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Subglandular Placement Smooth or Textured Implants on a B-cup? (photo)

My surgion is going to place the implant over the muscle (my choise), he says that a smooth implant above the muscle will give me CC without a doubt. But I am afraid the textured implant will give me rippling and "traction rippling". My own tissue is about 250-275cc so I have a large b, small c-cup now and want a fuller bust without being to busty. We decided 250cc in my bigger breast and 275cc in the smaller breast, mentor moderate + implant. What implant surface would you recommend me?

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B cup over muscle subglandular textured implants

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15 Doctor Answers | Asked by Suzisue

Doctor Answers (15)
Community Comments (1)

Subglandular Placement

Having seen so many patients with bad ripples back when textured implants were in common use I am reluctant to use them any more. But rather than debating smooth vs texture implants, I would suggest thinking more about submuscular placement. You don't tell us how you made your choice. Capsular contracture and rippling are both more common with subglandular placement of implants. Subfacial placement is also an option you can discuss with your surgeon. Thanks and best wishes. more

Hello

In our practice we tell our patients that 225 CC equal about 1 cup size.. Weather you do textured or smooth its up too the patient. You didn't mention whether you were doing saline or silicone. If you're doing saline you're going to have a high probability of having rippling later in life.

Smooth implants for suglandular placement

We are talking about a subglandular gel implant we hope. The siltex texture is meant to reduce capsular contracture, though we still prefer a smooth implant as the implant might wear better. The moderate profile gel should not show through and though submuscular is better for some, you still can have a very nice result in a suglandular pocket.

Subglandularly placed implants, why?

Why do you want your implants placed subglandularly. The discomfort and recovery time of submuscularly placed implants is not that much more. In my experience with patients, Submuscular implants are most uncomfortable for about 2-4 days and by about a week, you can resume your activities of daily living, but not reaching overhead or excercising for at least three weeks. Implants place submuscularly have several advantages (less palpable rippling, less risk of capsular... more

Todd C. Case, MD

14 reviews

Tucson Plastic Surgeon

Breast Implant Position

Hello, You should rethink your choice. Going subglandular or 'subfacial' will make you prone to cc and rippling with smooth implants, and rippling with textured. Evidence based medicine points to appropriately sized, smooth and round implants placed under the pectoralis muscle to minimize these complications. Best of luck.

Subglandular or submuscular?

I agree with your surgeon. The data suggests that the only time textured implants really reduce capsular contracture is when silicone gel implants are placed in the subglandular position. I think that you have enough breast tissue to cover over the implants, which are relatively small, without having to worry about visible rippling.

Avoid subglandular! Subfascial will provide the most natural appearing breast augmentation

Subglandular results tend to age very poorly. I would recommend subfascial placement with low profile implants for the best results. I use a technique called "Cold-Subfascial Placement" to preserve all of the fascia and retain support for a long lasting augmentation. the decision of size should be based on your chest wall dimensions and the base width of your breasts. I hope this helps! All the best, Rian A. Maercks M.D. more

Implant texture

I am not a big fan of textured implants for the reasons you illustrated. I prefer smoth in most cases. You may want to ask your surgeon about the choice or even get a second opinion.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Textured vs Smooth Covering - Which Is Best Above The Muscle?

Dear Suzisue, Wow - so many opinions. Who are you to believe? I did my first breast augmentation before 1980. I have seen trends come and go. I used smooth and textured implants, both above and below the muscle. I believe you are making a mistake going above the muscle as a location. I believe you are making even a greater mistake by considering textured implants. Textured implants were the manufacturer's attempt to have a silicone covering mimic the... more

Sub glandular implants give the most natural looking and feeling breasts

While it is often necessary to place breast implants under the muscle because the woman does not have enough breast tissue to cover the implants with out being able to see and or feel ripples, you will get the most natural looking and feeling breasts by putting them under the breast. I also feel that silicone gel textured implants are the best. With these the breast tissue will almost always will attach to the implant with out capsular contraction and keep the implant from moving... more

Subglandular Placement Smooth or Textured Implants on a B-c

Based upon the posted photos I would recommend sub muscular placement. because the ripples in textured vs capsular contracture in smooth can be better avoided.

Breast implants over or under the muscle and textured or smooth question.

I perform mostly smooth round saline implants under the muscle using an endoscopic one inch arm pit incision for my younger females because I believe it offers the best long term results and the lowest rate of capsular contraction. Given your picture you do appear to have adequate breast tissue for an above the muscle augmentation. Above the muscle using a silicone implant is the number one procedure in the world. But just because it is the most common technique in the world does not mean it... more

Textured Implants Have Higher Chance Of Rippling

I agree with Dr. McMahan that smooth (silicone) implants placed below the muscle will give you the best chance of avoiding rippling. I am not sure of your reason for wanting a subglandular implant, but would suggest that you reconsider this position.

Subglandular placement of implants are a great option with textured implants.

Dear Suzisue, Thank you for the question and the photo. I agree with you that a subglandular placement is the way to go in a breast augmentation if you have enough tissue to adequately cover the implant which it seems you have. Because that is where the breast naturally is above NOT below the muscle. There is less pain during recovery and no animation or awkward movement of your implant during exercise or activity. However I beg to differ with you about the textured implants causing... more

Smooth implants, UNDER the muscle best

Thank you for your question and photo. You appear to be a very good candidate for breast augmentation. I would strongly encourage you to go under the muscle, then the discussion of smooth vs textured becomes a moot point. Under the muscle gives you a lower risk of capsular contracture, lower risk of rippling, a more natural look and feel, fewer problems with doing a lift in the future and less problems with sagging. The recovery from implants under the muscle is not much different from on... more

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Comments (1)

Suzisue 10 Sep 2012

Thank you for your answers! I am choosing subglandular placement because I don´t want to risk muscle deformities and double bubble. I also like breasts with some "hang" and natural look. Yes the implant is silicone gel. It is not fat above my armpits, it is the shape of my protruding rib cage.

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