Hi, I am 5'1" tall, I weigh 115lbs. I am very healthy and active. I currently wear a 32 A bra. I have two children (breastfed). An average week for me consists of running 5x, gymnastics 1x, yoga 1x and strength training 1-2x. My doctor has suggested that with my lifestyle, I should get gel Breast Implants in the subglandular placement with 250cc. After reading everywhere, many doctors say that with such a small frame, the implant will be noticeable and I will have rippling. But my doctor says I cannot work out hard with submuscular? HELP! Afraid of golf ball boobs!
Answer: Subglandular is the Appropriate Placement 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.
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CONTACT NOW Answer: Subglandular is the Appropriate Placement 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.
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CONTACT NOW Answer: Best Type of Breast Augmentation for Petite and Athletic Woman? 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.
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CONTACT NOW Answer: Best Type of Breast Augmentation for Petite and Athletic Woman? 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.
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December 6, 2016
Answer: Subglandular vs submuscular Thank you for this question. Deciding to put the implant above or below the muscle has advantages and disadvantages. Women who have very little breast tissue are not good candidates for subglandular implants. Even with the silicone implants, the implant wrinkling will be visible and distracting to you, in or out of clothes. Silicone implants do have the least some wrinkling, though the least as compared to the older saline implants. If the patient has some breast tissue and uses a very small implant there might be enough breast tissue to cover the wrinkling. These issues should be discussed during the consultation. Situations where the patient is thin and has minimal breast tissue I feel the Silicone or Ideal Implant (structured saline implant) is the best choice in the submuscular space. The wrinkling will be covered by the muscle over the top of the breast and the cleavage area of the breast. The muscle activity can be minimized by the technique the Plastic Surgeon uses during the surgery. For athletic patient's I recommend no working out for 6-8 weeks. The tissues have to heal to minimize risks including bleeding, infection, wound breaking open and the long term risk of capsule contracture. After that period of time you should have minimal restrictions and can resume working out. During the consultation all of these issues should be discussed. I wish you the best, good luck and enjoy your new look.
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CONTACT NOW December 6, 2016
Answer: Subglandular vs submuscular Thank you for this question. Deciding to put the implant above or below the muscle has advantages and disadvantages. Women who have very little breast tissue are not good candidates for subglandular implants. Even with the silicone implants, the implant wrinkling will be visible and distracting to you, in or out of clothes. Silicone implants do have the least some wrinkling, though the least as compared to the older saline implants. If the patient has some breast tissue and uses a very small implant there might be enough breast tissue to cover the wrinkling. These issues should be discussed during the consultation. Situations where the patient is thin and has minimal breast tissue I feel the Silicone or Ideal Implant (structured saline implant) is the best choice in the submuscular space. The wrinkling will be covered by the muscle over the top of the breast and the cleavage area of the breast. The muscle activity can be minimized by the technique the Plastic Surgeon uses during the surgery. For athletic patient's I recommend no working out for 6-8 weeks. The tissues have to heal to minimize risks including bleeding, infection, wound breaking open and the long term risk of capsule contracture. After that period of time you should have minimal restrictions and can resume working out. During the consultation all of these issues should be discussed. I wish you the best, good luck and enjoy your new look.
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March 28, 2017
Answer: Type of augmentation for a petite athletic woman ConsideringThe advantages of a submuscular placement of a breast implant are significant. Implants placed underneath the muscle have more soft tissue coverage and therefore have a more natural appearance and less likelihood of the borders of the implant being obvious. Submuscular placement also has less chance of capsular contracture and mammography is more accurate. One of the disadvantages is temporary "flattening" of the breast when the muscle is flexed. I routinely place implants in the subpectoral position in patients who engage in bodybuilding and fitness competitions. When discussed preoperatively patients except this flattening as a trade off for a more predictable and trouble-free long-term outcome. If consideration is given to placement of the implant above the muscle it is important that the patient have sufficient soft tissue coverage between the skin and the implant. Its important to have at least a 2 cm pinch test in the upper portion of the breast. This is determined by the surgeon pinching the tissue in the upper portion of the breast to make sure there is at least 2 cm between the thumb and index finger.
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CONTACT NOW March 28, 2017
Answer: Type of augmentation for a petite athletic woman ConsideringThe advantages of a submuscular placement of a breast implant are significant. Implants placed underneath the muscle have more soft tissue coverage and therefore have a more natural appearance and less likelihood of the borders of the implant being obvious. Submuscular placement also has less chance of capsular contracture and mammography is more accurate. One of the disadvantages is temporary "flattening" of the breast when the muscle is flexed. I routinely place implants in the subpectoral position in patients who engage in bodybuilding and fitness competitions. When discussed preoperatively patients except this flattening as a trade off for a more predictable and trouble-free long-term outcome. If consideration is given to placement of the implant above the muscle it is important that the patient have sufficient soft tissue coverage between the skin and the implant. Its important to have at least a 2 cm pinch test in the upper portion of the breast. This is determined by the surgeon pinching the tissue in the upper portion of the breast to make sure there is at least 2 cm between the thumb and index finger.
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November 29, 2015
Answer: Breast Augmentation in Thin Athletic Women 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.
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CONTACT NOW November 29, 2015
Answer: Breast Augmentation in Thin Athletic Women 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.
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