Ready for another breast aug! Want to go bigger & more cleavage, over the muscle this time? (Photos)

Question

Hi, I had my breasts done over 10 years ago...through the armpit, 550 cc silicone, I work out a lot and notice the implant moves and looks funny when my pectoral muscle flexes (my implants are under the muscle). im exploring other ideas now for my 2nd surgery because i want to go bigger and i want more cleavage...Should i go over the muscle this time? and also should i explore the gummy bear or teardrop implants? could use some advice please!

Randal Haworth, MD, FACS · Answer

It's not uncommon for breast implants to shift or move with certain movements, particularly if they are placed under the muscle. This is because the muscle can pull on the implant and cause it to move. Going over the muscle may reduce the risk of movement, but there are other factors to consider as well.

If you're considering a revision surgery to increase your breast size and enhance cleavage, it's important to consult with a qualified and experienced plastic surgeon who specializes in breast augmentation. During a consultation, the surgeon will evaluate your current implants, discuss your goals, and recommend the best course of action based on your unique situation.

There are a variety of implant types and shapes to choose from, including gummy bear and teardrop implants. These implants are designed to look more natural and may be a good option for some patients. However, they may also have some limitations and risks associated with them, so it's important to discuss the pros and cons with your surgeon.

Ultimately, the decision to go over or under the muscle and the choice of implant type and shape should be based on your individual needs and goals. It's important to communicate your concerns and expectations openly and honestly with your surgeon, and to ask any questions you may have about the procedure and what to expect in terms of results and recovery.

Best of luck !

Daniel Barrett, MD · Answer

Dear Fiilthyriiches,
I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

When doing some chest exercises it is not unusual for the chest muscle to move the implant if they are placed under the muscle.  If you elect to put them above the muscle this should improve. However its important to know that you may more easily feel or even see the top portion of the implant.  Visit with a board certified plastic surgeon near you to discuss your surgical goals and learn more about your options.

Connie Hiers, MD, FACS · Answer

Don't go bigger. You have a nice size now. Bigger will be heavier on your neck and shoulder and more likely to sag and/or bottom out from stretching and thinning your own tissue.  I am not a fan of the gummy bear since they are hard. I am not a fan of the teardrop implants for augmentations since they are more firm and carry more risks, especially of flipping and turning, and tearing away from tissue and causing fluid to form inside the pocket.

Ready for another breast aug! Want to go bigger & more cleavage, over the muscle this time? (Photos)

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Everything you need to know about Breast Implant Revision

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Ready for another breast aug! Want to go bigger & more cleavage, over the muscle this time? (Photos)

Answers (4)

Answer: Implants

Answer: Implants

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.