Hello, I’ve been researching over vs under breast implants and I’m a bit lost which is best. I’ve had two consults, one recommended over the muscle as Im a 34B and have 2cm of tissue on both sides; the other, dual plane. As I’m active and workout, i want to avoid animation deformity. The doctor who suggested overs said it might result in me needing a lift in 10 years; the other said dual plane would work as he’ll make sure to fully “release” the muscle so that it doesn’t animate. Confused!
February 11, 2019
Answer: Over or under the muscle Hi SunshineGabs and thanks for posting. The only way to avoid animation deformity is by not placing the implant under the muscle. Fully releasing the muscle is not recommended and can lead to other deformities and/or the implant ending up subglandular position. Subglandular position is not "evil." Pros and cons of all placement options should be discussed in person with your BCPS with expertise in breast surgery. Please see attached web reference. Thanks again and good luck!
Helpful 2 people found this helpful
February 11, 2019
Answer: Over or under the muscle Hi SunshineGabs and thanks for posting. The only way to avoid animation deformity is by not placing the implant under the muscle. Fully releasing the muscle is not recommended and can lead to other deformities and/or the implant ending up subglandular position. Subglandular position is not "evil." Pros and cons of all placement options should be discussed in person with your BCPS with expertise in breast surgery. Please see attached web reference. Thanks again and good luck!
Helpful 2 people found this helpful
January 13, 2021
Answer: How to avoid animation deformity? Thank you for your questions. The truth is that while animation deformity is usually not a huge issue with submuscular implants, it is always a risk and runs a spectrum, meaning that it is not whether you have it or don't have it, but how severe or not severe it is. The honest truth is that the only way to avoid it all together is to leave the muscle where it is and proceed with a subglandular augmentation. The trade-off for this benefit is increased risk of capsular contracture and increased implant palpability and visibility. You have to decide which one is more important to you and proceed. The bottom line is that if there were one way to do everything that offered all the benefits with none of the downsides, then there would not be options and everyone would do things that way.......this essentially never exists in plastic surgery.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
Helpful 6 people found this helpful
January 13, 2021
Answer: How to avoid animation deformity? Thank you for your questions. The truth is that while animation deformity is usually not a huge issue with submuscular implants, it is always a risk and runs a spectrum, meaning that it is not whether you have it or don't have it, but how severe or not severe it is. The honest truth is that the only way to avoid it all together is to leave the muscle where it is and proceed with a subglandular augmentation. The trade-off for this benefit is increased risk of capsular contracture and increased implant palpability and visibility. You have to decide which one is more important to you and proceed. The bottom line is that if there were one way to do everything that offered all the benefits with none of the downsides, then there would not be options and everyone would do things that way.......this essentially never exists in plastic surgery.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
Helpful 6 people found this helpful
