While under the muscle silicone implants might cause breasts to be higher and take a while to drop, can the under the muscle tactic also cause a smaller breast size appearance until the implants fall into the pocket?
Answer: Do Submuscular Implants Look Smaller? Great question. The answer is both yes and no. Much of this depends on whether the implants are placed totally under the muscle, or partially above and partially below (dual plane). Total muscle coverage makes the implants sit higher which can result in the breasts looking smaller. With dual plane,the implants sit relatively lower and look somewhat larger. This is the same explanation for why lifts make the breast look smaller even if we remove only skin.Subglandular implants might look bigger, but I would only recommend them if you have enough coverage with your existing breasts. Volume doesn't change much over time. However recent studies have shown that Submuscular implants result in the loss of some muscle volume over time,while Subglandular ones result in the loss of some native breast gland volume. Also have to consider that Submuscular implants may result in rib contour changes that make the breasts look smaller.Confusing enough? Rather than base your decisions solely on placement details, take on a more global viewpoint. Determine what you out want, and let your surgeon come up with potential solutions. My favorite tool is Vectra beast simulation which I perform for every augmentation patient. The more you know, the better you can communicate with your doctor and the better the result that they can give to you.
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Answer: Do Submuscular Implants Look Smaller? Great question. The answer is both yes and no. Much of this depends on whether the implants are placed totally under the muscle, or partially above and partially below (dual plane). Total muscle coverage makes the implants sit higher which can result in the breasts looking smaller. With dual plane,the implants sit relatively lower and look somewhat larger. This is the same explanation for why lifts make the breast look smaller even if we remove only skin.Subglandular implants might look bigger, but I would only recommend them if you have enough coverage with your existing breasts. Volume doesn't change much over time. However recent studies have shown that Submuscular implants result in the loss of some muscle volume over time,while Subglandular ones result in the loss of some native breast gland volume. Also have to consider that Submuscular implants may result in rib contour changes that make the breasts look smaller.Confusing enough? Rather than base your decisions solely on placement details, take on a more global viewpoint. Determine what you out want, and let your surgeon come up with potential solutions. My favorite tool is Vectra beast simulation which I perform for every augmentation patient. The more you know, the better you can communicate with your doctor and the better the result that they can give to you.
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June 9, 2016
Answer: Under the muscle breast implant placement That is correct. But it is only short lived. So, be patient and follow your PS recommendations. Happy healing!Best wishes and kind regards,Gary Horndeski M.D.
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June 9, 2016
Answer: Under the muscle breast implant placement That is correct. But it is only short lived. So, be patient and follow your PS recommendations. Happy healing!Best wishes and kind regards,Gary Horndeski M.D.
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June 8, 2016
Answer: Submuscular implants The pectoralis major muscle covers the upper and middle breast implant in an "under the muscle", or more accurately, "dual-plane" dissection. The muscle initially has a compressive effect on the implant making it appear smaller. Over time, the implant will settle and "fluff out" as the muscle and soft tissues relax. Although you will need to be a little more patient to see final results than with an "over the muscle" (subglandular) placement, the dual plane location will have more advantages for you such as a lower risk of capsular contracture, a more natural upper breast / cleavage appearance, and better soft tissue coverage.
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June 8, 2016
Answer: Submuscular implants The pectoralis major muscle covers the upper and middle breast implant in an "under the muscle", or more accurately, "dual-plane" dissection. The muscle initially has a compressive effect on the implant making it appear smaller. Over time, the implant will settle and "fluff out" as the muscle and soft tissues relax. Although you will need to be a little more patient to see final results than with an "over the muscle" (subglandular) placement, the dual plane location will have more advantages for you such as a lower risk of capsular contracture, a more natural upper breast / cleavage appearance, and better soft tissue coverage.
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June 8, 2016
Answer: Early Breast Shape Following Subglandular vs. Submuscular Implant Location The volume of the implant obviously does not
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June 8, 2016
Answer: Early Breast Shape Following Subglandular vs. Submuscular Implant Location The volume of the implant obviously does not
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June 8, 2016
Answer: Going under the muscle changes the appearance of the breast implants a little bit Thank you for your question.Although the size of the breast should not be different between an implant under the muscle and over the muscle, there are ways the size and shape may appear different.While the muscle is gradually descending, it is possible for the breast size to appear different because the implant will not be directly behind the breast tissue compared to above the muscle placement. Once the implant fully drops down, there should be no differences in size as the implant will be behind the breast tissue in both cases.Nevertheless, it is possible for there to be differences in shape of the breast when the implant is placed behind the muscle compared to above the muscle.When the implant is placed above the muscle (i.e., subglandular - directly behind the breast tissue), the implant can directly apply pressure on breast tissue to shape the breasts. This can allow the upper and inner breast areas to be filled more adequately. In fact, cleavage gap can be controlled more effectively. However, there are draw backs to above the muscle implant placement:Direct pressure on the breast tissue from large or high projecting implants may cause breast tissue wasting overtimeImplant may interfere with breast imaging and mammographyThere is often insufficient soft tissue coverage in the upper and inner sides of the breast and often fails to provide a natural superior poleImplant is exposed to endogenous bacteria in the breast tissue, resulting in higher rates of capsular contracture (the main reason why today most surgeons place their implants under the muscle)There are higher reoperation ratesThere is greater risk of symmastia (i.e., disappearance of cleavage) when cleavage gap is reduced too much and it can be difficult to correctPlease note that as a candidate for breast augmentation, subglandular implant placement may not even be an option if you do not have more than 2 centimeters of soft-tissue in the upper pole of the breast.These are reasons why the behind the muscle implant placement is the more preferred approach to maximize long-term soft-tissue coverage in breast augmentation.Hope this helps.
Helpful 1 person found this helpful
June 8, 2016
Answer: Going under the muscle changes the appearance of the breast implants a little bit Thank you for your question.Although the size of the breast should not be different between an implant under the muscle and over the muscle, there are ways the size and shape may appear different.While the muscle is gradually descending, it is possible for the breast size to appear different because the implant will not be directly behind the breast tissue compared to above the muscle placement. Once the implant fully drops down, there should be no differences in size as the implant will be behind the breast tissue in both cases.Nevertheless, it is possible for there to be differences in shape of the breast when the implant is placed behind the muscle compared to above the muscle.When the implant is placed above the muscle (i.e., subglandular - directly behind the breast tissue), the implant can directly apply pressure on breast tissue to shape the breasts. This can allow the upper and inner breast areas to be filled more adequately. In fact, cleavage gap can be controlled more effectively. However, there are draw backs to above the muscle implant placement:Direct pressure on the breast tissue from large or high projecting implants may cause breast tissue wasting overtimeImplant may interfere with breast imaging and mammographyThere is often insufficient soft tissue coverage in the upper and inner sides of the breast and often fails to provide a natural superior poleImplant is exposed to endogenous bacteria in the breast tissue, resulting in higher rates of capsular contracture (the main reason why today most surgeons place their implants under the muscle)There are higher reoperation ratesThere is greater risk of symmastia (i.e., disappearance of cleavage) when cleavage gap is reduced too much and it can be difficult to correctPlease note that as a candidate for breast augmentation, subglandular implant placement may not even be an option if you do not have more than 2 centimeters of soft-tissue in the upper pole of the breast.These are reasons why the behind the muscle implant placement is the more preferred approach to maximize long-term soft-tissue coverage in breast augmentation.Hope this helps.
Helpful 1 person found this helpful
