Ergonomix 2 before the muscle?

Dear Gregarious371491,
if you had primary surgery 15 years ago, then you might be a good candidate for revision surgery. I use both tear drop (shaped) implants and round implants in my practice. One has to understand the dimensions of the breast to determine which implant would work best. A shaped implant looks like a tear drop and like a natural breast shape. This may sound like it makes the most sense for breast augmentation but if a patient has breast tissue already, this tends to push out or project the bottom part of the breast more so than what is natural. Two things that look like a breast don't necessarily make for a more natural looking breast. A round implant often times has a more natural look than a shaped implant because it increases the breast size more evenly. I still use shaped implants in a few circumstances when patients have no breast tissue. Patients that are very flat or have had a mastectomy. Shaped implants also have the increased risk, up to 30%, of rotation so I'm very careful when using or recommending them. The bottom line is that one should consult with a board certified plastic surgeon who does a lot of breast surgery to determine the best implant for each patient. All of my breast augmentations are designer breast augmentations which means that one size does not fit all. I customize the surgery and implant based on the characteristics of the patient and their goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

In cases where breast tissue is not sufficient, usually the best method is to place the implant submuscular. However, since the recovery time is longer and it does not look natural enough, the best implant placement that can be recommended is subfascial technique. Ergonomix 2 implants are, in my opinion, one of the best natural implants, and surgeons with sufficient experience and skill in this technique can use Ergonomix 2 implant with minimal scar. After a face-to-face examination, I ensure that my patient is suitable for this technique. In cases where breast tissue is not sufficient, fat injection into the breast may also be a good option for a natural look.

Thank you for your photographs.
It is normal - within limits - to have some degree of "animation" of the breasts when implants are placed sub-muscular - under the muscle, which obviously does not happen when the implants are above the muscle. As you had surgery 15 years ago, it is about time to consider your options. The Ergonomix 2 / Joy / Motiva, are excellent implants and yes, softer and - depending on the size of the implants and your personal features (amount of breast tissue, thickness of the skin, position of the nipple in relation to the breast crease etc) they can be placed sub-mammary (in front of the muscle). A face-to-face consultation and accurate assessment of your specific case are necessary. This will help in deciding the best course of action.

All the best.
Andrea Marando
Plastic and Cosmetic Surgeon
Manchester, UK

you are describing animation deformity with is common with SubMuscular implants. I'd. suggest subfascial or sub glandular implants to alleviate this problem.

If you have little breast tissue, the implant edge may be felt and seen when the implant, any implant, is placed in front of the muscles. Smooth implants are usually more soft.