I am 5'8" in height and weighing 138 lbs. I'm in good shape--I jog, do push ups, and light weights. I've nursed 3 children for the last 5 years. I have 425 cc implants placed partially submuscular a year ago. The slightest flex of chest muscle makes my breasts appear unnatural. It makes the implants move upward while the bottom part ripples out. It's becoming more obvious over time. Overall, my breasts look natural and pleasant the muscle is relaxed. But to keep this from worsening, can one go from under the muscle implants to over?
Answer: Definitely possible, but, is it the best idea? A 'plane switch' from behind to in front of muscle is do-able. However, the long term result could be compromised with excessive stretching, etc. There is a technique called 'subfascial placement' which is 'sort of' above muscle, but, might help prevent the above muscle downsides. The place I would suggest looking into would be Dr. Richard Baxter in Seattle. Whenever I come across a consult that I feel could be better served by one of my colleagues I am happy refer there.
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Answer: Definitely possible, but, is it the best idea? A 'plane switch' from behind to in front of muscle is do-able. However, the long term result could be compromised with excessive stretching, etc. There is a technique called 'subfascial placement' which is 'sort of' above muscle, but, might help prevent the above muscle downsides. The place I would suggest looking into would be Dr. Richard Baxter in Seattle. Whenever I come across a consult that I feel could be better served by one of my colleagues I am happy refer there.
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June 12, 2017
Answer: Breast Animation Deformity Hi there, It appears that you do have a significant degree of breast animation deformity with a dynamic double breast contour at the breast lower pole upon contraction of your pectoralis muscle. This often relates to inadequate release of the muscle at the infra-mammary folds during your original surgery, thus causing a "regurgitation" of your implants in an "up and out" direction towards the axilla while causing a dynamic "double bubble' deformity at the the breast lower pole. As you correctly observed, this problem will not improve unless the cause of the problem is fixed with the correct surgical solution which either involve a complete release of muscular attachment at the breast folds or switching the pocket to the pre-muscular plane (i.e. from under to over the muscle) where the implant acts as an interface between the breast tissue and the underlying muscle. Suitability of the appropriate surgical remedy in your situation will be determined by both the quantity and quality of your tissue coverage. It'll be best to consult your original plastic surgeon for further advice. Hope that helps. Best wishes Ellis Choy
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June 12, 2017
Answer: Breast Animation Deformity Hi there, It appears that you do have a significant degree of breast animation deformity with a dynamic double breast contour at the breast lower pole upon contraction of your pectoralis muscle. This often relates to inadequate release of the muscle at the infra-mammary folds during your original surgery, thus causing a "regurgitation" of your implants in an "up and out" direction towards the axilla while causing a dynamic "double bubble' deformity at the the breast lower pole. As you correctly observed, this problem will not improve unless the cause of the problem is fixed with the correct surgical solution which either involve a complete release of muscular attachment at the breast folds or switching the pocket to the pre-muscular plane (i.e. from under to over the muscle) where the implant acts as an interface between the breast tissue and the underlying muscle. Suitability of the appropriate surgical remedy in your situation will be determined by both the quantity and quality of your tissue coverage. It'll be best to consult your original plastic surgeon for further advice. Hope that helps. Best wishes Ellis Choy
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Answer: Can Under the Muscle Implants Be Moved to Over? As can be seen, you have a very good results at rest and when you move the animation can be seen. If it remains painful, you can consider moving the implants to above the muscle. Based on the amount of breast tissue you have you van discuss with your surgeon if you will benefit from any mesh. Generally secondary operations do have their own risks and complications
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Answer: Can Under the Muscle Implants Be Moved to Over? As can be seen, you have a very good results at rest and when you move the animation can be seen. If it remains painful, you can consider moving the implants to above the muscle. Based on the amount of breast tissue you have you van discuss with your surgeon if you will benefit from any mesh. Generally secondary operations do have their own risks and complications
Helpful
October 27, 2019
Answer: Can implant pocket be changed? Thank you for sharing your question and photos. Your issue, dynamic breast implants, is not uncommon. The simplest and most reliable solution is to do just what you are asking about - moving the implant to a subglandular plane. Based on your photographs, it looks like this would be a reasonable solution for you, but of course, you need to be examined by a plastic surgeon to discuss the risks and benefits.
