Breast Augmentation: Q&A
Ask a QuestionUnder or over the Muscle? (photo)
OK I have a few questions about these placements. I really want my breast to sag like normal breast, and I don't want them to be perky. I dont want to go over 300cc either. I was hopping to get it through the armpit incision and possibly over the muscle. Ive seen pictures and i think the look more natural over. I want the flatter look too(not such a high profile(not perfect).
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9 Doctor Answers |
Asked by
kawaiisrs
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Under vs over the muscle breast implants
I choose not to ever place implants over the muscle. Implants over the muscle have a much higher rate of complications (rippling, contracture, pain, excess skin stretching) Trust me, implants under the muscle will eventually give you the look you submitted. Most PS show breast augmentation photos that are only a couple of months after the procedure. FYI, over the muscle breast implants account for the majority of revisions in my practice. I hope this helps you,
Dr. H
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Under or Over the Muscle for Breast Augmentation?
There really is no place anymore for breast implants that go under the breast but not under the muscle. This has been replaced with the "dual plane" approach, which is half-and-half as the name implies.
If your breast is relatively high in relation to the crease under your breast, then the traditional approach under your muscle is best. The implant must be concealed in the upper half by the draping of the pectoral muscle or there will be an obvious step-off...
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Breast augmentation -getting it right the first time
As you can see from the posted replies there is no one size fits all solution. I would be equally concerned that your areolas are enlarged and the left more so than the right. Also there is more breast tissue at and above the nipple level than below it i.e. the breast tissue is not evenly distributed around either nipple. Although you may be able to correct the tissue distribution via the armpits using an endoscope you can only correct the areola with a skin incision near the areola. If you...
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Los Angeles Plastic Surgeon
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Under the muscle (a dual plane) will likley give you the best immediate and long term result
Thank you for the question and picture. You appear to have thin breasts with minimal breast tissue. You will likely have less breast tissue as you age and implants that have minimal coverage do not look natural. By placing cohesive gel implants in a submuscular / dual plane position (covered by muscle for the top 1/2 of the implant and breast tissue in the lower 1/2 of the implant) you will get the natural appearance that you are seeking. This will give...
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So you want over the muscle breast implants
There is nothing wrong with a lower profile gel implant over the muscle, and in the late 70's they were the 'standard'. You can get a very nice result and you should not be discouraged. Why under the muscle you might ask? The switch was motivated by much less show through or thinning, lower capsular contracture rates, less ripple, softer upper edge after higher profile implants were introduced, etc. all good things though there is never one answer for all individuals. Avoid...
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Above or below the muscle placement of breast implants??
Thank you for the question. For women who want a more natural look to their breasts and have adequate tissue to cover the implant, above the muscle is a good choice, because naturally the breasts are above the muscle. Now with the availability of the shaped implants in the US you can have even more of a natural look to your breasts, with the lower part being fuller than the top.
Best of luck!
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Breast augmentation implant placement
Dual plane breast augmentation provides benefits of being on top of the muscle and under the muscle at the same time. The upper portion of the implant is placed under the muscle, which helps to conceal the implant in an area where there is frequently less natural breast tissue for coverage, while the lower portion of the implant is placed over the muscle, frequently helping to provide a more natural contour in that area.
You may also wish to consider that an inframammary incision,...
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Under or over the Muscle?
In my opinion implants placed under the muscle using a dual plane technique give the most natural contours. Remember the axillary incision is nice in that it is hidden but there is good research that shows it has a higher infection rate and a higher risk of capsular contracture. That does not mean you should not use that approach, but you need to weigh that information carefully.
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Over vs under the muscle
No location is perfect, each offers a degree of tradeoffs. As to wanting a "natural" sag, be careful what you wish for as implants on top of the muscle can cause a rock in a sock deformity. Get opinions from at least two experienced breast surgeons. Good luck!
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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