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.
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CONTACT NOW 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.
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CONTACT NOW 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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CONTACT NOW 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 vs submuscular implant placement Sophia,Thanks for the question.There seems to be a small trend to place some implants subglandular vs submuscular. I place most of my implants submuscular, but I generally use the subglandular placement in certain conditions:Body builders, Very active individuals, many asymmetries, wide cleavage, droopy breasts and several others.There are good and bad points to either placement. You need to weigh all of your options and go fro several consultations to make your final decision.Best of luck.Dr T
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Answer: Subglandular vs submuscular implant placement Sophia,Thanks for the question.There seems to be a small trend to place some implants subglandular vs submuscular. I place most of my implants submuscular, but I generally use the subglandular placement in certain conditions:Body builders, Very active individuals, many asymmetries, wide cleavage, droopy breasts and several others.There are good and bad points to either placement. You need to weigh all of your options and go fro several consultations to make your final decision.Best of luck.Dr T
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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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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: Implants over the muscle Most patients opt for the subpectoral augmentation to achieve a more natural appearance, lower risk of capsular contracture, etc. Limited coverage of the implants in a very thin woman is another consideration. You would need to be examined to assess the accuracy of the concept that your pectoralis muscles are too well developed and would create problems for a subpectoral approach.
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Answer: Implants over the muscle Most patients opt for the subpectoral augmentation to achieve a more natural appearance, lower risk of capsular contracture, etc. Limited coverage of the implants in a very thin woman is another consideration. You would need to be examined to assess the accuracy of the concept that your pectoralis muscles are too well developed and would create problems for a subpectoral approach.
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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.
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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.
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