My plastic surgeon (who has 40 years of experience with breast augmentation) has advised me that he rarely does submuscular/dualplane augmentation and that he prefers subglandular. He has assured me that despite the fact that I am thin (5'10 and 115 pounds), that a small implant (which will bring my A cup to a mid-sized/full B cup), will not cause any aesthetic issues such as rippling/deformities/ability to feel the implant/see the implant... True/false?
Answer: Sub-muscular breast augmentation is usually preferred in thin small breasted women Your surgeon may be correct and you may be able to achieve a nice result with a Sub-glandular breast implant.However be aware that your risk of capsular contracture or hardening of the implant is greater in the sub-glandular augmentation. In addition problems with visibility of the edge of the implant and if using saline, visible rippling, are more common when the implant is placed on top of the muscle.There are many significant benefits to sub-muscular placement of a breast implant. These are more and better coverage of the implant to avoid visibility of the implant and less risk of capsular contraction.If you have ptosis or sagging, if it is minimal, a biplanar approach allows for the implant to be placed beneath the muscle and the breasts to be redraped over the implant which can lessen the effect of mild sagging.
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CONTACT NOW Answer: Sub-muscular breast augmentation is usually preferred in thin small breasted women Your surgeon may be correct and you may be able to achieve a nice result with a Sub-glandular breast implant.However be aware that your risk of capsular contracture or hardening of the implant is greater in the sub-glandular augmentation. In addition problems with visibility of the edge of the implant and if using saline, visible rippling, are more common when the implant is placed on top of the muscle.There are many significant benefits to sub-muscular placement of a breast implant. These are more and better coverage of the implant to avoid visibility of the implant and less risk of capsular contraction.If you have ptosis or sagging, if it is minimal, a biplanar approach allows for the implant to be placed beneath the muscle and the breasts to be redraped over the implant which can lessen the effect of mild sagging.
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CONTACT NOW Answer: Subglandular Implants in a Thin Woman In the short term you may have excellent results as a thin woman with implants above the muscle, especially if the implant is not too large. Long term is a different issue. In my experience, subglandular implants are less likely to maintain a great cosmetic look long term, and are more likely to lead to rippling and contracture. In my practice, more than 99% of implants are placed below the pectoral muscle.I know it must be difficult to hear different opinions. Best of luck!
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CONTACT NOW Answer: Subglandular Implants in a Thin Woman In the short term you may have excellent results as a thin woman with implants above the muscle, especially if the implant is not too large. Long term is a different issue. In my experience, subglandular implants are less likely to maintain a great cosmetic look long term, and are more likely to lead to rippling and contracture. In my practice, more than 99% of implants are placed below the pectoral muscle.I know it must be difficult to hear different opinions. Best of luck!
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March 31, 2014
Answer: SM v SG In general, patients as thin as you generally fare better with submuscular augmentation in addition to enjoying the other benefits of SM augmentation (lower incidence of capsular contracture, no superior or medial rippling). It seems like you are planning to use a modest implant and sounds like you have selected an experienced surgeon so you should do well.
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CONTACT NOW March 31, 2014
Answer: SM v SG In general, patients as thin as you generally fare better with submuscular augmentation in addition to enjoying the other benefits of SM augmentation (lower incidence of capsular contracture, no superior or medial rippling). It seems like you are planning to use a modest implant and sounds like you have selected an experienced surgeon so you should do well.
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March 30, 2014
Answer: Not the usual course of action Dear O'Hare,If your plastic surgeon is certified by the American Board of Plastic Surgery, has 40 years of experience with breast implants, and has assured you that you will not have rippling or implant palpability, then go for it. He/she is the only one that has examined you and evaluated your tissue characteristics. However, as you have heard from others as well, this is not the usual course of treatment for a thin patient having breast augmentation. Good luck!
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Answer: Not the usual course of action Dear O'Hare,If your plastic surgeon is certified by the American Board of Plastic Surgery, has 40 years of experience with breast implants, and has assured you that you will not have rippling or implant palpability, then go for it. He/she is the only one that has examined you and evaluated your tissue characteristics. However, as you have heard from others as well, this is not the usual course of treatment for a thin patient having breast augmentation. Good luck!
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March 30, 2014
Answer: Subglandular vs submuscular pocket for breast implants This is a great question and I think your surgeon's experience is critical, but in general I personally prefer the submuscular pocket as it seems to work well for most patients. But there are instances where a subglandular pocket can be appropriate and quite reasonable, in particular when using silicone implants or even the form stable highly cohesive gel breast implant. It may be helpful to chat with your surgeon and discuss which type of implant he would plan on using.
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CONTACT NOW March 30, 2014
Answer: Subglandular vs submuscular pocket for breast implants This is a great question and I think your surgeon's experience is critical, but in general I personally prefer the submuscular pocket as it seems to work well for most patients. But there are instances where a subglandular pocket can be appropriate and quite reasonable, in particular when using silicone implants or even the form stable highly cohesive gel breast implant. It may be helpful to chat with your surgeon and discuss which type of implant he would plan on using.
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