Has anyone ever had issues with silicone implants under the muscle on an extremely bony chest? (Photo)
Doctor Answers 7
Hello and thank you for your question. You are a great candidate
for a breast augmentation. The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality. This decision should
be based on a detailed discussion with equal input from both you
and your surgeon. This entire surgery
can be performed with a small incision technique. Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Implant Edges Might Be More Visible in Thin Women
Hello Tiny Texan,
I have not seen problems with silicone implants in thin women. Yes, you are thinner than most. I would recommend a partially subpectoral placement to hide the implants a little. Smaller implants, rather than very large ones, will be less likely to have visible edges. The muscle does not hold the implants up. I would talk with your board certified plastic surgeon about pros and cons of silicone smooth versus textured vs anatomic to get an idea of your best option. Best of luck.
Breast augmentation with implants
Best to gain a little weight. Implants will help and can give you cleavage, better under the muscle. See a board certified ASAPS plastic surgeon. Good luck...
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Thin women and implants
based on your photos and statements. I think you will have a good result with an augmentation. With the proper plane technique and implant selection, the visibility of your ribs may also be diminished. Several considerations should be addressed when you discuss with your surgeon with an in-person consultation.
Hope that helps and best wishes!
ABPS Board Certified Plastic Surgeon
Has anyone ever had issues with silicone implants under the muscle on an extremely bony chest?
Thank you for the question. Although I understand your concerns, I think that you have a very nice outcome with breast augmentation surgery, assuming careful selection of plastic surgeon, careful communication of goals, and careful execution of the procedure.
Generally speaking, 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 these sub muscular position. Best wishes for an outcome that you will be very pleased with.
You indeed are very skinny! The placement under the muscle is meant to cover the implant in order to help protect it, and to add an extra layer of thickness for coverage, so that the edges don't "show". However, in you, that might not be quite enough. I would probably suggest two other things: 1) using a Natrelle Inspira implant, which has a higher fill rate and thus less chance of showing wrinkling or the edges, 2) adding some fat grafting from the belly or thighs (wherever we can get it) to add a little volume in the skin medially and superiorly, to help make a smooth transition from the implant to your chest wall.
Thanks for the great question and the photos. Just because you're thinner than some other patients does not mean you will not be able to get a great result from your augmentation. The only thing with you is because you don't have much breast tissue, the outlines of the implant may be slightly more visible compared to someone else with a little more breast tissue. Placing the implant under the muscle is good for you because it will help camouflage the implant. Best of luck!
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