Subglandular vs. Submuscular with Lift Breast Augmentation?

I have seen my PS and I have a date scheduled 5 months from now for subglandular breast implants because I have a droop. But he gave me two options, this option or getting a Breast lift and submuscular Breast augmentation. I am rethinking and may choose the lift with submuscular. I just want something that will be better for me in the long run with less complications than the other and not necessarily faster healing but better healing. It is my first augmentation and I am 33 year old with one baby possibly 1 more. What are your opinions?

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11 Doctor Answers | Asked by uoorkindness

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Breast Augmentation/Breast Lift Implant Positioning?

Thank you for the question. In general, I think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which... more

VIDEO: UNDER OR OVER the muscle breast implant augmentation surgery

Although under the muscle is the most popular for several reasons I have pointed out the advantages AND Disadvantages in the attached video see video

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Subglandular breast augmentation or submuscular augmentation and lift

If you have minimal ptosis (or sagging) of your breast, a subglandular placement might give a nice result with fewer scar lines or incision lines. However, your mammogram may be adversely affected by going with a subglandular implant--although in my experience your physical examination would not be adversely affected. If you have significant sag then I would typically recommend a submuscular implant with a complete breast lift, though you will have more scars. It's difficult for me to say... more

Submuscular Augmentation with or without a lift

The submuscular placement of the implant offers clear advantages whether an augmentation alone or a mastopexy-augmentation is performed. The key to the success of an aesthetic appearing breast is having the implant covered by as much tissue as possible. When an augmentation is performed in a patient with ptosis (sagging), the upper pole of the breast usually has very little tissue to cover the implant (this part of the chest is usually flat and usually one of the reasons the patient seeks... more

Breast lift with submuscular implants is a better choice

The choice of submuscular implants with a lift is a better choice that subglandular implants without a lift. There is no comparison long term between these two. The subglandular option will eventually look like a ball in sock possibly and won't give you much of a lift at all. The submuscular implant doesn't have to be bigger than you want and the lift will reshape the breast, tighten the skin and elevate the nipple areola to a youthful posiiton.

Breast lift and Augmentation

Your question is very hard to answer. Usually, if one needs a lift, one needs a lift. There are, however, several methods of doing lifts. In addition, the implant itself, if large enough, can correct some droop. The question of position is a wholly different matter. If I am trying to get any lift with the implant or am doing a lift at the time of augmentation, I never place the implant below the muscle. The reason is simple; by dissection on top of the muscle I free the breast to move up.... more

Breast lift vs implant position

Your situation is not uncommon and there is no right answer. None of the options is ideal. If you just put in implants you will still have some drooping but less scarring. If you do a lift and implants you have much more scarring but markedly improve the drooping f the breast. I suggest you look at photos of each adn se what you might prefer. Either way there is a high chance of additional surgery in your future to revise what has beed done.

When in doubt, do a breast lift with breast implants.

Hi. Cannot give you specific advice because everything depends on the details of your anatomy, but the mere fact that the topic came up usually means that you will do better with a breast lift with breast implants. Women accept the scars very well if they love their new breasts. Some surgeons are afraid to recommend breast lift because they are afraid of scaring the patient.

Implants under the muscle with breast lift

Although I can't say without seeing you, in cases where there is some drooping many plastic surgeons recommend putting the implants above the muscle so they can sort of drop into the skin envelope and avoid doing a lift. The downside of this approach is that it doesn't really lift very muh and can progess to what is decsribed as a "rock in a sock" look which you do not want. When a lift is done at the same time, the implants need to be under the muscle, and that with a lift is a... more

Breast augmentation and breast lift

This is a great question and every plastic surgeon has his or her opinion on this. The best operation for you really depends on how much breast tissue you have, how much ptosis, or droop, you have, and whether or not you are willing to accept additional scars on the breast from the lift. Both an augmentation and a breast lift/augment should heal well if you are otherwise healthy. Breast augmentation alone is a shorter surgery than if you add a breast lift, but again if you are healthy... more

Implants under the chest muscle will ALWAYS be in your long term best interests.

Hi there- First of all, the idea that by placing implants on top of your muscle you can avoid a breast lift is absolutely wrong in my opinion and experience. The breast may look good at first with this technique, but will very quickly droop again - and the damage to the skin and blood supply of the breast, to say nothing of the increase in other risks with this technique can never justify it in my opinion. You would ALWAYS be better off (unless you are a competitive body builder) placing... more