Breast Implants: Q&A
Ask a QuestionShould Breast Implants Be Placed Under or over the Muscle?
my friend went under the breast muscle w/ her implants...but now it looks rippling on the bottom. During consultation with a respected plastic surgeon in LA he told me under the pectoral muscle is much better... less risk from capsular contracture, safer for breast cancer screening, more natural (less stripper looking...his words, not mine!). Thoughts?
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42 Doctor Answers |
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anon
+8
Over or under muscle placement of breast implants
One of the primary choices in breast augmentation is whether to have the implants placed "under" or "over" the muscle (submuscular or subglandular). This muscle is the pectoralis major muscle which lies over the rib cage and underneath the breast. It is the chest muscle that is commonly developed in weight lifters.
Traditionally, when the majority of implants were silicone, implants were most often placed underneath the breast gland and on top of the muscle. With the...
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+6
Breast Implants Under or Over the Muscle-Which is Best
Opinions certainly vary but among most Plastic Surgeons today the most common answer you will get is under the muscle.
Benefits include:
· More tissue covering the Breast Implant
· Less risk of Visible folds or Ripples
· Less risk of firmness or capsular contracture
However Breast Implant under the...
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+4
Under the Muscle is Usually Better for Breast Implants
Under the muscle is best for:
thin women
women with little breast tissue to cover the implant
women with little or no drooping of the breast
softer, more natural draping of the implant
concealing implant ripples
less chance of developing capsule contracture
Over the muscle is best for:
faster recovery
women with enough natural breast tissue to cover the implant
women with drooping who want larger breasts without a breast li...
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+2
Breast Implants Under the Muscle
This may be a somewhat controversial statement, but in my opinion there currently is really only one acceptable position for breast implants in an elective cosmetic surgery patient: behind the pectoralis major muscle (sub-pectoral augmentation). There are a number of very compelling reasons to place implants behind the pec major, and the most compelling one of all is the fact that radiologists report that the mammographic imaging of breasts for the purpose of breast cancer screening tends to...
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+2
This is why I prefer to place breast implants below the muscle...
For most of my patients, placing breast implants below the pectoralis muscle is preferable. Implants placed below the muscle will have the following benefits:
1) Reduced risk of capsular contracture
2) Reduced risk of infection
3) Reduced risk of implant exposure
4) More natural appearance; especially on the upper portion of the breast.
It is important to realized that implants placed below the muscle, are mostly below the muscle...not completely below the muscle. In...
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+2
Breast Implant Placement - Over vs Under the Muscle
Best practices are to place the implant under the muscle, although there are rare cases where it is better to place the implant over the muscle. The reason why it is better to place the implant fully under the muscle or partially under the muscle is because it creates a more natural look and feel, reduces the risk of capsular contracture and allows for significantly more visibility during a mammogram.
With saline implants, rippling can occur whether the implant is placed over or under...
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+2
Above or below pectoralis muscle for breast implants - Submuscular implants
Breast augmentation should generally be made under the pectoralis muscle to decrease descent of the implant, capsular contracture, and palpability of the implant. There are only a few cases that necessitate subglandular breast implant placement.
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Under or over (the muscle): Which is better?
There are a few indications when breast implants are better suited to subglandular (on top of the muscle) placement: a) Women who have adequate breast tissue; b) women who have "constricted" or tubular breasts and do not want a breast lift; c) women who are professional body builders, where the lateralizing action of the pectoralis major muscle may prove to be a distraction.
Apart from these circumstances, most PS recommend the dual plane (below the muscle) location because it...
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+1
There Are Several Advantages to Placing the Breast Implant Under the Muscle
When undergoing breast augmentation, several important decisions must be made. These include the location of the incision, the type of implant used, and where the implant will be located relative to the pectoralis major muscle.
The relationship between the pectoralis muscle and breast implant has significant implications for every patient. Breast implants can be placed on top of the muscle or underneath the muscle.
In the majority of cases, breast implants are placed underneath the...
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+1
Should Breast Implants Be Placed Under or over the Muscle?
This is a longstanding question that is asked to all cosmetic surgeons. The short answer is that almost all of our patients receive silicone implants under the muscle. This tends to give them a natural look and the patients are pleased with their results. There appears to be fewer complications with implants placed under the muscle.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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