I went to a surgeon on Tuesday and I was hoping to go under the muscle because I heard it was more natural, but my surgeon disagreed and he said he won’t do it under the muscle as it will exaggerate the dip in chest wall. He said over the muscle will be more natural. I am confused because I thought under the muscle was more natural. I don’t want it to look like I’ve two tennis balls under my skin and want it to look like I haven’t had an augmentation. I am 5'0 and 100 lbs.
April 20, 2021
Answer: Good question. Your surgeon obviously had the advantage of examining you, but in general, I agree with your impression that a more natural outcome tends to be achieved when the implant is placed under the muscle, thus achieving a slight upper pole flattening and therefore mimicking the natural breast. It is impossible to know ahead of time if you need a 50 cc difference or less or more, but it is important to realize that fine tuning your asymmetry can only be achieved using a saline filled implant. That said, it is generally agreed upon that our eye can rarely distinguish differences of less than 20 cc's in breast size. And as you probably well know, chest wall asymmetry such as you appear to have, is extremely common. If you have doubts or concerns after your initial consultation you might be advised to see a second opinion. It is important to also keep in mind that a subtle asymmetry is likely to persist even with the optimal breast augmentation. I recommend using photos of your "ideal" outcome to share with your plastic surgeon to make sure you are both looking at the same picture. Words such as "natural" can mean different things to different people. Best of luck to you.
Helpful 2 people found this helpful
April 20, 2021
Answer: Good question. Your surgeon obviously had the advantage of examining you, but in general, I agree with your impression that a more natural outcome tends to be achieved when the implant is placed under the muscle, thus achieving a slight upper pole flattening and therefore mimicking the natural breast. It is impossible to know ahead of time if you need a 50 cc difference or less or more, but it is important to realize that fine tuning your asymmetry can only be achieved using a saline filled implant. That said, it is generally agreed upon that our eye can rarely distinguish differences of less than 20 cc's in breast size. And as you probably well know, chest wall asymmetry such as you appear to have, is extremely common. If you have doubts or concerns after your initial consultation you might be advised to see a second opinion. It is important to also keep in mind that a subtle asymmetry is likely to persist even with the optimal breast augmentation. I recommend using photos of your "ideal" outcome to share with your plastic surgeon to make sure you are both looking at the same picture. Words such as "natural" can mean different things to different people. Best of luck to you.
Helpful 2 people found this helpful
April 20, 2021
Answer: Under the Muscle Good morning, I totally disagree with your PS- your implants should be placed under the muscle- they will look better, last longer, have a lower rate of capsular contracture, and mammograms will be better.
Helpful 2 people found this helpful
April 20, 2021
Answer: Under the Muscle Good morning, I totally disagree with your PS- your implants should be placed under the muscle- they will look better, last longer, have a lower rate of capsular contracture, and mammograms will be better.
Helpful 2 people found this helpful