Currently I like the way the upper pole feels, but hate the way lower pole feels (so much so that I want them taken out). Would changing to unders fix this? Silicone 286cc
Answer: Can I change to fully under the muscle? When plastic surgeons refer to "over" vs "under" the muscle, they are almost always referring to a dual plane technique when describing under the muscle. Very few plastic surgeons perform a completely "under the muscle" technique, such as what you are asking. While it can be done, it is relatively painful and adds very little to your ultimate outcome. It is very normal, especially in a thin patient, to feel the implants out to the side and under the breast since the implant in the area that is not covered with muscle. No one can tell you whether removing the implants might be the best option for you if you hate the feel of the implants, but I would suggest that conversion to completely under the muscle is unlikely to yield the benefit you desire. My best advice to you is to return to your previous surgeon or seek the advice of several others and express your concerns, then discuss what realistically could or could not be done to address these concerns. Best of luck!
Helpful 1 person found this helpful
Answer: Can I change to fully under the muscle? When plastic surgeons refer to "over" vs "under" the muscle, they are almost always referring to a dual plane technique when describing under the muscle. Very few plastic surgeons perform a completely "under the muscle" technique, such as what you are asking. While it can be done, it is relatively painful and adds very little to your ultimate outcome. It is very normal, especially in a thin patient, to feel the implants out to the side and under the breast since the implant in the area that is not covered with muscle. No one can tell you whether removing the implants might be the best option for you if you hate the feel of the implants, but I would suggest that conversion to completely under the muscle is unlikely to yield the benefit you desire. My best advice to you is to return to your previous surgeon or seek the advice of several others and express your concerns, then discuss what realistically could or could not be done to address these concerns. Best of luck!
Helpful 1 person found this helpful
Answer: Breast Asymmetry Hello,It looks like one breast has more upper pole fulness than the other. You are currently dual plane if you think you are subpectoral. Have a discussion with your surgeon or visit a revision breast expert. Best of luck!
Helpful
Answer: Breast Asymmetry Hello,It looks like one breast has more upper pole fulness than the other. You are currently dual plane if you think you are subpectoral. Have a discussion with your surgeon or visit a revision breast expert. Best of luck!
Helpful
November 20, 2017
Answer: Breast Revision When implants are placed in a dual plane, the muscle is cut at the bottom of the breast. Unfortunately when the muscle is cut, it cannot be repaired to place the implants in a true subpectoral position. The problem you're experiencing may not be due to the position of the implants though. I recommend following up with your plastic surgeon or getting a second opinion.
Helpful
November 20, 2017
Answer: Breast Revision When implants are placed in a dual plane, the muscle is cut at the bottom of the breast. Unfortunately when the muscle is cut, it cannot be repaired to place the implants in a true subpectoral position. The problem you're experiencing may not be due to the position of the implants though. I recommend following up with your plastic surgeon or getting a second opinion.
Helpful
November 19, 2017
Answer: Plane When plastic surgeons say "Under the muscle" is essentially means dual plane. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon
Helpful
November 19, 2017
Answer: Plane When plastic surgeons say "Under the muscle" is essentially means dual plane. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon
Helpful
November 20, 2017
Answer: Sub-muscular implant placement No, changing implant position to complete sub-muscular is not likely to successfully solve your issue, and may introduce problems you don’t now have. Recruitment of serratus anterior muscle to completely cover implants was long ago abandoned for good reason.Consider addition of substance over your implants such as fat (grafting), acellular dermal matrix (Alloderm, Strattice, Belladerm), poly-L-lactic acid (Sculptra), Galatea absorbable mesh, and/or a more cohesive gel device for more suitable consistency.
Helpful 1 person found this helpful
November 20, 2017
Answer: Sub-muscular implant placement No, changing implant position to complete sub-muscular is not likely to successfully solve your issue, and may introduce problems you don’t now have. Recruitment of serratus anterior muscle to completely cover implants was long ago abandoned for good reason.Consider addition of substance over your implants such as fat (grafting), acellular dermal matrix (Alloderm, Strattice, Belladerm), poly-L-lactic acid (Sculptra), Galatea absorbable mesh, and/or a more cohesive gel device for more suitable consistency.
Helpful 1 person found this helpful
