The doctor I am going with recommends going over the muscle. I don't have sagging or tons of of breast tissue, I'm a full 34A. I am 23, thin and wanting a full C. This doctor showed me lots of before/after overs that look great and on women with similar starting shapes/sizing than me. On top of this, I am a pretty serious weight lifter and he said my pecs are so developed it would be very difficult going under and cause too much upper pole projection.
Answer: Is subglandular/over the muscle becoming more popular again? Thank you for the question. Yes, I think that there may be a trend where breast implants are being placed more so in the sub glandular position. 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. Given your body type, I would recommend that use of these sub muscular position for you. 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: Is subglandular/over the muscle becoming more popular again? Thank you for the question. Yes, I think that there may be a trend where breast implants are being placed more so in the sub glandular position. 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. Given your body type, I would recommend that use of these sub muscular position for you. 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: Sub glandular/over muscle breast implants Over the muscle gel implants can give a very natural contour and a little more lift effect. Also better in serious weight lifters.In thin women, higher filled Sientra gels are a good choice.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.
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Answer: Sub glandular/over muscle breast implants Over the muscle gel implants can give a very natural contour and a little more lift effect. Also better in serious weight lifters.In thin women, higher filled Sientra gels are a good choice.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.
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May 1, 2017
Answer: Subglandular breast augmentation This is a great question! Subglandular augmentation is not trending up. While subglandular augmentation is the textbook answer for body builders, I have performed submuscular augmentation in body builders without any issues. The problems with subglandular augmentation is that smaller breasted patients don't have good coverage over the implant, so the implant may be visible under the skin; risk of capsular contracture is higher; and the implant will put weight directly on the breast tissue, exacerbating breast sagging and nipple areolar spread. It may be right for you - just make sure you get all the information you need.
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May 1, 2017
Answer: Subglandular breast augmentation This is a great question! Subglandular augmentation is not trending up. While subglandular augmentation is the textbook answer for body builders, I have performed submuscular augmentation in body builders without any issues. The problems with subglandular augmentation is that smaller breasted patients don't have good coverage over the implant, so the implant may be visible under the skin; risk of capsular contracture is higher; and the implant will put weight directly on the breast tissue, exacerbating breast sagging and nipple areolar spread. It may be right for you - just make sure you get all the information you need.
Helpful
May 1, 2017
Answer: Is subglandular/over the muscle becoming more popular again? Thank you for sharing your question and photographs. There are both pros and cons to either subglandular or submuscular placement of implants but I do feel that most women, especially thin ones, benefit more form placement below your pectoralis. Be sure to seek out a series of consultations so that you can make the best decision for your specific goals. Best wishes.
Helpful
May 1, 2017
Answer: Is subglandular/over the muscle becoming more popular again? Thank you for sharing your question and photographs. There are both pros and cons to either subglandular or submuscular placement of implants but I do feel that most women, especially thin ones, benefit more form placement below your pectoralis. Be sure to seek out a series of consultations so that you can make the best decision for your specific goals. Best wishes.
Helpful
June 11, 2017
Answer: Benefits of submuscular breast implant placement Most breast augmentations are performed via submuscular or under the muscle implant placement. This technique is particularly ideal for patients with risk factors associated with palpability and rippling--e.g., low body fat percentage, athletic physique, and small breasts or little soft tissue coverage.
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June 11, 2017
Answer: Benefits of submuscular breast implant placement Most breast augmentations are performed via submuscular or under the muscle implant placement. This technique is particularly ideal for patients with risk factors associated with palpability and rippling--e.g., low body fat percentage, athletic physique, and small breasts or little soft tissue coverage.
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April 30, 2017
Answer: Subglandular/over the muscle implant placement: Is it necessary if my pecs are really developed? Under the muscle placement is still performed more often than subglandular placement by most plastic surgeons. The fact that your pecs are so developed does not mean you can't have under the muscle placement. I have a couple of triple crown body builders who have submuscular implants with no issues. Patients are advised of the possibility of the implants “dancing” or animating at the moment the pecs are flexed; the implants immediately return to their resting position when the muscle is relaxed. This sometimes can be seen and rarely felt. I hope this information is helpful and reassuring. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."
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April 30, 2017
Answer: Subglandular/over the muscle implant placement: Is it necessary if my pecs are really developed? Under the muscle placement is still performed more often than subglandular placement by most plastic surgeons. The fact that your pecs are so developed does not mean you can't have under the muscle placement. I have a couple of triple crown body builders who have submuscular implants with no issues. Patients are advised of the possibility of the implants “dancing” or animating at the moment the pecs are flexed; the implants immediately return to their resting position when the muscle is relaxed. This sometimes can be seen and rarely felt. I hope this information is helpful and reassuring. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."
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