Helpful
October 27, 2019
Answer: Can implant pocket be changed? Thank you for sharing your question and photos. Your issue, dynamic breast implants, is not uncommon. The simplest and most reliable solution is to do just what you are asking about - moving the implant to a subglandular plane. Based on your photographs, it looks like this would be a reasonable solution for you, but of course, you need to be examined by a plastic surgeon to discuss the risks and benefits.
Helpful
January 29, 2019
Answer: Hyperanimation deformity YES!! You sound like a perfect candidate for a subfascial conversion assuming you have sufficient soft tissue coverage to camouflage the implants. Generally speaking, if you have at least 2cm of "pinch" in the upper pole of the breast, you would potentially be a great candidate for such conversion. You have hyperanimation which is a fairly common event following submuscular implant placement. Even with the addition of ADM in the lower pole, if you keep your implants in the dual-plane position, they are subject to the animation forces of the pec muscle and you will still have that classic unsightly contracture which can also be uncomfortable. This is a fairly routine procedure whereby in addition to the subfascial conversion, a piece of mesh is utilized to stabilize the implant, minimize rippling, and provide a long lasting result. Some patients who are thin may require secondary fat grafting if there is any associated rippling. Talk to your board-cerftified plastic surgeon about this.
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January 29, 2019
Answer: Hyperanimation deformity YES!! You sound like a perfect candidate for a subfascial conversion assuming you have sufficient soft tissue coverage to camouflage the implants. Generally speaking, if you have at least 2cm of "pinch" in the upper pole of the breast, you would potentially be a great candidate for such conversion. You have hyperanimation which is a fairly common event following submuscular implant placement. Even with the addition of ADM in the lower pole, if you keep your implants in the dual-plane position, they are subject to the animation forces of the pec muscle and you will still have that classic unsightly contracture which can also be uncomfortable. This is a fairly routine procedure whereby in addition to the subfascial conversion, a piece of mesh is utilized to stabilize the implant, minimize rippling, and provide a long lasting result. Some patients who are thin may require secondary fat grafting if there is any associated rippling. Talk to your board-cerftified plastic surgeon about this.
Helpful
March 8, 2018
Answer: Animation deformity Hello, thank you for submitting your pictures and providing such a good description. You have what’s called an “animation deformity”. Animation deformities can definitely be improved with revision surgery. While moving the implants from under the muscle to over the muscle is certainly possible, it is definitely not recommended as the results will be short-lived and ultimately you will have more breast stretching and sagging. This is particularly the case with your active lifestyle. I recommend that you see a plastic surgeon with experience in breast revision surgeries using acellular dermal matrix. That being said, just finding out a little more information about how your surgery was done and what types of implants you have may provide a different solution. This is why going to see your original surgeon is always the best first stop to see if they are experienced enough with breast revision to correct it for you.
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March 8, 2018
Answer: Animation deformity Hello, thank you for submitting your pictures and providing such a good description. You have what’s called an “animation deformity”. Animation deformities can definitely be improved with revision surgery. While moving the implants from under the muscle to over the muscle is certainly possible, it is definitely not recommended as the results will be short-lived and ultimately you will have more breast stretching and sagging. This is particularly the case with your active lifestyle. I recommend that you see a plastic surgeon with experience in breast revision surgeries using acellular dermal matrix. That being said, just finding out a little more information about how your surgery was done and what types of implants you have may provide a different solution. This is why going to see your original surgeon is always the best first stop to see if they are experienced enough with breast revision to correct it for you.
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