I Am getting 425cc silicone implants. Should I go over or under the muscle giving my constraints? The doctor will also release the food under the boob on the right one. Thanks.
Answer: I have tubular breast, should I go under or over the muscle? Thank you for the question. There are pros and cons to the placement of breast implants in the “sub muscular” position versus the "sub glandular position”. I will try to outline some of the differences here; you may find the attached link helpful as well. I think it is in the best interests of most patients seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which may increase with time, weight loss, and/or post-pregnancy changes). The submuscular positioning also tends to interfere with mammography less so than breast implants in the sub glandular position. The incidence of breast implant encapsulation (capsular contraction) is also decreased with implants placed in the sub muscular position. On the other hand, sub glandular breast implant positioning does not have the potential downside of “animation deformity” ( movement/ distortion of the breast implants seen with flexion of the pectoralis major muscle) that can be seen with breast implants placed in the sub muscular position. Best wishes with your upcoming surgery.
Helpful 1 person found this helpful
Answer: I have tubular breast, should I go under or over the muscle? Thank you for the question. There are pros and cons to the placement of breast implants in the “sub muscular” position versus the "sub glandular position”. I will try to outline some of the differences here; you may find the attached link helpful as well. I think it is in the best interests of most patients seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which may increase with time, weight loss, and/or post-pregnancy changes). The submuscular positioning also tends to interfere with mammography less so than breast implants in the sub glandular position. The incidence of breast implant encapsulation (capsular contraction) is also decreased with implants placed in the sub muscular position. On the other hand, sub glandular breast implant positioning does not have the potential downside of “animation deformity” ( movement/ distortion of the breast implants seen with flexion of the pectoralis major muscle) that can be seen with breast implants placed in the sub muscular position. Best wishes with your upcoming surgery.
Helpful 1 person found this helpful
Answer: Under or over muscle Both are possible for treating tuberous breasts, but Without an exam, it will not be possible to fully evaluate you and give you recommendations.
Helpful
Answer: Under or over muscle Both are possible for treating tuberous breasts, but Without an exam, it will not be possible to fully evaluate you and give you recommendations.
Helpful
July 19, 2017
Answer: BA You appear to have thin soft tissues which makes the case for doing submuscular augmentation to avoid noticeable implants in the upper pole.
Helpful
July 19, 2017
Answer: BA You appear to have thin soft tissues which makes the case for doing submuscular augmentation to avoid noticeable implants in the upper pole.
Helpful
July 19, 2017
Answer: I would go under the muscle The treatment of a tubular breast deformity usually involves release of the gland tissue as well as reduction of the areola and placement of a purse-string suture. Implant placement position is the surgeons choice and I think that most surgeons these days would place the implant beneath the muscle if possible. I hope this has helped.
Helpful
July 19, 2017
Answer: I would go under the muscle The treatment of a tubular breast deformity usually involves release of the gland tissue as well as reduction of the areola and placement of a purse-string suture. Implant placement position is the surgeons choice and I think that most surgeons these days would place the implant beneath the muscle if possible. I hope this has helped.
Helpful
July 19, 2017
Answer: I have tubular breast, should I go under or over the muscle? For correction of tubular breasts, I prefer to place the implant beneath the muscle. Remember that subpectoral placement only places the upper portion of the implant below the muscle, the lower part is not covered by muscle so it is in the same position as it would be for a subglandular placement. It is important to choose an implant size that fits your chest dimensions and not try to go too large as this can lead to all kinds of problems with the shape and look of your breasts. It is also important to release the constricting bands of tissue in the lower breast to allow the skin to stretch over the implant and not cause a crease or double bubble. Again, staying with a reasonable size implant helps with this as well. Many patients benefit from doing a periareolar or circumvertical mastopexy to elevate and diminish the size of the nipple-areola complex and improve the pointed shape of the breasts.
Helpful
July 19, 2017
Answer: I have tubular breast, should I go under or over the muscle? For correction of tubular breasts, I prefer to place the implant beneath the muscle. Remember that subpectoral placement only places the upper portion of the implant below the muscle, the lower part is not covered by muscle so it is in the same position as it would be for a subglandular placement. It is important to choose an implant size that fits your chest dimensions and not try to go too large as this can lead to all kinds of problems with the shape and look of your breasts. It is also important to release the constricting bands of tissue in the lower breast to allow the skin to stretch over the implant and not cause a crease or double bubble. Again, staying with a reasonable size implant helps with this as well. Many patients benefit from doing a periareolar or circumvertical mastopexy to elevate and diminish the size of the nipple-areola complex and improve the pointed shape of the breasts.
Helpful
July 19, 2017
Answer: Breast augmentation Hello and thank you for your question. You do have tuberous breasts. You are a great candidate
Helpful
July 19, 2017
Answer: Breast augmentation Hello and thank you for your question. You do have tuberous breasts. You are a great candidate
Helpful
