Over the muscle or under for 700cc breast implants? (Photo)

Question

I've had two children both breastfed and lost all fullness and volume I've had two consultations and measured 19cm from top to the nipple and was told I don't need a lift, I hav a lot of stretched skin so I'm still unsure as to go under the muscle or over if I want to go 700cc

Tom J. Pousti, MD · Answer

Thank you for the question and picture.
In general, I think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position.  This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look  of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability  of the implants (which may increase with time, weight loss, and/or post-pregnancy changes).
The submuscular positioning  also tends to interfere with mammography less so than in the sub glandular position. The incidence of breast implant encapsulation (capsular  contraction)  is also decreased with implants placed in the sub muscular position. The main downside with sub muscular breast augmentation is the potential for animation or flexion deformity; patients will note movement of their breast implants when they flex/utilize their pectoralis major muscles.
I hope this, and the attached link, helps.

Vijith Vijayasekaran, MBBS, FRACS · Answer

Thank you for your question. Its difficult to comment without an examination. First ensure  your surgeon is a specialist plastic surgeon and consider two opinions as using very large implants to fill out a stretched breast envelope is not always the best option and a smaller implant in combination with a lift/skin tightening procedure is safer and will be a much better option in the long term.700 cc implant is a very large implant. Visit the Australian society of plastic surgeons website to ensure your surgeon is a plastic surgeon.

Arthur Dean Jabs, MD, PhD, FACS · Answer

You are far better to go under the muscle in my opinion. You will have a much more natural appearance even going to such a large size of implant and that appearance will last far longer than if you go over the muscle.Be sure you talk to your surgeon about the width of the implant and what your skin and soft tissue will accommodate.Good LuckDr. JA. Dean Jabs M.D., Ph.D.Board Certified Plastic SurgeonBethesda MD/McLean VA

Naveen Somia, MBBS, PhD, FRACS · Answer

Under the muscle will give you a better result.Not sure about 700cc.If you have stretch marks, your skin and soft tissues will find it hard to support 700cc over time.All the best

Pouria Moradi, MBBS, FRACS · Answer

If you have lost a great deal of volume, then generally speaking below the muscle is the way to go.My only concern is a 700cc implant?That is very large.I suspect your surgeon has chosen this implant to avoid the lift, but over time especially because you have stretch marks this will lead to suboptimal results with worsening of the stretch marks.I hope this helps and good luck.

Over the muscle or under for 700cc breast implants? (Photo)

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Answer: Over the muscle or under for 700cc breast implants? (Photo)

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Over the muscle or under for 700cc breast implants? (Photo)

Answers (9)

Answer: Over the muscle or under for 700cc breast implants? (Photo)

Answer: Over the muscle or under for 700cc breast implants? (Photo)

Answer: 700cc implant?

Answer: 700cc implant?

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Everything you need to know about Breast Implants

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