Do you think I have enough breast tissue to get my implants over the muscle? (photo)
Doctor Answers 14
Subglandular vs. Submuscular
I understand your desire to minimize your postoperative discomfort and to maximize your cleavage. Fortunately, recovering from a submuscular augmentation does not have to be difficult if the procedure is done with an as gentle a technique as possible. The benefits of muscle coverage are significant and, I believe, well worth the minimal increase in discomfort that you may experience. Placing saline implants above the muscle in a thin patient can be a problem with respect to rippling and feel of the breast as well as the appearance of the breast. Also, if an attempt is made to make the cleavage very narrow above the muscle you may only have the very thin skin near your breast bone to cover the implants and rippling can be very noticeable. Try to think long term about your decisions as they will impact your appearance for the rest of your life.
Gary Horndeski, M.D.
Breast implants over muscle
Your photo suggests you definitely have enough tissue for placement of implants in this position. Saline implants are easier to feel even when they have good tissue cover. But I know and have many patients who have these implants over the muscle and are very pleased. The implant size should not be excessively large - big implants will tend to stretch the skin.
You are too young by law for gel implants. Also they are more expensive. Best wishes.
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Which pocket is best for your implants?
As far as your cleavage is concerned, you will need to have an extensive discussion with your surgeon. In your case, your nipples are quite lateral and placement of your implant centrally in order to create cleavage is going to give you a result in which your nipples are pointing to the side rather than forward. While there are maneuvers to help with this and move your nipples as well, this surgery is more extensive than simple breast augmentation and something that should be discussed with a board certified plastic surgeon.
You are the perfect example of how a breast implant operation needs to be tailored to the specific needs of the individual patient. Best wishes for your surgery!
Good candidate for silicone gel implants on top of the muscle.
Better choice may be a gel implant under the muscle
Do you think I have enough breast tissue to get my implants over the muscle?
Over or Under the Muscle?
Therefore, I would suggest the use of silicone gel implants moderate-plus profile 350ccin a subpectoral location through either an inframammary or periareolar approach. Good luck
Above the Muscle
Earl Stephenson, Jr, MD, DDS,FACS
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