I have 485 cc (right) and 520 cc (left) implants placed below the muscle. I am currently weighing the pros/cons of switching to subglandular placement. I personally don’t like the animation caused from submuscular and I am very active/enjoy working out. However, I am apprehensive about the potential rippling or implant visibility that can happen with subglandular. I am also opting to go larger for my revision surgery. Any additional insight would be very helpful for the decision thank u!
Answer: Surgery I do not recommend going up to 700 cc's, especially if you want them sub glandular. At that size, they will just stretch your own tissue and sag. I would suggest going smaller to decrease the sag potential. For long term, submuscular is still best. It helps support the weight of the implant and hides it nicely.
Helpful
Answer: Surgery I do not recommend going up to 700 cc's, especially if you want them sub glandular. At that size, they will just stretch your own tissue and sag. I would suggest going smaller to decrease the sag potential. For long term, submuscular is still best. It helps support the weight of the implant and hides it nicely.
Helpful
June 3, 2024
Answer: Plane Switch Without photos or an exam, this is a challenging question to answer. I recommend seeing a board-certified plastic surgeon (American Board of Plastic Surgery). Ideally, this surgeon has also completed an accredited aesthetic fellowship (The Aesthetic Society).
Helpful
June 3, 2024
Answer: Plane Switch Without photos or an exam, this is a challenging question to answer. I recommend seeing a board-certified plastic surgeon (American Board of Plastic Surgery). Ideally, this surgeon has also completed an accredited aesthetic fellowship (The Aesthetic Society).
Helpful
June 2, 2024
Answer: Implant placement Dear Plucky948075, I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Helpful
June 2, 2024
Answer: Implant placement Dear Plucky948075, I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Helpful
May 15, 2024
Answer: Fat transfers Unfortunately, you have not provided photographs or told us your bra size. However, 700 cc implants weigh 1 1/2 lbs. each. The weight of the implants will stretch out the skin in front of the muscle. When placed underneath the muscle, the implants can extrude inferiorly and laterally. If you are satisfied with the position of your implants now, you may want to consider fat transfers as an alternative rather than enlargement. The fat transfers can be performed to create upper pole fullness or more medial placement, depending on your desires. Best Wishes, Gary Horndeski, M.D.
Helpful
May 15, 2024
Answer: Fat transfers Unfortunately, you have not provided photographs or told us your bra size. However, 700 cc implants weigh 1 1/2 lbs. each. The weight of the implants will stretch out the skin in front of the muscle. When placed underneath the muscle, the implants can extrude inferiorly and laterally. If you are satisfied with the position of your implants now, you may want to consider fat transfers as an alternative rather than enlargement. The fat transfers can be performed to create upper pole fullness or more medial placement, depending on your desires. Best Wishes, Gary Horndeski, M.D.
Helpful
May 15, 2024
Answer: And don't forget about increase risk of capsular contracture Without photos there can be no specific recommendation for you, but I can tell you that your animation deformity is most likely due to either a mismatch of anatomy and implant dimensions or the potential need for a breast lift that was instead addressed by having your inframammary fold lowered unstead, or both. Changing pockets and going bigger will not only increase your risk of rippling, but also capsular contracture. If you want a specific recommendation for you, you'll need to post photos of your before and current, or better yet, go on some in person or virtual consultations.
Helpful
May 15, 2024
Answer: And don't forget about increase risk of capsular contracture Without photos there can be no specific recommendation for you, but I can tell you that your animation deformity is most likely due to either a mismatch of anatomy and implant dimensions or the potential need for a breast lift that was instead addressed by having your inframammary fold lowered unstead, or both. Changing pockets and going bigger will not only increase your risk of rippling, but also capsular contracture. If you want a specific recommendation for you, you'll need to post photos of your before and current, or better yet, go on some in person or virtual consultations.
Helpful