Got a Subglandular Implant... Went in for Submuscular - Is This Going to Be Bad?

asked 1 year ago by sonnyd in Utah
Latest answer by Steven Wallach, MD
Question viewed 945 times
Tags: breasts, female, 110-129 lbs, 5 ft 4 in to 5 ft 7 in, saline implants, A cup, high profile, round, smooth, subglandular, submuscular

I just recently had surgery for Breast Aug. (two days ago). We had decided to go with smooth, round, high- profile saline, submuscular implants. I was a very small "A" size cup and wanted to go to a "C". I am a rather thin girl weighing only 115 lbs and stand 5'7" tall. Well, I get into the operating room and my doctor tells me that after looking closer that he thinks that we should go sub-glandular. We did, now I am nervous for dropping and rippling because of my size.. should I be?

7 answers to Got a Subglandular Implant... Went in for Submuscular - Is This Going to Be Bad?

Over implants

It is difficult to say what you may achieve without an exam. But yes, you are more prone to rippling in overs especially if you are very thin. Drooping is dependent upon your skin quality and the size of the implants.

Steven Wallach, MD
Manhattan Plastic Surgeon

Over or Under?

Well, as a generality in women who are A cup breasts I place the implants beneath the muscle. My reasoning is that in the upper part of the A cup breast the tissue tends to be thin so I would like to mask the imperfections of the upper portion of the implant . In your case wait several months to see your final outcome and if there are issues at that time then get these addressed. Good Luck Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Wait

You just had surgery and it is too early to start worrying about the rippling and sagging. I guess the size you wanted was too big to go submusclar and your surgeon decided to go subglsndulsr.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Deciding on subglandular or submuscular breast implants

There are a number of considerations when deciding upon whether to place saline implants under the pectoralis major muscle (submuscular) or immediately under the breast tissue itself (subglandular). The appearance and risk of certain complications, such as capsular contracture, are different with each. All of these factors are apparent prior to surgery and the decision on implant placement should be made after careful evaluation and discussion with the patient during a pre-operative... more

Olivia Hutchinson, MD
New York Plastic Surgeon

No Explanation for "going subglandular vs. submuscular" in breast Augmentation

Regarding: "recently had surgery for Breast Aug. (two days ago). We had decided to go with smooth, round, high- profile saline, submuscular implants. I was a very small "A" size cup and wanted to go to a "C". I am a rather thin girl weighing only 115 lbs and stand 5'7" tall. Well, I get into the operating room and my doctor tells me that after looking closer that he thinks that we should go sub-glandular. We did, now I am nervous for dropping and... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Implants placed under or over.

High profile saline implants tend to have the least amount of rippling of the saline implants. Clearly, it doesn't make sense to take you back at this time and I would relate your concerns to your surgeon.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Submuscular vs subglandular breast implants - when should the choice be made?

While I wasn't there, I would say two things about your question. First of all I always go submuscular, especially in a thin patient in whom I am using saline. This is to minimize the wrinkles and to not have to overfill the implants so much that they become hard feeling. The second is that to change the plan in the OR after "looking closer" doesn't impress me quite frankly with the doctor's organization or experience level. In my opinion,... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

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