I do serious pole dancing. I'm scared about getting under the muscle implants. Any thoughts/ experiences w/ subglandular?(photo)

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!

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. 

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.

It is very difficult to determine the best lift you will need (recommended based on your photos) or the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 300 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants:

Thank you for your question and photos. Submuscular implant placement has the lowest risk of capsular contracture (scarring around the implant). It should not have any effect on the strength of your muscles, but could cause an "animation deformity" or increased implant movement with use of your muscles. Another option would be "sub-fascial" implant placement, which is below the breast tissue and directly on top of the muscle. Decreases the chance of capsular contracture and avoids any animation deformity. Best of luck, Dr. Kludt

as you have legitimate reasons to do so.  In my practice, I always recommend shaped textured implants above the muscle to help offset the increased risk for contractures and more durability over time (avoids the rock in the sock look).  If you want to pole dance and are going to be using your arms to hold yourself up, I would have no problems putting your implants above the muscle.  As for those 'subfascial' placements, you get a rag tag of remnants of the fascia and whenever I do subglandular, I am always trying to preserve the fascia with the overlying breast tissue... but its never a clean plane as suggested by others.

You can choose to have your implants under or over the muscle.  Generally the submuscular plane is recommend to prevent encapsulation and for a more natural look.  It would be best to examine your breasts in person to make final recommendations but it is definitely your choice to go under or over.  Best of luck to you

The problem with excessive use of the arms after breast augmentation is the formation of a breast capsule.  It does not really matter if its over or under the muscle.   You must remember when an implant is placed either above or below the muscle a thin layer of scar forms around the implant.  This scar is of course attached to the muscle either above or below it.  The scar is delicate and highly vascularized shortly after surgery.  It can be easily torn if an individual is very active with her new implants.  Rapid contraction of the pectoralis muscle can tear the thin and delicate capsule.  This creates bleeding and subsequent scar formation.  Over time this scar tissue becomes more resilient to injury but never completely impervious to injury.  That's why doing very active arm exercises is risky for the healing of breast implants. 

Thank you for the question.  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.  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)  they can be seen with breast implants placed in these sub muscular position.    Long-term patients who undergo breast augmentation surgery should be able to return to all activities with full strength. In my practice, I ask patients to avoid contact and strenuous exercise involving the pectoralis major muscles ( such as push-ups, bench press, burpees, dancing on a pole…) for at least 3-6 months.

 Best wishes.

You have so little soft tissue thickness that implants of the size you need on top of the muscle will likely look like two large grapefruit halves under your skin. Some patients want that look. But if you want a more aesthetic and feminine appearance the textured implants under the muscle with a dual plane positioning done by an artistic and experienced surgeon will be best by far, even with your pole dancing.