Submuscular or on Top of the Muscle - Which is Right for Me ?

asked 1 year ago by Nashville104 in Nashville, TN
Latest answer by William F. DeLuca Jr, MD
Question viewed 321 times
Tags: 5 ft 4 in to 5 ft 7 in, sagging, saline implants, 450-499cc, breast size, choices

I am 41yrsOld and have lost over 60pounds. I have about 5 to10lbs to go. I am 5ft 4inches tall and my breasts have become very saggy after having children and weight loss. One of my breasts is a little larger than the other. My bra size is a 36D and I want to be a full D or DD to make them look fuller. I am getting saline implants (450cc) and was wondering if I should go submuscular or on top of the muscle? Which will have a lasting affect with less to no reconstructing later?

9 answers to Submuscular or on Top of the Muscle - Which is Right for Me ?

Implant placement in saggy breasts after major weight loss

I would be very hesitant to place any sort of implant in the subglandular plain and have not done so in over a decade. With a submuscular implant, your surgeon is able to create a breast mound that will be stable over time, and then by performing the mastopexy he can properly place the breast tissue over the mound. Whether you can get by with a vertical mastopexy or it will require a traditional inverted T is dependent upon the amount of loose skin that has developed from your weight loss.... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

SubMuscular vs SubGlandular.....???

You will find various opinions about where breast implants are best positioned. I personally will not place implants on top of the muscle at all. I used to place them on top of the muscle (subglandular) but as more and more studies began to show the many benefits of placing them under the pectoralis muscle (submuscular) I switched to only doing them submuscularly. I have seen a significant reduction in problems and complications with the implants in this position and will only place them... more

Daniel P. Markmann, MD
Baltimore Plastic Surgeon

DiscoverTheBeauty.com

Submuscular or on Top of the Muscle

Very hard without posting a photo to advise. I primarily place the implants under the muscle and a lift may be the better option. Best to see boarded surgeons in your area, like Jack Fisher or Pat Maxwell. From MIAMI Dr. darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Submuscular implants PLUS a breast lift

Almost certainly, with your age and weight loss you will need a submuscular breast aug and a lift. Without the lift you will look very poor and matronly if your nipples have drifted down from an elevated youthful position. Implants above the muscle will NOT fix this without a lift.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Submuscular placement of breast implants for better results.

I have found that the submuscular location results in: 1)more tissue covering the implant for a more natural look 2) improved mammograms when compared to the subglandular implants and 3) decreased rate of capsular contracture.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

When over the muscle breast implants might be right

Breast implants after significant weight loss or in the case of a large droop or ptosis in the breast can be a tricky business. The problem is that we need a good match between the skin envelop of the breast and the implant chosen for the final cup size. For a great result the implant should fit within the breast hand-in-glove, and should feel as one. If the skin is generous, and the implant is under the muscle, the breast may move over the implant in a disconnect between the two. After... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Implant placement in saggy breasts after major weight loss

You lost over 60 lbs and now have saggy, most likely "deflated" breasts. You state that your cup size is 36D and you would like to be a D-DD. Placing large saline implants in breasts that are saggy is just asking for trouble. I believe the operation you would benefit from the most would be a short scar or lollipop scar breast lift which would keep you at a D cup size. You would have fuller, perkier breasts without the implant issues which are guaranteed to happen if you chose... more

George Marosan, MD
Bellevue Plastic Surgeon

Implant position

Placing implants above or below the muscle is a choice you make with your surgeon. I routinely place them under because I think themore soft tissue coverage the better. It may decrease the risk of capsule formation as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

Submuscular or on Top of the Muscle - Which is Right for Me ?

Regarding: "Submuscular or on Top of the Muscle - Which is Right for Me ? I am 41yrsOld and have lost over 60pounds. I have about 5 to10lbs to go. I am 5ft 4inches tall and my breasts have become very saggy after having children and weight loss. One of my breasts is a little larger than the other. My bra size is a 36D and I want to be a full D or DD to make them look fuller. I am getting saline implants (450cc) and was wondering if I should go submuscular or on top of the muscle?... more