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Do Subglandular Implants Start Sagging Sooner Than Submuscular?

asked 9 months ago by June Bug
Latest answer by Tom J. Pousti, MD
Question viewed 310 times
Tags: sagging, comparison, subglandular, submuscular

I don't want my new boobs to sag after a few years. I am getting 375cc silicone subglandular implants. My surgeon says for the look I like this is the best choice and I agree. But does this mean that my breasts will sag sooner because they aren't behind the muscle? I really don't want saggy boobs especially since I am paying so much for them.

7 answers to Do Subglandular Implants Start Sagging Sooner Than Submuscular?

Sagging after breast implants

The fact is that most women do not sag with breast implants, under or over the muscle. The submuscular placement will hide the upper edge of the implant and reduce capsular contracture, as the breast will thin over time and the breast implant may begin to show through. Over many years a silicone gel or saline implant can develop a tight capsule and the breast can droop over the surface of the implant as the implant will push upward under the breast. Whether under or over the muscle, the... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breasts sagging is a function of skin elasticity and genetics, not implant position.

Sagging occurs when the skin has fewer elastic fibers, collagen content, and thickness, which is a function of your own genetics. Implant position does not CAUSE sagging, but patients that have sagging to start with are sometimes advised to have submammary implant position to fill-out the loose skin brassiere. Implants (in either position) do NOT "lift" breasts, but as they drop into position behind the breasts, the implant volume can make the lower pole breast volume greater,... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

www.mpsmn.com

Dual-Plane Breast Augmentation Technique

The majority of breast implants are placed behind the muscle. In a submuscular position, there is less visible rippling, less palpability, a more natural result, less capsular contraction, etc. There are a few indications such as excessively loose breast skin in which a implant placed into a subglandular position might look better, however, you are loosing many more advantages. However, there are several factors that can answer your question. If your skin is already extremely loose, then... more

Jeffrey D. Hoefflin, MD
Los Angeles Plastic Surgeon

Breast implant positions

I think that if you surveyed most plastic surgeons, they would agree that implants under the muscle are better for most patients because they look better, have less edginess, give better mammograms, and produce less scar tissue contracture problems. When placed above the muscle they really won't lift the breasts to any significant degree (contrary to some opinions) and they may drop into the breasts like a ball in a sock.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Subglandular Breast Implants

Every patient is different with what they need but I think that sub-muscular breast implants provide a nicer, longer lasting result for patients. Because the implants are being held up by the breast skin only for a sub-glandular augmentation, there is more of a chance for the "sag". Please make sure that your surgeon is a board certified plastic surgeon who has experience with breast surgery and is a member of the ASPS.

Tom J. Pousti, MD
San Diego Plastic Surgeon