I got under the muscle 275cc Mentors silicone implants back in 2011 and now I've begun preparing for a fitness/bikini competition so I've lost 10 pounds and some breast tissue. My breast size has gone from a 36C which is what I wanted down to a 34C (I was a 34A). I'm concerned because with the chest workouts I'm doing, my implants have moved somewhat to the side and I can feel the implant bubbling a tiny bit a bit under the muscle now. I want to get back to the 36C I originally wanted.
January 5, 2016
Answer: Implant exchange fitness/physique competitor Thank you for your question. Women in the fitness/physique competitions have many issues specific to them:1. When becoming "lean" these women will lose a fair amount of breast tissue and usually need to increase implant size. Also, to be proportional to their muscle mass sometimes their overall cup size needs to be increased.2. When lean implant visibility and wrinkling become an important issue. Because of this, I would not encourage you to change implant position above the muscle. 3. Because of increased pec use and strength the implant will migrate down and out. To prevent this you could place a biologic mesh support, use a textured implant, or just accept the fact that you might need a revision more often than other women to tighten the outside of the implant pocket. 4. During workouts and competition, animation of the implant can be a problem. You could move the implant above the muscle at the cost of less natural shape and increased visibility or you could switch to a form-stable or gummy bear implant. I attached a link of a recent patient that had to increase size due to issues you described and stayed under the muscle for reasons described above. Best of luck!
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January 5, 2016
Answer: Implant exchange fitness/physique competitor Thank you for your question. Women in the fitness/physique competitions have many issues specific to them:1. When becoming "lean" these women will lose a fair amount of breast tissue and usually need to increase implant size. Also, to be proportional to their muscle mass sometimes their overall cup size needs to be increased.2. When lean implant visibility and wrinkling become an important issue. Because of this, I would not encourage you to change implant position above the muscle. 3. Because of increased pec use and strength the implant will migrate down and out. To prevent this you could place a biologic mesh support, use a textured implant, or just accept the fact that you might need a revision more often than other women to tighten the outside of the implant pocket. 4. During workouts and competition, animation of the implant can be a problem. You could move the implant above the muscle at the cost of less natural shape and increased visibility or you could switch to a form-stable or gummy bear implant. I attached a link of a recent patient that had to increase size due to issues you described and stayed under the muscle for reasons described above. Best of luck!
Helpful
January 14, 2016
Answer: Should I switch subpectoral implants to subglandular implants for bodybuilding competitions Thank you for your questions. This a difficult question and does not have a "correct" answer. Although I agree with some of the responses that keeping the implants in the sub pectoral position is the better option to minimize wrinkling of the implants seen in the upper pole. A split muscle technique or adequate dual plane release may help minimize animations deformities. Perhaps a pocket revision with mesh reinforcement may eliminate the implants moving to the side. Good luck.
Helpful 1 person found this helpful
January 14, 2016
Answer: Should I switch subpectoral implants to subglandular implants for bodybuilding competitions Thank you for your questions. This a difficult question and does not have a "correct" answer. Although I agree with some of the responses that keeping the implants in the sub pectoral position is the better option to minimize wrinkling of the implants seen in the upper pole. A split muscle technique or adequate dual plane release may help minimize animations deformities. Perhaps a pocket revision with mesh reinforcement may eliminate the implants moving to the side. Good luck.
Helpful 1 person found this helpful
