Hello! I had a BA 8 months ago with 300 ccs silicone implants under the muscle. Do I have lateral displacement? At first I loved it, now I have NO inner cleavage and any fullness I have is near my armpits. When I lie down on my back my chest goes flat and my implants fall into my armpits. Also, when I flex my pecs, I have distortion of my breasts- they ride up from the bottom. What would fix these issues? If I get a revision- what size implant would you recommend? I am 5'5", 115 pounds, 3 children.
Answer: Is over the muscle a good option for my breast augmentation? Breast augmentation is most commonly placed under the muscle for multiple reasons, however occasionally patients do benefit from the implant placed over the muscle. Let’s start with reasons why the breast implants are placed under the muscle. The first, is that the risk of capsular contracture has been found to decreased when the implant is placed below the muscle. It is believed that the constant motion of the muscle keeps the implant moving just subtly and thus keeping it soft. The second reason is that the muscle provides additional coverage over the breast implant, giving it a softer feel and decreases the appearance of rippling from the breast implant. The new gummy bear (highly cohesive) breast implants have helped with many of the issues that placing the implants under the muscle have treated. The gummy bear implants have decreased the rippling that can be seen when compared to saline breast implants. Also, the advent of the Keller funnel and antibiotic solutions used during a breast augmentation have decreased the risk of capsular contracture. The benefit of placing the breast implant in the subglandular (above the muscle) is that it prevents something called animation deformity. This is when the breast implant moves as the muscle is flexed. Remember a little movement is great to prevent capsular contracture, however if the implant moves a significant amount it can be disturbing to the patient. If the breast implant is over the muscle, then there is very little movement of the implant when the muscle is flexed. I typically will place the gummy bear breast implant over the muscle if someone has animation deformity. This will reduce the movement of the implant when the patient is moving and flexing. Bodybuilders and other patients that are at risk of animation deformity I may also place the implant over the muscle during their breast augmentation to avoid this issue. There are pros and cons to both a subglandular and submuscular placement of the breast implant. It is important to discuss both of these options during your consultation with your Board-Certified Plastic Surgeon. The highly cohesive breast implants have given patients and plastic surgeons more flexibility in the placement of the breast implant.
Helpful 1 person found this helpful
Book a virtual consultation
CONTACT NOW Answer: Is over the muscle a good option for my breast augmentation? Breast augmentation is most commonly placed under the muscle for multiple reasons, however occasionally patients do benefit from the implant placed over the muscle. Let’s start with reasons why the breast implants are placed under the muscle. The first, is that the risk of capsular contracture has been found to decreased when the implant is placed below the muscle. It is believed that the constant motion of the muscle keeps the implant moving just subtly and thus keeping it soft. The second reason is that the muscle provides additional coverage over the breast implant, giving it a softer feel and decreases the appearance of rippling from the breast implant. The new gummy bear (highly cohesive) breast implants have helped with many of the issues that placing the implants under the muscle have treated. The gummy bear implants have decreased the rippling that can be seen when compared to saline breast implants. Also, the advent of the Keller funnel and antibiotic solutions used during a breast augmentation have decreased the risk of capsular contracture. The benefit of placing the breast implant in the subglandular (above the muscle) is that it prevents something called animation deformity. This is when the breast implant moves as the muscle is flexed. Remember a little movement is great to prevent capsular contracture, however if the implant moves a significant amount it can be disturbing to the patient. If the breast implant is over the muscle, then there is very little movement of the implant when the muscle is flexed. I typically will place the gummy bear breast implant over the muscle if someone has animation deformity. This will reduce the movement of the implant when the patient is moving and flexing. Bodybuilders and other patients that are at risk of animation deformity I may also place the implant over the muscle during their breast augmentation to avoid this issue. There are pros and cons to both a subglandular and submuscular placement of the breast implant. It is important to discuss both of these options during your consultation with your Board-Certified Plastic Surgeon. The highly cohesive breast implants have given patients and plastic surgeons more flexibility in the placement of the breast implant.
Helpful 1 person found this helpful
Book a virtual consultation
CONTACT NOW January 6, 2013
Answer: Implant Malposition vs Patient Anatomy
There are several points that need to be addressed. Before surgery photos may show that you have wide set breasts which the implants will be wide set (ie . no cleavage). The muscle movement comes with placing the implants beneath the muscle. Placing the implants above the muscle does solve this problem but you must have enough thickness of tissue to hide the edges of the implant.
Dr. ES
Helpful
Book a consultation
CONTACT NOW January 6, 2013
Answer: Implant Malposition vs Patient Anatomy
There are several points that need to be addressed. Before surgery photos may show that you have wide set breasts which the implants will be wide set (ie . no cleavage). The muscle movement comes with placing the implants beneath the muscle. Placing the implants above the muscle does solve this problem but you must have enough thickness of tissue to hide the edges of the implant.
Dr. ES
Helpful
Book a consultation
CONTACT NOW
January 1, 2013
Answer: Pocket Revision for Lateralized Breast Implants
The pocket can be revised with capsulorrhaphy sutures to block lateral migration and create the illusion of more medial fullness.
Helpful
Book a virtual consultation
CONTACT NOW January 1, 2013
Answer: Pocket Revision for Lateralized Breast Implants
The pocket can be revised with capsulorrhaphy sutures to block lateral migration and create the illusion of more medial fullness.
Helpful
Book a virtual consultation
CONTACT NOW
FIND THE RIGHT
TREATMENT FOR YOU
June 19, 2015
Answer: Sub muscular placement of breast implants can cause lateral displacement later on
As the pectoralis muscle is engaged after sub muscular breast augmentation the vector of force on the implant can push it laterally. Over time this can become a chronic problem. Moving the implants to a sub glandular position where fixed the problem
Helpful
Book a virtual consultation
CONTACT NOW June 19, 2015
Answer: Sub muscular placement of breast implants can cause lateral displacement later on
As the pectoralis muscle is engaged after sub muscular breast augmentation the vector of force on the implant can push it laterally. Over time this can become a chronic problem. Moving the implants to a sub glandular position where fixed the problem
Helpful
Book a virtual consultation
CONTACT NOW
December 26, 2012
Answer: Lateral Displacement and Flex Distortion of Implants?
It appears as if you had axillary incision as the site of insertion??? If true than the muscle dissection was not completed medially in my opinion. Also increase in size to 400/450 UHP is my recommendation.
Helpful
Book a virtual consultation
CONTACT NOW December 26, 2012
Answer: Lateral Displacement and Flex Distortion of Implants?
It appears as if you had axillary incision as the site of insertion??? If true than the muscle dissection was not completed medially in my opinion. Also increase in size to 400/450 UHP is my recommendation.
Helpful
Book a virtual consultation
CONTACT NOW