Breast Implants: Q&A
Ask a QuestionUnder the Muscle Vs. Over the Muscle? What's Really the Best Decision?
I have been to two consults. One doc says under, another says behind. Should I get a third opinion?
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18 Doctor Answers |
Asked by
bulldogs10
in Asheboro, NC
+4
Breast Implants, Under or Over the Muscle...
When you have made the decision to have Breast Augmentation it can be difficult to know who to trust to obtain the best results. Typically the implants are placed under the muscle to reduce the chance of rippling due to lack of breast tissue. Some surgeons may recommend placing the implant above the muscle if the patient works out a lot or does heavy lifting daily. In addition, it may be placed above the muscle if the skin has some laxacity in it. I would speak...
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+3
Time for the opposite opinion
I have been doing this surgery for over 35 years. In the beginning all implants were placed above the muscle, then an article came out claiming that under was better - so we switched to that. Turns out it isn't. When we went to saline implants, they needed the added cover of muscles to hide the rippling, now that we are back to silicone, I put most of them under the breast ( over the muscle). Ask yourself, "Where is your breast tissue?" The answer is Over the Muscle not under...
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+2
Breast implants and your pectoralis muscle.
The decision to place implants under or over the muscle depends on both anatomy and goals from surgery. In general, thinner women with little breast tissue will benefit from the improved soft tissue coverage of an implant under the muscle. However, other women will choose to have a more visible implant to avoid the distortion that can occur from submuscular implants when the pectoralis muscle flexes. A thorough discussion of your goals combined with a detailed examination is the key. You...
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Breast Implant and placement above or below the muscle
There are a variety of opinions as to whether a breast implant is best placed above or below the pectoralis major muscle. After 25 years of practice and having placed several thousand breast implants, I do not believe there is necessarily a right or wrong answer to this question. Each implant placement position has its potential advantages (BELOW THE MUSCLE - lower contraction rate problems, easier to read mammograms, may hide the...
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Under the Muscle Vs. Over the Muscle? Best Decision?Answer:
The thought keeps changing and will probably continue to do so! My colleagues in Brazil all go over the muscle but use the newer gel implants which are shaped and textured. So what it really seems to come down to is what result you are looking for and how much breast tissue you have to begin with. In lean women, under hides the implant better. And although I agree that in nature your breast sits on top of your muscle, the under muscle space seems a great location to have an implant placed.
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Breast Implant Placement Over the muscle vs. behind the mucle
This may be a somewhat controversial statement, but in my opinion there currently is really only one acceptable position for breast implants in an elective cosmetic surgery patient: behind the pectoralis major muscle (sub-pectoral augmentation). There are a number of very compelling reasons to place implants behind the pec major, and the most compelling one of all is the fact that radiologists report that the mammographic imaging of breasts for the purpose of breast cancer screening tends to...
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Over Or Under Muscle?
Although I placed all breast implants over the muscle 25 years ago when I first started my practice, it is extremely rare for me to do so at this time. Implants placed under the muscle tend to be softer and more naturally appearing and feeling, especially if they are silicone. The main downside is more discomfort during the first few days post-op.
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Best to place implants over or under the muscle?
Placement depends on the implants you select (size and composition), how lean your body is, how much breast glandular tissue you're starting with, how active you are with your upper body, and your personal preferences. Because every woman is different, for many, subglandular is best. For others, submuscular is best. Either choice produces acceptable results when the procedure is well executed.
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Under v. over the muscle
Most of my patients have implants inserted under the muscle. This avoids rippling in patients wtih thin skin, better pads the implant, makes mammography simpler and has a lower incidence of capsular contracture. The patient who opts for implants over the muscle is generally someone who wants implants badly but is unwilling to undergo the longer recuperation or is extremely fearful of postoperative pain. Ultimately, the patient, not the doctor, must own the decision and the consequences. ...
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Most patients will have implants under the muscle
The vast majority of patients will have their breast implants placed under the pectoral muscle (subpectoral). There are many advantages for this: easier to read mammograms, more natural appearance, easier to breast feed and lower risk of capsular contracture(scar tissue). There are not many good reasons to place a breast implant in the subglandular (above the muscle) location other than the faster recovery. A board certified plastic surgeon can evaluate your specific anatomy and determine...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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