Subglandular Breast Implants for Asian Woman?

The appearance of your breasts depends on several factors and has no simple yes or no answer. Let me give you an oversimplified analogy to explain. If you take a baseball and cover it with a silk sheet, you will see all the details of the ball and it will be "obvious". If you cover it with a comforter, it may look like a small "natural" bump. Do you understand? Same baseball but two different degrees of coverage. Same goes with your breast implant and the amount of... more

I believe that Sub Glandular Breast Implants are the most reasonable choice for people like you for many reasons. Some are the ones you stated. When you move the arm, the implant under the muscle will deform. This is more readily apparent in people that are small. There is also a higher incidence of implant rupture in some studies when placed under the muscle. Additionally, the recovery when the implant is placed over the muscle is significantly faster (6-48 hours). There is a higher risk... more

The decision as to which pocket to use for implant placement is based on one main issue - tissue coverage. If you are very thin, going under the muscle is the preferred method. The muscle is only released in a certain segment and retains its function. If you do not wish to have the implant placed under the muscle, then there are some trade-offs. With thinner tissue coverage you will have more implant visibility and rippling showing through. I would highly recommend use of silicone gel... more

Breast augmentation is technically rather simply but very complex in terms of decision-making. There is no easy answer as a paitent and surgeon has to consider a mukltitude of factors, some of which you have mentioned. In general, you are better off going smaller than large. If you have minimal breast tissue, you get better coverage of the implant goingh submuscular. There are always going to be tradeoffs that you nee to discuss and accept. Sometimes the most important thing is not deciding... more

You will find a couple of opinions in your case from different plastic surgeons. I personally am a strong advocate of partially under the muscle breast augmentation to provide a better coverage of the implant in the upper and inner breast. I have minimal complaints from my patients about movement of their breasts with flexion. The tradeoff os the increased potential for visibility of the implants in the forms of visible ripples or palpable folds. Your best bet is to meet with a... more

Because you have a small build I would recommend going under the muscle. Most of the breast augmentations we perform at my practice are done sub-pectoral. Another important factor to consider is whether you are going to use saline or silicone implants. Saline is more likely to show rippling and if you choose a subglandular placement that rippling has very little camouflage and will be more evident. Silicone implants are less likely to ripple, but I usually still recommend going under the... more

If you are a think woman, a breast implant in the subglandular (above the muscle) location may be difficult to conceal. This may lead to an unnatural appearance, or even visible rippling, compared to placing the implant in a subpectoral (under the muscle) location. Also, implants in the subglandular location have a higher incidence of capsular contracture (hard scar tissue). The recovery is more involved with the subpectoral procedure, however the benefits in the long run usually... more

The most important decision on breast implant placement is the amount of soft tissue coverage that you have. The more soft tissue that you have the less you will need to place the implant "under" the muscle. There are pros and cons with both subglandular and subpectoral placement of the implants. You mentioned motion deformity, nipple sensation and "natural look" are all issues that needs thoughtful discussion with your plastic surgeon. Typically, on a petite build... more

I would not place the implants subglandular just for the animations deformity that you can get, unless you are a bodybuilder that competes. In that case, I think it would be justified to place the implants in a subglandular position. Other than the the risks and benefits are not in your favor. You will have more rippling, higher chance of capsular contracture and more of an unnatural look. Since you are thin and dont have much overlying tissue, then you are even more at risk for... more

There are pros and cons to breast implant placement above or below the chest wall muscle. In a woman with a thin build with a lack of breast tissue, placing the implant above the muscle may make it difficulty to camouflage the implant. The upper portion of the breast may appear rounder and you may be more likely to see visible rippling. To lessen the chances of this, and to provide a more natural appearance, you almost certainly should choose a silicone implant. With the older... more

 Some patients like the implants above the muscle because of the potential for distortion with movement.  Others, prefer them under the muscle because they provide more soft tissue coverage.

Yes, your nipple sensitivity may be altered by having subglandular implants as many of the nerves will be divided to create a pocket for the implants. Also, if you have very small breasts to begin with the outline of the implants will be more visible. Carefully consider all options and risks before undergoing any surgery. Check out some before and after pictures to see which look you like the best. Good luck!

Dr. Ghaderi "nailed" the answer. I fully agree. For a breast augmentation to look pleasing - it MUST be a compromise between what your own breast tissues will allow and the implant that meets those restrictions. Coverage of the implant is THE MOST important factor to consider. If the implants are not or are poorly covered - ALL the flaws of the implant, ripples etc, will be palpable and visible to the outside world. So - I would suggest you pick a silicone gel implant - they... more