My concern is 1. my breast looks tubular (like horns) and 2. I want a little more volume to fill my upper pole but I don't want to look too fake (in other words I don't want my upper pole to have unnatural volume). I went for 2 consultations. First doctor recommended subfascial and second doctor recommended subglandular because I have enough breast tissue. I'm worried I might look like Victoria Beckham after breast feeding or if I lose weight. Should I be concerned about rippling or not?
November 3, 2017
Answer: BA - Implant Placement Thank you for your question! Implant placement is most often recommended to be submuscular for several reasons. When implants are placed below the muscle, there is a decreased risk for the development of capsular contracture (hardening) and less chance for rippling, which can be a concern for patients who are thin and have little breast tissue. Also, there is better mammography detection. Because you were given conflicting recommendations at your recent consultations, it is understandable to be worried! It may be helpful to inquire for the reasoning of the one surgeon who prefers subglandular. It may also be helpful to have an additional consultation appointment. Photos are unfortunately not a substitute for an examination by a board-certified plastic surgeon. Good luck in your research!
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November 3, 2017
Answer: BA - Implant Placement Thank you for your question! Implant placement is most often recommended to be submuscular for several reasons. When implants are placed below the muscle, there is a decreased risk for the development of capsular contracture (hardening) and less chance for rippling, which can be a concern for patients who are thin and have little breast tissue. Also, there is better mammography detection. Because you were given conflicting recommendations at your recent consultations, it is understandable to be worried! It may be helpful to inquire for the reasoning of the one surgeon who prefers subglandular. It may also be helpful to have an additional consultation appointment. Photos are unfortunately not a substitute for an examination by a board-certified plastic surgeon. Good luck in your research!
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November 2, 2017
Answer: Plane I recommend submuscular placement of the implants. The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity. 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
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November 2, 2017
Answer: Plane I recommend submuscular placement of the implants. The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity. 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
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November 2, 2017
Answer: Subfascial is Subglandular Hello,The small group of surgeons around the world who promote the concept of subfascial augmentation have failed to truly demonstrate that they are actually keeping the fascia in tact during the dissection or implant delivery phases of the surgery. Further, the fascia is anatomically thin (less than a mm), and offers no tissue buffer, leaving the implant exposed and prone to visible rippling. Subpectoral surgery, along with inframammary incisions, are the part of a newly established 14 step plan to reduce complications as common as capsular contracture and as rare as breast implant associated anaplastic large cell lymphoma. Subpectoral placement will give you the most natural upper pole, avoiding the Victoria Beckham look. Go visit a few ABPS certified/ASAPS member surgeons. Best of luck!
Helpful 1 person found this helpful
November 2, 2017
Answer: Subfascial is Subglandular Hello,The small group of surgeons around the world who promote the concept of subfascial augmentation have failed to truly demonstrate that they are actually keeping the fascia in tact during the dissection or implant delivery phases of the surgery. Further, the fascia is anatomically thin (less than a mm), and offers no tissue buffer, leaving the implant exposed and prone to visible rippling. Subpectoral surgery, along with inframammary incisions, are the part of a newly established 14 step plan to reduce complications as common as capsular contracture and as rare as breast implant associated anaplastic large cell lymphoma. Subpectoral placement will give you the most natural upper pole, avoiding the Victoria Beckham look. Go visit a few ABPS certified/ASAPS member surgeons. Best of luck!
Helpful 1 person found this helpful
