Does implant placement behind the muscle allow for full breast screening?

Question

BA behind the muscle/cyst removal/residual capsule removal/future breast screening I would like re augmentation having explanted in Aug '19 due to CC. I had fat transferred to my breasts in Jan '20 but it's pretty much all gone and I'm left with painful cysts that I would like removed along with any residual capsule at the same time at BA. Is this possible? 42 year old active mum in Kent, UK. Also, i would like as quick and pain free recovery as possible.

Daniel Barrett, MD · Answer

Dear minkymonkey,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Thanks for your question. Submuscular breast augmentation does tend to interfere with screening less than subglandular implants - nevertheless specific mammographic views are required called Eklund views to enable complete imaging of your breast tissue and that the implant is not obstructing this. 
Removal of your all of your cysts from fat grafting, and any residual capsule, may be challenging if the cysts are multiple and in the glandular tissue of the breast (the only way to do this may be to remove a significant amount of breast tissue which may not be the best thing for you, unless they are causing significant problems).

Reza Alamouti, MD, FRCS · Answer

HelloThank you for the question.It’s difficult to address your issues without physical examination. Capsular contracture is multi factorial, if you had CC with the implant behind the muscle, the chance of it happening again is high.Kind regards

Karthik Ram, MRCS, DNB · Answer

Hello. Thanks for posting your query. Yes full breast screening  can be done after placement of implant behind the muscle. You can do ultrasonography or MRI of breast to detect any breast lesion after implant surgery. Hope i have cleared your doubt. All the best!

Aftab Siddiqui, FRCS(Plast) · Answer

Yes, implant placement behind the muscle allows for full breast screening. This is because the implant is less likely to obscure the view of the breast tissue on a mammogram. Additionally, implants placed behind the muscle are less likely to cause rippling or wrinkles on the skin surface.

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Does implant placement behind the muscle allow for full breast screening?

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Answer: Does implant placement behind the muscle allow for full breast screening?

Answer: Does implant placement behind the muscle allow for full breast screening?

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