Breast Implants: Q&A
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Smooth Round Silicone over the Muscle. My Friends Are Against It And Say To Go Over?
Went to my 1st consult with a doctor that 6/10 friends went for their surgeries I'm almost 36B now, want to be about a 36D. The doctor took all my measurements said I have awesome breast tissue and a lot of it and he recommended 500cc silicone smooth round (he said he NEVER uses textured implants) over the muscle.My friends are freaking me out because most have saline under the muscle, said it is not a good idea, but he is the doctor! my other friend said only textured should be over. Help!!
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14 Doctor Answers |
Asked by
Traci459
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Above vs. Below the muscle
You will need to understand your surgeon's thinking before making an informed decision. Most patients have implants placed in the submuscular position. However, above the muscle positioing does provide the benefits of less pain during recovery and some believe a more natural looking result as the implant is behind only the tissue itself. Gel implants feel more natural and you may have indicated that is a primary objective. If you are unsure of the surgeon's thinking,...
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Above Versus Below the Muscle
You bring up two common sources of confusion with regard to breast augmentation - saline versus silicone and above versus below the pectoral muscle. There is even disagreement between highly skilled and trained plastic surgeons about which is the best approach. My personal preference is to place implants below the pectoral muscle as I believe it lessens the risk of visible rippling in the upper and upper-medial aspects of the chest. I believe it also adds value to being...
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In Front vs. Behind the Muscle
You state you are a 36 B and desire to be a D. This would require approximately 400 cc implant. So certainly, a 500 cc implant would achieve that plus more. Silicone implants feel more natural then saline implants and ALL implants feel more natural placed behind the pectoral major muscle rather than in front of it. According to you description, you believe you have good breast tissue. I recommend you choose the minimal size implant, 400 cc silicone...
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Implants and pocket position
If you do not have a lot of tissue, than under the muscle is probably better, but it is not for everyone. There are many different alternatives.
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Breat augmentation: saline vs. silicone and over or under the muscle.
New gel implants are waranteed for life. They are soft and natural and are very well tolerated under the breast (over the muscle). This is particularly true for implants that are smooth.
The problems that arise when implants are placed under the muscle is that the muscle separates the implant from your own breast tissue. Over time your breast tissue will droop. If the muscle holds the implant in place the implant will not droop and there will be a...
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What To Do?
The other physicians that have responded have outlined the issues that you should consider quite well. Give these factors your consideration and, if you feel it would be helpful, make an appointment to speak with your surgeon in the office again prior to your surgery date. Discuss concerns about capsular contracture, mammography, implant palpability and overall appearance of subglandular vs. submuscular implants. There is no absolutely right way to do an augmentation but...
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Over vs Under the Muscle
As you are well aware implantable may be placed above or below the muscle.The augmentation result has a different look when implants are placed above as opposed to below the muscle. I show patients results of augmentation with the implants placed above and below the muscle and ultimately the patient decides which look she likes best. Of much greater importance if you are unsure of which direction to go revisit the surgeon and if you are not comfortable with the answers seek a second opinion.
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Your friends are (mostly) right, but for the wrong reason!
First of all, you should take the advice of non-plastic surgeons (friends) with a truckload of salt, and the advice of plastic surgeons who have never examined you or spoken with you directly with at least a grain of salt. Your friends may have your best interests at heart (they may also be unable to filter jealousy or could be "frenemies"), but even the purest of intentions by your friends is without the training and experience of any ABPS-certified plastic surgeon. Also, individual...
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Breast Implants under or over the muscle?
Dear Baton Rouge,
As the saying goes, there are many ways to skin a cat, or augment a breast! If your plastic surgeon is board certified by the American Board of Plastic Surgeons and has good long term results with your particular scenario, that is, a large, smooth implant placed above the muscle with good thick breast tissue, then you can expect a good result. Your friends are speaking in generalities and are correct in saying that in general, fewer long term adverse events...
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What implant is best for you
There is no cookie cutter approach to breast augmentation. I rarely do place implants however over the muscle, especially larger implants. You most certainly have to have adequate breast tissue to cover implants above the muscle. The concern with implants above the muscle is a rounded, less natural shape, with larger implants.
I wish you well.
Dr. Edwards
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Above or below the muscle with Silicone Implants?
Difficult to know or answer without an exam and pictures, but if you trust your doctor and he has good long term outcomes, go with your gut. I prefer both silicone and saline under the muscle utilizing a dual plane technique, I find it supports the implant the best in the long term and offers the best upper and lower pole fullness, but all that being said I sometimes in certain situations prefer above the muscle, there is no hard and fast rule, there are exceptions everywhere, good luck and...
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Breast implants
I prefer smooth round saline implants placed below the muscle using a one inch arm pit incision and an endoscope. The number one procedure world wide is a breast fold incision and silicone implants placed above the muscle. The bottom line is every doctor has a technique they prefer and you need to be comfortable with the doctor and their short and long term results. Please see a board certified plastic surgeon to help educate you on the choices and good luck!
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Over the muscle silicone gel implants
Your friends are not Plastic Surgeons. They trust this surgeon,and if you do too, then do what feels right. The idea that under the muscle or dual plane looks better is just an opinion. If yor surgeon thinks you have adequate tissue to give you a good result, then I would think that's the way to go. Saline implants are definitely better under the muscle, as they tend to be firmer,and benefit from some additional tissue coverage. Also, it is unlikely that a mammogram will be helped by the...
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Positioning of Breast Implants?
Thank you for the question.
Once you have made the decision to proceed with breast augmentation surgery, you will be inundated with “expert opinions” from all your family, friends, and even strangers. You may want to eliminate the “noise” to decrease your stress and/or confusion level.
Although patients who have breast implants placed in the sub muscular ( or dual plane) position may experience more discomfort during recovery, I still think it...
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