Submuscular to over the Muscle ?

I currently have 450cc gel shaped implants, I had 300 cc round sailine before. it gave me nipples that look like they are projecting outwards. i tried to fix it and have higher nipples also but again it looks the same. It's been about a month I know it's early, but I find they look like my old breast implants. I'm really not happy, I am wondering if maybe over the muscle is a better option for me.

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9 Doctor Answers | Asked by MayB in canada

Doctor Answers (9)
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Nipple position after breast implants

The nipple position is a set point on your body. The position of the implant will not change your nipple position. The large implants will naturally settle down and outward based on gravity.Also, on top of the muscle will tend to streach out the skin even faster. see video

Submuscular or Subglandular Position for Breast Augmentation?

I agree, it is difficult to answer your question regarding your result without comparing before and after photos 3-6 months after surgery. At one month, there is significant amount of swelling. From what I can see, the result is certainly not unusual at your stage of recovery. I prefer sub-muscular placement of breast implants for several reasons. First, with 1 out of 7 women developing breast cancer, the sub-muscular placement provides better imaging during mammography... more

Over vs under

This is always a debate.with silicone you have more options.perhaps over the muscle and a slightly smaller implant would be in order.I always look at the breast as a balloon the more air ie the bigger the implant the firmer and more unnatural the breast feels.

Implant position

I would keep the implants under the muscle. As to your final result it is very hard to comment without having side by side photos to compare from before your surgeyr. Remember no two breasts are exactly the same.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Silicone Gel Breast Implants and Nipple Position

Dear MayB, Very few results are truly perfect, as much as one might want that. In general, your final result depends on what you look like before, the surgery that is done, and the way you heal. First of all, I think you have a very nice result. I understand your concerns and how you feel, but from an objective standpoint, I think you can be comfortable with that result overall. Secondly, nipple position is almost impossible to change without some sort of a lift or... more

Nipple position......

I would not recommend changing from under the muscle to over. This will not move your nipples more medially. You currently have a beautiful result! Give it time. Hopefully you will agree as time goes by and you get used to them. Revision may only cause problems.

Breast implant revision surgery

Changing the location (pocket) of your breast implants will not have a significant effect on the overall appearance of your breasts in your case. Based on your photos, your nipples appear to located slightly more laterally (toward the side). This is most likely due to your natural anatomy, and implants can not change this very much. Please consult with a board certified plastic surgeon prior to considering any further revision surgery. Best wishes, Dr. Bruno... more

Revision augmentation

I agree that the nipple position is lateral but I am not sure that changing the position of the implants will reliably improve this.

Jeff Scott, MD

5 reviews

Everett Plastic Surgeon

Going from submuscular to subglandular

Changing your implant location is unlikely to improve the appearance and may accelerate sagging. While your result may not be exactly what you want, revisional breast surgery comes with it's own set of risks....