of your own tissue to surround the implant. However, the surgical technique must be individualized to each patient. Height of the patient really does not factor into the choice of submuscular versus subglandular.
Good luck.
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Implant position
I usually place implants in a partial submuscular pocket ( dual plane) to give more coverage superiorly. This may help with avoiding rippling, and make mammograms a bit easier to evaluate. As for capsule formation I think it is equivocal.
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Breast augmentation implant position
Generally, most women fair better with the implant placed beneath the muscle. The implants are less palpable. They are in a separate plane from the breast for mammograms. They also tend to "drop" less over the years. There are few good indications for subglandular implant placement
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Breast Implants in Front of or Behind the Muscle?
There are more advantages to placing implants behind the muscle for most women. For thin women a better upper pole shape is obtained. For all women, mammography is enhanced by placing the implants behind the muscle.
The main advantages to going in front of the muscle are better lower pole filling for saggy breasts and less movement of the implants with muscle contraction. The later is important for women in competition body building.
More advantages and disadvantages can be found at...
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