I have my surgery on the 27th of this month and I couldn't be more excited. Going to call my doctor on Monday and tell him I want over the muscle ....... I think. That's the one thing I forgot to ask after my last appt. I've read all the pros and cons of them all. I am getting a lift with a 450cc high profile implant and I want clevage and for them to look perky and round. If I'm going to pay $9k for them I don't want them to look "natural" lol Would over the muscle be a better choice for this look?
Answer: Over or Under the Muscle for Breast Implants Over the muscle (subglandular) pocket is very commonly used around the world and has a possibly easier recovery as there is no muscle involvement and there is no implant animation or movement with the muscle flexing. There is less soft tissue coverage and more defined upper pole especially with a high profile implant. There may be some efficacy in using a textured implant when going above the muscle. Its not a bad choice, but may have a higher capsular contracture rate. Make sure you get a good lift as this is the deal breaker for your result, not the implant.
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Answer: Over or Under the Muscle for Breast Implants Over the muscle (subglandular) pocket is very commonly used around the world and has a possibly easier recovery as there is no muscle involvement and there is no implant animation or movement with the muscle flexing. There is less soft tissue coverage and more defined upper pole especially with a high profile implant. There may be some efficacy in using a textured implant when going above the muscle. Its not a bad choice, but may have a higher capsular contracture rate. Make sure you get a good lift as this is the deal breaker for your result, not the implant.
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February 14, 2017
Answer: Lift with 450cc - Over or under the muscle? Dear Reader,In my practice, I prefer to place the implants below the muscle. I believe is looks better, make the implants less palpable and has lower risk of capsular contracture. I would advise you to have this conversation with your surgeon prior to surgery for sure. Good luck and be safe.Respectfully, John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic SurgeonAmerican Board of Plastic SurgeryAmerican Board of Surgery
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February 14, 2017
Answer: Lift with 450cc - Over or under the muscle? Dear Reader,In my practice, I prefer to place the implants below the muscle. I believe is looks better, make the implants less palpable and has lower risk of capsular contracture. I would advise you to have this conversation with your surgeon prior to surgery for sure. Good luck and be safe.Respectfully, John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic SurgeonAmerican Board of Plastic SurgeryAmerican Board of Surgery
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February 14, 2017
Answer: Over versus Under I feel that under the muscle is almost always a better operation. The upper pole looks better, there is a lower rate of capsular contracture, and they are held in better...they don't end up as a "rock in a sock'. Also it is a lot easier to get symmastia with over the muscle.I hope that helps!
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February 14, 2017
Answer: Over versus Under I feel that under the muscle is almost always a better operation. The upper pole looks better, there is a lower rate of capsular contracture, and they are held in better...they don't end up as a "rock in a sock'. Also it is a lot easier to get symmastia with over the muscle.I hope that helps!
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February 14, 2017
Answer: Combining lift and implant; above vs. under the muscle Thanks for your question and the photo. Without an exam and measurements it is hard to say exactly what I'd recommend. Combining a lift and an implant is a tricky operation and has a high revision rate and can end up being very expensive. Most surgeons would not use a HP implant with a lift. Placing an implant that is that large (450CC) definitely will put a lot of stress on your lift. I would not place the implant above the muscle. You will have higher incidence of contracture and risk of nipple devascularization above the muscle. Best of Luck!
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February 14, 2017
Answer: Combining lift and implant; above vs. under the muscle Thanks for your question and the photo. Without an exam and measurements it is hard to say exactly what I'd recommend. Combining a lift and an implant is a tricky operation and has a high revision rate and can end up being very expensive. Most surgeons would not use a HP implant with a lift. Placing an implant that is that large (450CC) definitely will put a lot of stress on your lift. I would not place the implant above the muscle. You will have higher incidence of contracture and risk of nipple devascularization above the muscle. Best of Luck!
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February 14, 2017
Answer: Breast lift with implant Hello and thank you for your question. There are several advantages and disadvantages to over vs under the muscle. Under the muscle has the advantage of lower capsular contracture rates, less risk of rippling, and better visualization with future mammograms. Most patients say that under the muscle also has a more natural look and feel. The size, shape, and profile of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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February 14, 2017
Answer: Breast lift with implant Hello and thank you for your question. There are several advantages and disadvantages to over vs under the muscle. Under the muscle has the advantage of lower capsular contracture rates, less risk of rippling, and better visualization with future mammograms. Most patients say that under the muscle also has a more natural look and feel. The size, shape, and profile of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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