Bodybuilder needs redo breast aug that is above muscle (capsular contract). Thick strong pecs. Above or under muscle? (Photo)
Doctor Answers 5
Augmentation for athletes
I specialize in athletes. I strongly recommend a partial submuscular augmentation with a silicone gel implant to reduce the visibility of the implant. I believe that it gives the most natural longest lasting result over your lifetime. I also require that they will not do any weight training of the chest (pectoralis major) when this technique is performed. With implants, the pectoralis major will contract with more force, pressing the implant down-and-out (implant malposition). Why you may see some athletes with implants on the side of their chest. Because they keep training chest! This will require a revision surgery to correct the malposition. If you insist on continuing to do chest training with benchpress, flys, dips, then a subglandular augmentation is what I would offer. I don't do this to be mean. It is only to ensure a longer lasting result, with decreased complications. Female athletes (especially bodybuilding and powerlifters) are at the highest risk for malposition with submuscular augmentation.
Based on your statements and photos, I think a total capsulectomy (removal of the scar capsule), explantation of the implants, conversion to a partial submuscular plane, with a silicone gel textured round implant would probably a good choice for a long lasting result. An exam would be required for final assessment.
Please make an in-person consultation with a ABPS board certified PS to evaluate you and discuss your options.
Hope that helps and best wishes!
ABPS Board Certified
Options for breast implants in body builders
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Body builder capsular contracture
Active body builders have strong pectoral muscles and switching to under them may be aggravating for you when your posing down at a competition. The implants can move from the pressure of the chest muscles when they are contracted. It's referred to as animation.
But...we have a problem of capsular contracture which has made your breasts hard and unattractive.
My best approach compromise considering all of the above would be removal of most or all of the capsule, implant exchange to new implants (your current implants look like saline and a switch to silicone would be helpful). Finally I would wrap your implants with stratice (a biological mesh made of porcine skin) to help prevent recurrent capsular contracture and put you on an asthma medication preventively for 3 months after surgery.
Its a challenging but fun case. Choose your surgeon wisely here though as you have little room for error with your bodybuilding passion.
Bodybuilder needs redo breast aug that is above muscle (capsular contract). Thick strong pecs. Above or under muscle?
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