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Is There a Significant Difference/risk Between 270cc/310cc and 310cc/340cc, Saline over the Muscle, High Profile?

I am 48, just under 5'5" and about 125. I compete in a division of women's bodybuilding referred to as figure/physique. My surgeon wants to go above muscle . I am a 32A and 32B. I wanted to be a full D like I was before giving birth, nursing, and reducing body fat. My surgeon is suggesting overfill 270cc/310cc to achieve my look and says 310/340cc is higher risk for my skin and leaness. I chose saline because wrinkling seemed easier to fix.

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7 Doctor Answers | Asked by indey521

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Implant choices in bodybuilders

I would also disagree with your surgeon, disagree with the choice of saline implants above the muscle, disagree that you will get to a full D, and disagree that wrinkling from saline implants is easy to fix. The only thing that is a real factor is that the same size implant above the pectoralis muscle will look bigger than if it was below the muscle. It will also look very obvious and ripply. The pectoralis muscle is needed to pad, protect, and blend in the implant without... more

Body Building and Breast Implants

Hello, There are a subgroup of body building women who are the least suited but most likely to go over the muscle, and that is the open class body builder who is likely to be using hormones for maximum muscle mass. For figure/physique body builders, I urge to do what is considered best for other lean women, which is submuscular placement. The trade off is some animation deformity, which is usually separation of implants/breasts with pectoralis contraction. If you do not want to... more

Implant and choice

It really is a tough call without an exam and proper evaluation. Over the muscle in thin patients makes you more prone to rippling.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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Which implants?

Saline implants above the muscle in someone with very little soft tissue cover could be a disaster as far as looks go because of the near 100% chance of visible ripples. The wrinkling is unlikey fixable. You might want to get a few more consults. Overfilling has almost nothing to do with wrinkling unless you filll them to such pressure that they are hard and visibly deformed in other ways.

Not a great plan IMO

Saline implants are not good above the muscle especially in a slender patient. They will wrinkle terribly and if you overfill them too much to lessen that, they will feel hard. Gels are better above the muscle, but I would still consider going below the muscle. Also, the best implants are the ones which will give you the desired look and cup sizes are not very accurate. But I can't believe a 270-310 cc implant will take you yo a full D.

Body building and breast implants

Thanks for the question. First of all, the difference between a 310cc and 340cc implant is one ounce. I would not recommend saline implants for you, would do better with silicone gel implants. I'm not sure where the information given to you came from about saline implant rippling is easier to fix. This is not true. To fix rippling of saline implants, the options are fat grafts (I assume you do not have a lot of fat) or placement of tissue matrix into the implant pocket to mask the rippling.... more

Breast Implants for Body Builder?

Thank you for the question. You may want to be very careful with the decisions you are making. Generally speaking, patients who are active in the body bodybuilding world tend to have very little soft tissue/adipose coverage making them higher risk for breast implant rippling/palpability. I have found the silicone gel breast implants tend to provide a better look for these patients. I have also found that ( despite the disadvantage of “animation deformity”) that the sub... more

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