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: Subfascial, subglandular or submuscular Subfascial and sub-glandular are almost the same. Sub-muscular gives you better coverage in the upper pole, maybe more important as you get older. There is a quicker recovery when you go over v under the muscle. Implants over the muscle are more likely to ripple if you don't have enough coverage. I think you need to trust your PS. It is a balance between the size the implant and the amount of breast tissue. Looks like you would do fine either way with a small implant.
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November 3, 2017
Answer: Subfascial, subglandular or submuscular Subfascial and sub-glandular are almost the same. Sub-muscular gives you better coverage in the upper pole, maybe more important as you get older. There is a quicker recovery when you go over v under the muscle. Implants over the muscle are more likely to ripple if you don't have enough coverage. I think you need to trust your PS. It is a balance between the size the implant and the amount of breast tissue. Looks like you would do fine either way with a small implant.
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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 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: 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!
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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
