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Silicone Sub-glandular

asked 10 months ago by uniquelynoone in Missouri
Latest answer by Robert N. Young, MD
Question viewed 1,110 times
Tags: above muscle, silicone implant, opinion, tuberous

The Dr I consulted says I have mild tuberous breasts and recommends silicone implants placed above the muscle and no lift. For both the sternum to nipple line is 21 and the width is 13. Do you agree with these recommendations? Why would he not place sub muscular?

14 answers to Silicone Sub-glandular

Breast lift and submuscular implants

I think that you would benefit from submuscular placement of your implants, as you are thin and I am afraid that you don't have enough breast tissue to adequately cover the implant. Your long-term result will be much better in my opinion. I also feel that it is very likely that you will need some type of a lift procedure as well. This can be done either at the time of your initial operation or a later date depending upon your preference in the preference of your surgeon. more

John K. Wakelin III, MD
Columbus Plastic Surgeon

www.columbusplasticsurgery.com

Subglandular augmentation in ptotic breast

Your breasts are ptotic It does not matter the distance between the sternum and nipple; your niples are well below the crease. if no lift is done you will have worst possible result. Implants can't lift the breast. I would suggest you consider submuscular placement of implants as the existing breast tissue is very thin.

Raj Chowdary, MD
Allentown Plastic Surgeon

Breast lift for you!

I am afraid that an implant only procedure for you will result in a rock in a sock deformity. The idea of placing the implants in a subglandular position to help with a lift is compounding a bad idea with another bad idea. Placing the implant in the subglandular position will increase the rate of sagging and increase your risk of capsule contracture. Furthermore, the edges of the implants will be more obvious, thus making the procedure appear less natural... more

Robert M. Freund, MD
New York Plastic Surgeon

Please get another opinion

I do not agree with the surgeon you visited with. I have seen many patients who have had breast implants placed over the muscle and the results are usually not what the patient was looking for. Based on your photos, you look like a good candidate for breast augmentation with mastopexy (breast lift). A breast lift involves lifting the nipple-areola complex and removing loose skin to ensure a tightened and perkier look. Breast implants will help achieve more volume and fullness.... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Tuberous vs. Sagging Breasts

Based on your photos, you do have one of the components of a tuberous breast in that you have a high breast fold and subsequently a very narrow breast base. You appear to have too much sagging to get a good result with breast augmentation alone. You should have a breast lift with a breast implant placed under the muscle with a silicone gel implant because you appear to have very little "padding". A peri-areolar breast lift would work but but your areolas may be too small to permit... more

Joseph Fata, M.D.
Indianapolis Plastic Surgeon

Correction Of Breast Ptosis (Sagging)

In your photo, you certainly appear to have a good deal of breast ptosis or sagging. I do not see significant tuberous breast deformity in the photo. I do not think that you will pleased with an augmentation without a breast lift no matter where the implants are placed. You seem to have little upper pole tissue and would place the implants below the muscle and also perform a breast lift. You might want to consider a second opinion.

John Whitt, MD
Louisville Plastic Surgeon

Breast lift

My recommendation would be silicone, under the muscle and a lift at the same time. Without a lift, you likely will not be happy with the shape of your breasts or the position of you nipples. Good Luck.

David Shafer, MD
New York Plastic Surgeon

Wrong choice for your breasts

In my opinion, the doctor you saw was completely wrong. Your issue is not "mild" as you have fairly severely droopy and empty breasts. You for sure need a lift because of the downward pointing shape of the breasts. I also prefer to go under the muscle for a better long term look, better mammograms and less capsular contractures I believe. I at least agree on the silicone part.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Tubular Breast Recommendation

A tubular breast has a pointy shape so it will shape up and round better if you go above the muscle. If you are just doing the augmentation I would definitely recommend doing Silicone above the muscle.

Robert N. Young, MD
San Antonio Plastic Surgeon

www.dryoungforever.com

Subglandular breast implants

In this case the responses are fairly consistent and correct. Tubular breast is not technically correct but your breast has no lower pole and the nipple-areola level appears to be well below the inframammary crease level and thus requires a mastopexy with or without an implant. This could be done with a vertical or lollipop-type incision although a periareolar mastopexy could be considered. The implant has to be carefully matched to the true width of the breast and carefully positioned along... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Implants Cannot Mask Need For A Lift

It your case, I would definetely seek out another consultation. From your photograph, it appears that you will need some sort of lift to get the nipples in balance with the implants themselves. In your case, with implants alone, the nipples will end up appearing too low on the breasts over time. Your breasts will be larger, but simply sit to low. The best option would be to go submuscular, and a small lift at the same time. I hope this helps.

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Breast Implants without correction of breast sagging don't produce good results

Breast implants alone do not correct sagging breasts. They actually make sagging look worse. You have sagging and tubular breasts. Implants alone will not deliver. You will need subglandular implants and mastopexy to have good result.

Vasdev Rai, MD
Dallas Plastic Surgeon

WHAT IS THE BEST APPROACH TO BEAUTIFUL BREASTS?

From your photos it appears you have a minimal amount of breast tissue and breast sagging. Since your NAC (nipple-areolar complex) is at the bottom of the breast mound and below the breast fold you would benefit from a mastopexy or breast lift. It appears that you have very little of your own breast tissue to cover the implant, therefore I would recommend a submuscular placement. It would be a good idea to get a 2nd opinion.

Todd B. Koch, MD
Buffalo Plastic Surgeon

www.toddbkochmd.com

Sub glandular silicone

I feel that with your thin tissue and degree of sagging sub muscular placement along with a lift will give you your best result. It is a fallacy that sub glandular implants will lift you more so you won't need a lift. Please get another opinion.