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Switching Breast Implants from Submuscular to Subglandular

asked 11 months ago by Lafayette5554 in Lafayette
Latest answer by Tom J. Pousti, MD
Question viewed 344 times
Tags: exchange, subglandular, submuscular

I got submuscular saline implants 5 years ago. Every time i tense up my breasts move/flex. I do not like it at all, i would also like them to be softer. When i got my saline implants i went from an A-cup to a D-cup. I now want to switch to Silicone implants. I am also condidering switching to Subglandular silicone, so they won't flex and to get a more natural feel. Can i switch from submuscular too subglandular, if not how can the flex problem be fixed???

8 answers to Switching Breast Implants from Submuscular to Subglandular

+2

You need to make sure that you are a good candidate

The implant position change is a complex procedure and should be limited to the special conditions. The main reason in your case is the implant movement with pectorals contraction. Switching the pocket will help, but you may get more sagging, more rippling and more palpable implants. Please get more than one consultation and also your problem may be fixed by pocket revision. Pictures with relaxed and contracted muscle can help us to give you better answer.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Breast Implant Submuscular to Subglandular Exchange?

Thank you for the question. Generally, it is possible to remove implants from the sub muscular position and replace them in the subglandular position depending on the specific patient's anatomy/situation. You will need to be evaluated in person by a well experienced plastic surgeon to see if this would work for you. Having said that, you should be aware that there are many potential downsides of breast implants placed in the sub glandular position. These... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+1

Switching Breast Implants from Submuscular to Subglandular

There is no perfect position for breast implants. Subpectoral implants have better camouflage with thicker tissue (because of the muscle) covering the upper edge to make it less visible and to reduce the risk of visible wrinkling in a patient with thinner tissue. They may also have a lower risk of capsular contracture. Unfortunately, contractions of the muscle cause some distortion of the implant, and the severity of this varies from patient to patient. Placing the implants... more
Robert M. Grenley, MD

Seattle Plastic Surgeon

www.seattleplasticsurgery.com

+1

Breast augmentation

This is possibly a complicated situation. It will necessary to examine you, or at least photos, before giving any reasonable advice. There could be consequences with switching from a sub-pectoral position to a subglandular one. There are lots of issues that need to be covered.
Shahin Javaheri, MD

San Francisco Plastic Surgeon

www.AdvancedAesthetic.com

+1

Switching Breast Implants from Submuscular to Subglandular

Sure you can ask for relocation of the new silicones from your surgeon of choice. I have done this many times with very satisfactory results.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Placing implants above the muscle may reduce movement with muscle contraction

Placing breast implants below the chest muscles help to camouflage the implants, giving a more natural appearance. It also helps to reduce in the risk of infection and capsular contracture. Somethimes, though, contraction of the pectoralis muscle can make the implant move. This is called an "animation deformity". Changing the implant to a subglandular (above the muscle) position will eliminate this. However, this will also make the implant more visible so using a... more
Matthew Schulman, MD

New York Plastic Surgeon
+1

Implant exchange

Breast augmentation with implants is an imperfect operation. Your surgeon should review all the pros and cons of each type of technique and category of implant. He should review what the ideal implant might be for each situation. Thus may not coincide with the result you want so compromises or potential complication and side effects must be accepted by you. Robin T. W. Yuan, M.D.
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+1

Moving breast implants from under to over the muscle

Implants placed under the muscle do have advantages, such as lower capsular contracture rates, and less thinning and show of the upper edge which can be quite important for a saline breast implant. The trade off is movement of the implant with muscle motion, which can be quite a bother to some. You can change to a subglandular silicone gel implant without difficulty. We suggest a lower profile implant to minimize the upper edge and prevent an over rounded look. Best of luck... more
Peter E. Johnson, MD

Chicago Plastic Surgeon

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