Breast Augmentation: Q&A

Ask a Question

Tuberous Breasts, Highly Athhletic Lifestyle, Nursed 3 Babies. Can I Go over the Muscle? (photo)

5'6" 135 lb. I am generally quite active with running and crossfit. Crossfit involves dynamic upper body strength/balance. It is nothing for me to whip out 30 consecutive pull-ups or push-ups. I am worried a breast augmentation under the muscle will affect my strength and abilities. I went to 5 consults and only 1 doctor recommended over the muscle. With the tubular, droop and minimal tissue would I be a candidate for over the muscle augmentation? I am looking to use 300-350 of round silicone implants.

Tags:

Comment on this

14 Doctor Answers | Asked by ericagardner5

Doctor Answers (14)
Community Comments (0)

Can I Go over the Muscle?

Thank you for your question and for the attached photos. without going into the findings that can lead to the diagnosis of tubular breasts, I find it to be borderline from these photos, and wonder about the breast appearance before pregnancies and nursing. At any rate, the photos and a live exam determine what it is,and giving a name to the diagnosis doesn't change it! As for as above or below the muscle, here are the pros and cons. •Advantages of under the muscle... more

Breast Augmentation with Mini Ultimate Breast Lift for athletic lifestyle

The goal of breast surgery is to achieve beautiful breasts. Beauty is determined by several factors including symmetry, skin tone, position of breast on the chest wall, position of areola, cleavage and volume. Your breasts are asymmetrical and very ptotic. You are focusing on implant volume when other factors are more important. I recommend you undergo a circumareola approach leaving a scar only around the areola. With this technique, it is possible to lift your... more

Above or under the muscle

I agree with the majority. I feel implants are better in the sub muscular position, especially if you are using saline. I have done plenty of breast implant cases under the muscle in very athletic women, and it does not sauce any problems with working out. Good luck!

Tuberous Breasts in Atheletic Lady

The long term results with the submuscular implants far exceed the subglandular placement especially in women with relatively little subcutaneous tissue of the breasts, such as yours. I think submuscular placement with areola reduction and limited subcutaneous breast scoring is the way to get the best result.

Breast augmentation is very challenging in very thin, very athletic patients.

Under the muscle will give a much better look and feel to your breast. The implants under the muscle will feel a little weird when you start back with upper body exercise but you will likely get used to it. In a perfect world, I would have you gain about 10 or 15 pounds to put some feminine padding on your very, very fit but way to thin body! Just sayin'.

Athletic Lifestyle can affect implant placement options

There are pros and cons for each implant placement. The "over the muscle" placement will allow you a quicker recovery and not affecting your athletic and active lifestyle. The downside of this breast implant placement location is higher risk of rippling, especially in thin, deflated breast like your. If you are not considering altering your lifestyle, then I would still recommend that you consider above the muscle placement. You can decrease the risk of rippling by either adding autologous... more

Tuberous Breasts, Highly Athhletic Lifestyle, Nursed 3 Babies. Can I Go over the Muscle?

In your situation I would recommend staged operations. First do the lifting operation. allow 3 months to heal than second operation abodes UHP 450 cc

Over vs. under muscle fro breast augmentation in athletic women

In my experience, patients do very well returning to athletic lifestyles after breast augmentation under the muscle. I have patients who work in the fitness industry and patients who do crossfit with implants under the muscle. No one has been unable to resume these activities. In general, women with thin tissues tend to have a lot of implant visibility, including ripples and wrinkling, when their implants are above the muscle. The risk of capsular contracture would also be significantly... more

Above or below the muscle

Thank you for your question and for providing photos. Your breasts and history are common in that many women have changes in their breasts after multiple pregnancies. This can include deflation and sag, which your photos show. It doesn't look like your breasts are overly tubular though. As for the correction of this, an augmentation mastopexy is appropriate. The implant will restore the volume while the lift will allow the breast to be lifted and reshaped. The choice for the position of... more

Sub muscular or Subglandular Positioning of Breast Implants for Athlete?

Thank you for the question.  There are pros and cons to the placement of breast implants and the “sub muscular” position versus the "sub glandular position”. I will try to outline some of the differences here; you may find the attached link helpful as well.  I think it is in the best interests of most patients seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position. This positioning allows for... more

Soft Tissue Failure and Breast Implants

Your issue is not so much tuberous breasts as it is deflation and ptosis and relative soft tissue deficency. The surgeons who mentioned the under the muscle approach are correct in that the submuscular position affords more soft tissue coverage than sub glandular. ...If only you had more fat in your breasts... you could have an implant placed over the muscle and under the fascia and avoid the animation deformity. Well, this is now possible with a new technique called... more

Above the muscle or over the muscle in physically fit woman

I agree completely with previous comments about how you would be unhappy both above the muscle and it also appears to me that you would also benefit from a lift of some kind. I have many patients who are very physically fit as you are and all have their implants under the muscle. To date no one has returned with complaints of being weaker although it is said to feel different with push-ups and pull-ups. The goal of going under the muscle is to provide a better coverage of the implant for a... more

Tuberous breasts

In the long run, you are much less likely to be satisfied with the subglandular position than the submuscular position. You will need the lift at some point, sooner or later, to achieve the best result. If the implant is placed over the muscle, the breast and implant will descend together and further as time passes.

Over vs under muscle

There is a reason 4 out of 5 doctors recommended under the muscle! Tissue as thin as yours provides little in the way of camouflage for an implant. Putting an implant on top of the muscle puts you at risk for visible superior pole rippling and development of a rock in a sock look in addition to a higher incidence of capsular contracture.