I'm a 34 b now but the upper pole of my breasts are quite "deflated" after gaining and losing 20 pounds. I would love "natural" looking DDs with more fullness / cleavage in the upper pole. The surgeons I have talked to thus far are very anti the sub glandular approach. I am nervous about the "dual plane" or under the muscle approach because of heavily I use my upper body- think supporting my entire body weight using one forearm or climbing a 10 foot pole via only pull-ups.
Answer: Breast Augmentation Questions Hello,Subpectoral, dual plane placement of implants works very well for most athletic persons. However, if you were to get subglandular implants, my preference would be highly cohesive, form stable, anatomically shaped devices; this would minimize the risks of rippling, implant palpability, implant visibility, and capsular contracture, all of which is more common in the subglandular position.As for your desired size, 'natural' and DD don't coexist. You will look augmented at that size. So make a choice. Finally, regardless of the size, your nipple position will be suboptimal. Only a breast lift can improve that. Go visit a few ABPS certified and ASAPS member surgeons.Best of luck!
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CONTACT NOW Answer: Breast Augmentation Questions Hello,Subpectoral, dual plane placement of implants works very well for most athletic persons. However, if you were to get subglandular implants, my preference would be highly cohesive, form stable, anatomically shaped devices; this would minimize the risks of rippling, implant palpability, implant visibility, and capsular contracture, all of which is more common in the subglandular position.As for your desired size, 'natural' and DD don't coexist. You will look augmented at that size. So make a choice. Finally, regardless of the size, your nipple position will be suboptimal. Only a breast lift can improve that. Go visit a few ABPS certified and ASAPS member surgeons.Best of luck!
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CONTACT NOW September 17, 2019
Answer: Subfascial breast augmentation you are the ideal candidate to have a breast augmentation but under the fascia of the pectoralis muscle. This will give you the best of both worlds, you will have implant coverage with the fashion but won't have the animation/dancing of the implants that is caused by placing implants under the muscle. This is a very common technique that was described the by Brazilian plastic surgeons and gives a very nice results without the downsides of placing the implant under the muscle. I commonly performed this in my practice and preferred to all other types of breast augmentation.
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Answer: Subfascial breast augmentation you are the ideal candidate to have a breast augmentation but under the fascia of the pectoralis muscle. This will give you the best of both worlds, you will have implant coverage with the fashion but won't have the animation/dancing of the implants that is caused by placing implants under the muscle. This is a very common technique that was described the by Brazilian plastic surgeons and gives a very nice results without the downsides of placing the implant under the muscle. I commonly performed this in my practice and preferred to all other types of breast augmentation.
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August 4, 2016
Answer: Subglandular Breast Augmentation There are pros and cons between the two different placements. To summarize, the subglandular placement does prevent the animation deformity, where the implants moves with muscle contraction, but that tends to be the main advantage. The disadvantage is many and include rippling, implant palpability, capsular contracture (implant/scar tissue hardening). The main disadvantage of subpectoral placement is the exact opposite, animation deformity. The benefits are many which is why most plastic surgeons would recommend subpectoral/dual plane augmentation.Hope that summarizes it well.
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CONTACT NOW August 4, 2016
Answer: Subglandular Breast Augmentation There are pros and cons between the two different placements. To summarize, the subglandular placement does prevent the animation deformity, where the implants moves with muscle contraction, but that tends to be the main advantage. The disadvantage is many and include rippling, implant palpability, capsular contracture (implant/scar tissue hardening). The main disadvantage of subpectoral placement is the exact opposite, animation deformity. The benefits are many which is why most plastic surgeons would recommend subpectoral/dual plane augmentation.Hope that summarizes it well.
