Over / under / hybrid placement Motiva Ergonomix - which one will look as natural as possible? (photos)

Question

Scheduled for implants on 3 May. I will get 500cc / 550cc with Motiva ergonomix (with some "drop"). Still must decide about over / under / hybrid insertion after the tuberous tissue is cleaned up in lower breast area. Docs seem to favor over the muscle or hybrid. I am concerned that over will feel less natural to the touch. But I also want to look as good / natural as possible. Pics include current plus "wish" ideas. Appreciate info / ideas / recommendations.

Miguel Mota, MD · Answer

Thank you for your question and photos. All your wish pics seem to be under the muscle or at least hybrid placement. But in reality, you will have good results with all three options. 
The only problem I see is that your wish pics did not have the same issues your breasts have now. They are all pretty straightforward breast augmentation but your breasts are asymmetrical, with a short and tight lower pole, and your nipple placement is low. Sometimes breast augmentation alone is not enough and a lift is necessary to correct these issues. 
That said, using large implants can fill out the breasts and help avoid a lift plus using different size implants can help correct your asymmetry. Conclusion, if you want large breasts and you don’t want the extra scars, a dual plane technique (hybrid) with some drop and and different sizes 500cc / 550cc should be good enough!

Best of luck,
Dr. Miguel Mota

Daniel Barrett, MD · Answer

Dear Intelligent163572,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Douglas Taranow, DO, FACOS · Answer

There are always differences on approaches.  I agree with subglandular approach...that is fine.
I would consider a periareolar breast lift to reshape the breasts and elevate the nipple/areoal complex.
Best wishes.
Dr. Taranow

Over / under / hybrid placement Motiva Ergonomix - which one will look as natural as possible? (photos)

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Over / under / hybrid placement Motiva Ergonomix - which one will look as natural as possible? (photos)

Answers (3)

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Everything you need to know about Tuberous Breast Correction Surgery

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