Currently implants above muscle. Many doctors advising to keep them above. I am not so much concerned about under the muscle movement of implants. More concerned about how they would look under these pecs everyday life. Pec implants rather than breasts? Little breast tissue but at normal weight they looked great and natural (before contracture). When lean for competing, they look like the pictures below. Bikini covers misshape. That is very low body fat. Now 230cc. Want 330-350. Any recs?
December 30, 2016
Answer: Bodybuilder needs redo breast aug that is above muscle (capsular contract). Thick strong pecs. Above or under muscle? My suggestion: careful selection of plastic surgeon. All the information in your post considered, I would likely recommend conversion to sub muscular (dual plane) plus/minus use of acellular dermal matrix. Best wishes.
Helpful 1 person found this helpful
December 30, 2016
Answer: Bodybuilder needs redo breast aug that is above muscle (capsular contract). Thick strong pecs. Above or under muscle? My suggestion: careful selection of plastic surgeon. All the information in your post considered, I would likely recommend conversion to sub muscular (dual plane) plus/minus use of acellular dermal matrix. Best wishes.
Helpful 1 person found this helpful
June 25, 2016
Answer: Dr Kayser Thank you for your question. I totally agree that keeping the implants above the muscle would be your best choice as this would eliminate the animation deformity that occurs with each muscle contraction if an implant is placed under the muscle. Implant exchange with an anatomical device combined with the placement of fat grafting could certainly improve the contour and due to the texturing of an anatomical implant, this may theoretically also reduce the recurrence risk of capsular contracture. One final option would be to completely remove your breasts and replace them with fat transfer, however, this could be limiting do to your lean body type. Finally, the larger you go, the more visible and palpable irregularities are likely to exist. In any case, I would recommend a consultation with a board certified plastic surgeon who is experienced in all types of breast surgery. The attached photo gallery demonstrates a patient who presented to my practice in a very similar way that you are. I hope this helps and have a wonderful day. Dr. Kayser - Detroit
Helpful
June 25, 2016
Answer: Dr Kayser Thank you for your question. I totally agree that keeping the implants above the muscle would be your best choice as this would eliminate the animation deformity that occurs with each muscle contraction if an implant is placed under the muscle. Implant exchange with an anatomical device combined with the placement of fat grafting could certainly improve the contour and due to the texturing of an anatomical implant, this may theoretically also reduce the recurrence risk of capsular contracture. One final option would be to completely remove your breasts and replace them with fat transfer, however, this could be limiting do to your lean body type. Finally, the larger you go, the more visible and palpable irregularities are likely to exist. In any case, I would recommend a consultation with a board certified plastic surgeon who is experienced in all types of breast surgery. The attached photo gallery demonstrates a patient who presented to my practice in a very similar way that you are. I hope this helps and have a wonderful day. Dr. Kayser - Detroit
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