I want silicone subglandular implants. I am very active and I'm also a dancer. I don't want to deal with possible flex distortion and/or losing strength in the chest muscles. I have uploaded some pics - does it look like I have enough tissue for around 400cc or so? I am small framed, 5'2", 105lbs.
Answer: Silicone subglandular implants Thank you for the question. You have good reason to have the implants in the subglandular plane. From the photos you look like you have enough tissue but confirm with your doctor that you have at least 2cm pinch of tissue in the upper part of you breasts during your examination. I would highly recommend getting textured silicone implants as they cause less rippling and less capsular contracture in the subglandular plane. Best of luck,Dr. Khuthaila
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Answer: Silicone subglandular implants Thank you for the question. You have good reason to have the implants in the subglandular plane. From the photos you look like you have enough tissue but confirm with your doctor that you have at least 2cm pinch of tissue in the upper part of you breasts during your examination. I would highly recommend getting textured silicone implants as they cause less rippling and less capsular contracture in the subglandular plane. Best of luck,Dr. Khuthaila
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Answer: Subglandular vs. subpectoral Thanks for your question and photos. It is difficult to tell from a photo alone, but if you have at least 2cm or so of pinch thickness in the upper pole of your breast you would be a candidate for a subglandular implant placement. Prior to the moratorium on silicone implants in the early 1990's most implants in the US were placed in the subglandular position, but the ban of widespread silicone gel implants and the forced use of saline implants caused most plastics surgeons in the US to switch to a submuscular position. Both locations have their advantages and disadvantages. If you wish to avoid implant distortion due to muscle activation, a subglandular placement is ideal. You are very thin, so you may require a high profile implant. I would caution you that a high profile implant in a thin patient placed on top of the muscle will give you a more fake, augmented look. You will also have a higher rate of capsular contracture which may be reduced by using a textured gel implant. However, you may notice some "traction rippling" with a textured implant. Best to be examined in person by a board certified plastic surgeon to discuss further. Good luck.
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Answer: Subglandular vs. subpectoral Thanks for your question and photos. It is difficult to tell from a photo alone, but if you have at least 2cm or so of pinch thickness in the upper pole of your breast you would be a candidate for a subglandular implant placement. Prior to the moratorium on silicone implants in the early 1990's most implants in the US were placed in the subglandular position, but the ban of widespread silicone gel implants and the forced use of saline implants caused most plastics surgeons in the US to switch to a submuscular position. Both locations have their advantages and disadvantages. If you wish to avoid implant distortion due to muscle activation, a subglandular placement is ideal. You are very thin, so you may require a high profile implant. I would caution you that a high profile implant in a thin patient placed on top of the muscle will give you a more fake, augmented look. You will also have a higher rate of capsular contracture which may be reduced by using a textured gel implant. However, you may notice some "traction rippling" with a textured implant. Best to be examined in person by a board certified plastic surgeon to discuss further. Good luck.
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March 1, 2015
Answer: Yes you can The most common breast implant operation in the world is a sub glandular augmentation. While I perform mostly sub muscular augmentations there are cases such as your request where I am happy to perform sub glandular augmentations. The long term results may not be as good due to the increased rate of capsule formation and the decreased imaging ability for mammograms are well known. As long as you are informed of the risks and benefits of each operation then the choice is yours. Use of specific implants such as a high profile will allow for a 400cc size with out picking an implant that is too wide for your frame. Good Luck!
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March 1, 2015
Answer: Yes you can The most common breast implant operation in the world is a sub glandular augmentation. While I perform mostly sub muscular augmentations there are cases such as your request where I am happy to perform sub glandular augmentations. The long term results may not be as good due to the increased rate of capsule formation and the decreased imaging ability for mammograms are well known. As long as you are informed of the risks and benefits of each operation then the choice is yours. Use of specific implants such as a high profile will allow for a 400cc size with out picking an implant that is too wide for your frame. Good Luck!
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February 28, 2015
Answer: Do I have enough breast tissue for subglandular implants? Thank you for the question and pictures. Yes, I think that you do have a significant amount of breast/soft tissue coverage; the use of sub glandular breast implants is an option.
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February 28, 2015
Answer: Do I have enough breast tissue for subglandular implants? Thank you for the question and pictures. Yes, I think that you do have a significant amount of breast/soft tissue coverage; the use of sub glandular breast implants is an option.
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March 2, 2015
Answer: Subglandular implants You appear to have adequate breast tissue to cover silicone implants, but the amount of fat under the skin is also an important factor in whether you can cover an implant above the muscle without rippling or early sag from the weight of the implant on the breast tissue. Since you are thin and have a small frame, I would carefully consider whether to choose an implant that large. You don't say what your size goals are, but with your frame, an implant in the 250-350 range will likely get you a C or D cup result with fewer risks in the long run. Also, if you are committed to an implant above the muscle, I strongly recommend a textured implant to reduce the risk of capsular contracture and a cohesive gel to reduce the risk of rippling. These are available in both anatomic (tear drop) shape and the more common round shape. Good luck!
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March 2, 2015
Answer: Subglandular implants You appear to have adequate breast tissue to cover silicone implants, but the amount of fat under the skin is also an important factor in whether you can cover an implant above the muscle without rippling or early sag from the weight of the implant on the breast tissue. Since you are thin and have a small frame, I would carefully consider whether to choose an implant that large. You don't say what your size goals are, but with your frame, an implant in the 250-350 range will likely get you a C or D cup result with fewer risks in the long run. Also, if you are committed to an implant above the muscle, I strongly recommend a textured implant to reduce the risk of capsular contracture and a cohesive gel to reduce the risk of rippling. These are available in both anatomic (tear drop) shape and the more common round shape. Good luck!
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