Breast Augmentation: Q&A

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Under the Muscle Silicone or Over the Muscle Silicone?

I am about a 32a from my PS measurements. The only other measurments i can remember is 12 on both sides.. I have alot (i feel) of loose skin from swelling to a 34c while nursing. My PS recommends going above the muscle with silicone but i'm concerned it will not have a very natural look or my skin may not be strong enough and the implant will bulge out at the bottom of my breast. Any thoughts? I'm trying to shoot for going back to the 34c size i was while nursing.

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16 Doctor Answers | Asked by Mamabear23 in Central MO

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Under or Over the Muscle for Silicone Gel Breast Implants?

You have normal breasts and a lean figure. Really you can have your Breast Implants placed either under the muscle or over the muscle. Because you have had children there is a slight amount of breast sag. The risk of under the muscle is that if your muscle is high it could push the breast down and create a “snoopy deformity.” If this is the case then under the breast gland would be a better choice. Ask the surgeons who recommended under the muscle if they feel there is risk of... more

Silicone Over or Under the Muscle?

In your individualized case I would put the implants under the muscle since your figure is lean. In a case where there is more loose skin to fill then you would consider putting the implant above the muscle.

Under or over the chest muscle with breast implants

There are pros and cons to both positions. Above the chest muscle is where the breast tissue is located and therefore where the implant will behave more like breast tissue. The downside is that, with a saline implant, ripples and wrinkles are more likely to be felt/seen when placed above the muscle. Also, there is a higher risk of capsular contractures (scar tissue that can form around an implant causing the breast to feel firm or distort the way it looks) when the implant... more

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Breast implants placed under the muscle will do better, longer, and usually softer

Breast implants placed in the submuscular plane (under the muscle) gives you a much more natural appearance in the upper pole with a smoother transition from the chest and rib cage to the breast projection. Also, the added layer of tissue in the form of the pectoralis muscle will help make the entire breast look and feel more natural. Under the muscle implants also have been shown to prevent capsular contracture versus implants over the muscle. In summary, there are very... more

High profile implants placed in the subglandular position may look good at first but will likely wear on your tissue over time.

A word of caution. High profile implants placed in the subglandular position may look good at first but will likely wear on your tissue over time causing tissue stretching, thinning and lead to implant rippling and being able to feel the implant. To see what the best options are for you, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this... more

Breast Implants under or over the muscle..

There are a lot to advantages to placing the breast implants (silicone or saline) under the muscle. Having that extra muscle tissue over the implant gives a more natural and soft look, as well as less rippling. In addition, much easier to see the breast tissue in mammogram.

Sub-glandular vs. Sub-muscular

The principal advantage of placing implants above the pectoral muscle is the absence of "animation," or motion of the implant when the pectoral muscle is flexed. While that is important to a few patients, that advantage is usually trumped by the advantages of sub-muscular placement: less risk of capsular contracture less chance of feeling or seeing ripples more natural appearance at the upper pole of the implant. possibly better... more

Under the muscle for breast implants is better

Thank you for your question and photograph. There are many advantages to putting breast implants under the muscle including a more natural look, lower risk of capsular contracture, getting in the way less with mammograms, less rippling and less sagging in the future. I see no advantage to putting implants on top of the muscle.

Under the Muscle Silicone or Over the Muscle Silicone?

There are situations where placing the implant above the muscle is warranted. Personally I like placing the implant beneath the muscle for first breast augmentations. I like this approach because I feel that having the muscle over the implant adds tissue and helps decrease the long term effects of rippling. I do not know the quality of your skin but if it is thin this is another reason to place the implants below the muscle. It depends on the size of the implant that you desire but if the... more

Hello

Having silicon put in the best way would be to do it under the muscle. If you are in a cup and want to be a c cup the recommended range would be between 420 cc and 490 cc to take you to a nice c cup. If you want naturally results you want to do it under the muscle.

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