Ergonomix 2 before the muscle?

Question

I did a ba 15 years ago when I just turned 18.. I had very low breasttissue. We chose for round implants placed under the muscle. Now 15 years later I still dont like the fact that when I put weight on my arms the implant moves. I have been reading into ergonomix 2 and read that these implants are so much softer, the edges are thinner, and ripple less that they might be possible to be placed before the muscle, even with low breasttissue. Does somebody have more info about this?

Daniel Barrett, MD · Answer

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

Ali Riza Öreroglu, MD · Answer

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.

Andrea Marando, MD · Answer

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

John L. Burns Jr., MD · Answer

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

Connie Hiers, MD, FACS · Answer

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.

Ergonomix 2 before the muscle?

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Ergonomix 2 before the muscle?

Answers (5)

Answer: Breast implants

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Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.