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?
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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