Hello, I am somewhat confused about sub glandular implants. Do they prevent skin sagging by better filling the tissue or will the weight of the implant pull breast lower with time? Also, if they are placed below the tissue then why would they make mammograms more difficult? I was wondering if dual plane might be the best "compromise" but just saw comments that they are losing popularity in other countries due to the way the breasts age in this position. Thanks for your help!
Answer: Any suggestions on over the muscle implants and potential sagging? This is a good question. In general there are more benefits to placing the implant under the muscle versus over the muscle. Implants placed under the muscle have a less incidence of capsular contracture, mammography is more accurate, there is less chance of rippling and with more coverage over the implant the look and feel is improved. One of the benefits of going over the muscle however is greater filling of the lower part of the breast in patients with some breast sag. A dual plane augmentation would be a good solution for you. It would provide you with the benefits of both a submuscular and subglandular placement.When a patient presents with a small amount of breast ptosis (sag) a dual plane breast augmentation is a very effective technique to help avoid the need for a breast lift and still allow the implant to be placed under the muscle. When an implant is placed under the muscle and the overlying breast has some degree of sag the muscle will hold the implant back and not allow it to fill the loose tissue at the bottom of the breast The word dual means two and the word plane refers to the natural separation between two layers of tissue. In the breast there is a natural separation between the breast tissue and the underlying muscle. During a dual plane augmentation the breast tissue in the lower part of the breast is separated from the underlying muscle. The muscle is then released along its entire attachment at the bottom of the breast. The muscle then moves upward like a window shade toward the nipple. With the restriction of the muscle in the lower part of the breast removed the implant is then allowed to fill the loose sagging part of the lower breast. This is a very effective technique to help prevent the need for a breast lift in a patient with a small amount of sag and still have a benefits of an implant placed under the muscle. Good luck
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Answer: Any suggestions on over the muscle implants and potential sagging? This is a good question. In general there are more benefits to placing the implant under the muscle versus over the muscle. Implants placed under the muscle have a less incidence of capsular contracture, mammography is more accurate, there is less chance of rippling and with more coverage over the implant the look and feel is improved. One of the benefits of going over the muscle however is greater filling of the lower part of the breast in patients with some breast sag. A dual plane augmentation would be a good solution for you. It would provide you with the benefits of both a submuscular and subglandular placement.When a patient presents with a small amount of breast ptosis (sag) a dual plane breast augmentation is a very effective technique to help avoid the need for a breast lift and still allow the implant to be placed under the muscle. When an implant is placed under the muscle and the overlying breast has some degree of sag the muscle will hold the implant back and not allow it to fill the loose tissue at the bottom of the breast The word dual means two and the word plane refers to the natural separation between two layers of tissue. In the breast there is a natural separation between the breast tissue and the underlying muscle. During a dual plane augmentation the breast tissue in the lower part of the breast is separated from the underlying muscle. The muscle is then released along its entire attachment at the bottom of the breast. The muscle then moves upward like a window shade toward the nipple. With the restriction of the muscle in the lower part of the breast removed the implant is then allowed to fill the loose sagging part of the lower breast. This is a very effective technique to help prevent the need for a breast lift in a patient with a small amount of sag and still have a benefits of an implant placed under the muscle. Good luck
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July 15, 2015
Answer: Implants never prevent sagging Implants cause sagging proportionate to their weight. Subglandular implants look more natural. However they put more weight on skin and thus cause more sagging. Muscle supports the weight of submuscular implants. Thus they cause less sagging. However breast can still sag. When breast sags and implants are submuscular you get a double bubble deformity. Thus there are multiple options with their own pros and cons.It is matter of choice.
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July 15, 2015
Answer: Implants never prevent sagging Implants cause sagging proportionate to their weight. Subglandular implants look more natural. However they put more weight on skin and thus cause more sagging. Muscle supports the weight of submuscular implants. Thus they cause less sagging. However breast can still sag. When breast sags and implants are submuscular you get a double bubble deformity. Thus there are multiple options with their own pros and cons.It is matter of choice.
Helpful 1 person found this helpful