Is there always an implant line with subglandular placement & how long until implants are not painful/hard?

Question

My surgeon has told me that you will always have an implant line with subglandular placement on anybodys anatomy. Please can anyone confirm if this is correct. Also is it ok to have subglandular placement if you have 3cms in the upper pole. He says more than 2cms in upper pole it’s ok to have subglandular. Also, with subglandular placement how long does it take for the breasts to stop being in pain and also how long until soften?

Randal Haworth, MD, FACS · Answer

In general, subglandular breast implant placement involves positioning the implant between the breast tissue and the chest muscle. It can be a suitable option for individuals who have adequate breast tissue to cover the implant and are looking for a more natural appearance. However, it may not be appropriate for all individuals, and your surgeon will evaluate your individual anatomy and discuss the potential benefits and risks of each placement option with you.

Regarding implant lines, it is possible for some patients to have visible lines or ripples with subglandular placement, but this can depend on various factors such as the thickness of the skin, amount of breast tissue, and type of implant used. In general, submuscular placement (beneath the chest muscle) may provide more coverage and reduce the risk of visible lines or ripples.

Regarding the upper pole, having 3cms of tissue in the upper pole does not necessarily mean that subglandular placement is appropriate. Your surgeon will evaluate your individual anatomy and recommend the placement option that is best for you.

Regarding the recovery period, the length of time it takes for the breasts to stop being in pain and to soften can vary for each individual and can depend on various factors such as the size and type of implant used, the placement option chosen, and the individual's healing process. Your surgeon will provide you with specific instructions on postoperative care and what to expect during the recovery period. It's important to follow your surgeon's instructions closely to ensure a smooth recovery process.

I hope this helps,
best of luck !

Daniel Barrett, MD · Answer

Dear BAquestions23,
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

Brian K. Reedy, MD · Answer

Thanks for your question! With how thin and fit you are, I would suspect that you will be able to see the seam of the implant. I do think that a submuscular approach would make more sense for you. Good luck!

Camille Cash, MD · Answer

When electing subglandular placement your surgeon needs to evaluate if you have adequate tissue to disguise the edge of the implant.  In patients like yourself who are thin, submuscular placement is often recommended to allow the muscle to cover the top portion of the implant.  As far as recovery, typically patients are able to return to non physically demanding jobs after 5-7 days.  Lifting restrictions are commonly in place for about 6 weeks.  The "hard" feel gradually improves as swelling resolves.  The majority of swelling is gone by three months.

Connie Hiers, MD, FACS · Answer

You have very little upper breast tissue and the implant edge may be noticeable, especially if you choose a rather large size. Most women have recovered by six weeks and most are not using pain medication by the end of the first week.  I would recommend going behind the muscle or fascia in you for a better look.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you very much for your question.  The best possible results following breast augmentation today are achieved by placing the implant underneath the chest muscle using a "no touch" technique.

Implants placed on top of the muscle frequently become visible over time but more importantly they have a higher rate of capsular contracture.  Capsular contracture is scar tissue developing around the breast implant which makes the implant hard.

If somewhat is suggesting prepectoral breast implants on top of the chest muscle I would suggest a second opinion from board-certified plastic surgeon.

Is there always an implant line with subglandular placement & how long until implants are not painful/hard?

Answers (6)

More Breast Augmentation Questions

WE SEND PRETTY
EMAILS

Answers (6)

More Breast Augmentation Questions

Why are some implants still high years later in cases without mesh/internal bra?

What can I do to correct asymmetry and add fullness without implants? (photo)

Been to a few consults, should I do implants or fat transfer? (photos)

Are my boobs dropping too low? (Photo)

Breast Augmentation After Nuss Pectus Repair

PS said that only 235cc HP would fit me. Can this be true?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS