I am 44 years old, athletic with strong pec muscles and little breast tissue. I am looking for a natural look, bit am concerned my chest muscles will distort my breasts.
Answer: Under for natural; No distortion I have triple crown body builders who start working out for their next competition by 6 to 8 weeks. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
Helpful 1 person found this helpful
Answer: Under for natural; No distortion I have triple crown body builders who start working out for their next competition by 6 to 8 weeks. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
Helpful 1 person found this helpful
Answer: Subfascial! Without seeing your pictures, for athletic patients with strong pecs who want to avoid animation deformity, subfascial placement is a great option. This is above the muscle but below the tough fascial layer of the muscle, so the muscle stays down on your chest wall in its anatomic position. This gives a more natural look and has a lower risk of capsular contracture than subglandular placement (the old style of "above the muscle"), based on the studies we have. If you're very lean, you may benefit from fat grafting as well to soften the edges of the implant further.
Helpful
Answer: Subfascial! Without seeing your pictures, for athletic patients with strong pecs who want to avoid animation deformity, subfascial placement is a great option. This is above the muscle but below the tough fascial layer of the muscle, so the muscle stays down on your chest wall in its anatomic position. This gives a more natural look and has a lower risk of capsular contracture than subglandular placement (the old style of "above the muscle"), based on the studies we have. If you're very lean, you may benefit from fat grafting as well to soften the edges of the implant further.
Helpful
June 22, 2022
Answer: Implants With little breast tissue, implants always look better under the muscle and long term have much less sag. However, there will be muscle flexion with implants behind the muscle.
Helpful
June 22, 2022
Answer: Implants With little breast tissue, implants always look better under the muscle and long term have much less sag. However, there will be muscle flexion with implants behind the muscle.
Helpful
June 17, 2022
Answer: Submuscular vs. Subglandular Breast Augmentation Thank you for your question, and it is a very good one. It's hard to comment specifically on your case with out pictures, but in general, if you have very strong pectoralis muscles and are athletic, going under the muscle can look less natural than going over the muscle. Even in patients with a small amount of breast tissue going over the muscle with a silicone gel implant may be the best option. Please see a board certified plastic surgeon experienced in breast augmentation utilizing implants both above and below the muscle. Good luck!
Helpful
June 17, 2022
Answer: Submuscular vs. Subglandular Breast Augmentation Thank you for your question, and it is a very good one. It's hard to comment specifically on your case with out pictures, but in general, if you have very strong pectoralis muscles and are athletic, going under the muscle can look less natural than going over the muscle. Even in patients with a small amount of breast tissue going over the muscle with a silicone gel implant may be the best option. Please see a board certified plastic surgeon experienced in breast augmentation utilizing implants both above and below the muscle. Good luck!
Helpful
June 14, 2022
Answer: Implant placement Typically those patients wishing for a more natural look will select below muscle placement. The muscle will cover a portion of the implant, disguising contour irregularities. I encourage you to discuss your concerns with a board certified plastic surgeon near you to learn more.
Helpful
June 14, 2022
Answer: Implant placement Typically those patients wishing for a more natural look will select below muscle placement. The muscle will cover a portion of the implant, disguising contour irregularities. I encourage you to discuss your concerns with a board certified plastic surgeon near you to learn more.
Helpful