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July 28, 2016
Answer: Over versus under? Both the subglandular (on top of muscle) and submuscular (under muscle) approaches to breast augmentation are used today by plastic surgeons. There are advantages and disadvantages to each of these approaches. For the use of a sub glandular implant, most plastic surgeons would consider how much glandular breast tissue will lay above the breast implant to allow it to be more hidden. In thinner patients, with sub glandular implants, especially saline, visible wrinkling can be a problem. There are just a few advantages to the sub glandular placement. For the first few days or so, it is certainly less painful to put in a sub glandular than a sub muscular breast implant. The sub glandular placed implant will look more properly in position earlier without the overlying tension of the pectoralis muscle allowing the implant to ride higher in the chest for a few weeks. Also, in the case of a patient with a wide breastbone and the wish for a more narrow cleavage, the placement above the muscle will allow for more movement of the implant towards the center of the chest thus narrowing the space between the breasts. In patients with thin overlying breast tissue, especially with larger implants, the outline of the implant is more visible through the tissues with the implant placed above the muscle. We do know that the rate of capsular contraction is higher in implants placed above the muscle than implants placed below. The sub muscular approach has a few advantages. One important one is that mammography is a little easier to do and to read when the implant is placed below the muscle. There is also less wrinkling, less visibility, and less rate of capsular contracture. Other than being more painful for a few days after surgery, another issue with the sub muscular placement is animation. When the pectoralis muscle is activated, it will push the breast implant upward as well as outward which can be visible through the skin. Another consideration in this choice of whether the implant is sub glandular or sub muscular is that in today's modern breast implant surgeries, most of the time, a dual plane approach is utilized. In this way, the upper part of the breast implant is placed below the muscle and the lower part can be placed either on top of the muscle or below the lining of the muscle called fascia. With this approach, the bottom of the implant in the sub muscular placement can be in the same place and position as if the implant was placed on top of the muscle. This is the technique used by most plastic surgeons today. Each surgeon has their own preference and I would recommend that you seek out the consultation with a board-certified plastic surgeon and asks them what their choices for you would be and why. Good luck with your surgery.
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CONTACT NOW July 28, 2016
Answer: Over versus under? Both the subglandular (on top of muscle) and submuscular (under muscle) approaches to breast augmentation are used today by plastic surgeons. There are advantages and disadvantages to each of these approaches. For the use of a sub glandular implant, most plastic surgeons would consider how much glandular breast tissue will lay above the breast implant to allow it to be more hidden. In thinner patients, with sub glandular implants, especially saline, visible wrinkling can be a problem. There are just a few advantages to the sub glandular placement. For the first few days or so, it is certainly less painful to put in a sub glandular than a sub muscular breast implant. The sub glandular placed implant will look more properly in position earlier without the overlying tension of the pectoralis muscle allowing the implant to ride higher in the chest for a few weeks. Also, in the case of a patient with a wide breastbone and the wish for a more narrow cleavage, the placement above the muscle will allow for more movement of the implant towards the center of the chest thus narrowing the space between the breasts. In patients with thin overlying breast tissue, especially with larger implants, the outline of the implant is more visible through the tissues with the implant placed above the muscle. We do know that the rate of capsular contraction is higher in implants placed above the muscle than implants placed below. The sub muscular approach has a few advantages. One important one is that mammography is a little easier to do and to read when the implant is placed below the muscle. There is also less wrinkling, less visibility, and less rate of capsular contracture. Other than being more painful for a few days after surgery, another issue with the sub muscular placement is animation. When the pectoralis muscle is activated, it will push the breast implant upward as well as outward which can be visible through the skin. Another consideration in this choice of whether the implant is sub glandular or sub muscular is that in today's modern breast implant surgeries, most of the time, a dual plane approach is utilized. In this way, the upper part of the breast implant is placed below the muscle and the lower part can be placed either on top of the muscle or below the lining of the muscle called fascia. With this approach, the bottom of the implant in the sub muscular placement can be in the same place and position as if the implant was placed on top of the muscle. This is the technique used by most plastic surgeons today. Each surgeon has their own preference and I would recommend that you seek out the consultation with a board-certified plastic surgeon and asks them what their choices for you would be and why. Good luck with your surgery.
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July 28, 2016
Answer: I do serious pole dancing. I'm scared about getting under the muscle implants. Any thoughts/ experiences w/ subglandular? I agree with the other surgeons that you have seen that there is a serious risk placing the implants beneath the breast. You want a large size implant and the risk of capsular contracture or hardening of the implant certainly goes up with larger implants and placing implants under the breast on top of the muscle.A properly done dual plane 2 or 3 breast augmentation can provide the protection of the muscle with much less isk of animation deformity.
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CONTACT NOW July 28, 2016
Answer: I do serious pole dancing. I'm scared about getting under the muscle implants. Any thoughts/ experiences w/ subglandular? I agree with the other surgeons that you have seen that there is a serious risk placing the implants beneath the breast. You want a large size implant and the risk of capsular contracture or hardening of the implant certainly goes up with larger implants and placing implants under the breast on top of the muscle.A properly done dual plane 2 or 3 breast augmentation can provide the protection of the muscle with much less isk of animation deformity.
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