My surgery is approaching rather quickly and I am torn between under or over the muscle for my implants. My doc suggest Over the Muscle because my left breast sits further from the center and his concern is future lateral displacement. I am a fitness competitor but would be willing to give up competing to have the look I want. PLEASE HELP Age:35 Size: 34B Desired Look: D cup, Fullness, Defined Cleavage and Minimal Projection Height: 5'7 Weight 144 Competition Weight: 126
August 9, 2015
Answer: Lateral displacement risks Thanks for your inquiry. Lateral displacement unfortunately can occur above or below the muscles. The wider the implant, the more dissection is required laterally to fit the implant. Discuss with your surgeon your selection of profile of the implant as much as the volume in discussing your risks. Good Luck with your surgery.
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August 9, 2015
Answer: Lateral displacement risks Thanks for your inquiry. Lateral displacement unfortunately can occur above or below the muscles. The wider the implant, the more dissection is required laterally to fit the implant. Discuss with your surgeon your selection of profile of the implant as much as the volume in discussing your risks. Good Luck with your surgery.
Helpful
August 8, 2015
Answer: What is the probability of Lateral Displacement if I go under the muscle (510 cc Silicone Moderate) Generally speaking, with careful pocket dissection and appropriate breast implant selection, the probability of lateral breast implant displacement is small. There are pros and cons to the placement of breast implants in the “sub muscular” position versus the "sub glandular position”. The vast majority of breast implants placed in the "sub muscular" position are really being placed in the "dual plane" position ( partially sub muscular, partially sub glandular). I think it is in the best interests of most patients (including athletes) seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which may increase with time, weight loss, and/or post-pregnancy changes). The submuscular positioning also tends to interfere with mammography less so than breast implants in the sub glandular position. The incidence of breast implant encapsulation (capsular contraction) is also decreased with implants placed in the sub muscular position. On the other hand, sub glandular breast implant positioning does not have the potential downside of “animation deformity” ( movement/ distortion of the breast implants seen with flexion of the pectoralis major muscle) they can be seen with breast implants placed in the sub muscular position. I hope this, and the attached link (dedicated to very active athletic patients), helps. Best wishes.
Helpful
August 8, 2015
Answer: What is the probability of Lateral Displacement if I go under the muscle (510 cc Silicone Moderate) Generally speaking, with careful pocket dissection and appropriate breast implant selection, the probability of lateral breast implant displacement is small. There are pros and cons to the placement of breast implants in the “sub muscular” position versus the "sub glandular position”. The vast majority of breast implants placed in the "sub muscular" position are really being placed in the "dual plane" position ( partially sub muscular, partially sub glandular). I think it is in the best interests of most patients (including athletes) seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which may increase with time, weight loss, and/or post-pregnancy changes). The submuscular positioning also tends to interfere with mammography less so than breast implants in the sub glandular position. The incidence of breast implant encapsulation (capsular contraction) is also decreased with implants placed in the sub muscular position. On the other hand, sub glandular breast implant positioning does not have the potential downside of “animation deformity” ( movement/ distortion of the breast implants seen with flexion of the pectoralis major muscle) they can be seen with breast implants placed in the sub muscular position. I hope this, and the attached link (dedicated to very active athletic patients), helps. Best wishes.
Helpful