Best Type of Breast Augmentation for Petite and Athletic Woman?

Thank you for your question. Your surgeon knows the details of your case, so I would recommend following his advice. In my opinion, if you are very active, the subglandular placement is the appropriate placement. Submuscular placement is not good for very athletic, muscular patients. Rippling of the implants is more a function of saline versus silicone implants than of implant size: saline implants have a higher risk of rippling or wrinkles. 250cc is not too big an implant, and you won't have "golf ball" breasts as long as an implant of the appropriate footprint on the chest wall is selected. Breast implants are made in various height and width footprints to accommodate different body frame sizes.Good luck, and for more information about other choices to be made before undergoing breast augmentation, take a look at the Guide to Breast Augmentation on my website from the web reference below. I discuss common patient questions I receive, silicone versus saline implants, round versus anatomically shaped implants, smooth versus texturized implants, implant manufacturer, implant insertion incision location, implant location inside the breast, and more. 

It's a great question. I strongly prefer under the muscle implants because the muscle provides another layer of camouflage for your implants. The muscle contours the top of the implant to give it a more natural slope and hide rippling of the implant. Implants under the muscle have a decreased risk of scar tissue forming around the implant (capsular contracture).  Also, breast cancer screening with mammography gives better images of breast tissue when implants are placed under the muscle. Although an implant on top of the muscle can be a good choice for some women, for very thin women there is not enough camouflage for the implant to look natural. When considering breast augmentation make sure you find a board certified plastic surgeon who will take the time to answer all of your questions and explain all of your options, so that you can decide if breast augmentation is right for you.

This is a very
good question. There are a variety of
breast augmentation options from the type of implant to use and where to place
them.



Breast
augmentation with a silicone implant has become the most common in the United
States because it gives patients a much more natural appearance and feel than
patients can achieve with saline implants.



There are several
ways to perform the augmentation, as the implant can be placed through the
nipple, axilla or at the bottom of the breast.



In the United States the vast majority of breast
augmentations are performed over the muscle.
However there are certain situations where the implant is placed over
the muscle. The benefits of placing the
implant below the muscle:

1.More natural feel

2.More natural appearance

3.Less visibility of the implant

4.Placing the implant below the muscle also
decrease the chance that the patient will form scar tissue around the implant.



Patients that have their implant placed under
the muscle can resume all of their normal activity once they have completely
healed. I have many patients who
athletes that have had a breast augmentation under the muscle and been very
happy without any issues.



It is important to see your board certified
plastic surgeon to help guide you to an implant that will give you an
aesthetically pleasing breast.