I listened to a PS on YouTube say "most doctors go below the muscle, simply because that's the way they are taught." It seems like going subglandular is more anatomically correct. Thoughts? Also, does going below or above the muscle really affect rates of capsular contracture? With a 250cc silicone or structured saline implant going over the muscle, is rippling a realistic concern? (I have almost B cup breast tissue naturally.) Lastly, does implant placement affect breastfeeding?
Answer: Subglandular vs dual plane Subglandular can give nice, natural results. Gels are recommended to avoid rippling. Unfortunately, capsule contracture, while still low, can be slightly higher than submuscular.
Helpful 2 people found this helpful
Answer: Subglandular vs dual plane Subglandular can give nice, natural results. Gels are recommended to avoid rippling. Unfortunately, capsule contracture, while still low, can be slightly higher than submuscular.
Helpful 2 people found this helpful
Answer: Would you recommend subglandular or dual-plane implants? As a bodybuilder, I augment professional athletes frequently. I think for those people in whom the living is made by athletic performance, the implant can be placed above the muscle. Other patients will be happier longterm with submuscular (dual plane) placement. Realize that there is some tradeoff for submuscular placement including greater pain postoperatively and a diminution in strength. Although this reduction in strength is not noticed by most women, bodybuilders will be able to tell.
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Answer: Would you recommend subglandular or dual-plane implants? As a bodybuilder, I augment professional athletes frequently. I think for those people in whom the living is made by athletic performance, the implant can be placed above the muscle. Other patients will be happier longterm with submuscular (dual plane) placement. Realize that there is some tradeoff for submuscular placement including greater pain postoperatively and a diminution in strength. Although this reduction in strength is not noticed by most women, bodybuilders will be able to tell.
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October 19, 2020
Answer: My recommendation Hello darling,
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October 19, 2020
Answer: My recommendation Hello darling,
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October 18, 2020
Answer: Dual plane breast augmentation Deepest tolerable beneficial layer is best for natural proportional breast augmentation. Computerized 3 dimensional imaging can help visualize possible results. Trying on the proposed implants with a tight bra also helps. Good luck...
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October 18, 2020
Answer: Dual plane breast augmentation Deepest tolerable beneficial layer is best for natural proportional breast augmentation. Computerized 3 dimensional imaging can help visualize possible results. Trying on the proposed implants with a tight bra also helps. Good luck...
Helpful
October 18, 2020
Answer: Would you recommend subglandular or dual-plane implants Thank you for sharing your question. Going underneath the muscle provides many advantages - increased implant coverage using your own muscle and breast tissue, a more natural look and feel, off-loading some of the weight of the implant from your breast skin, lowered capsular contracture risk, and mammogram benefits by separating the implant from your breast tissue. Hope this helps.
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October 18, 2020
Answer: Would you recommend subglandular or dual-plane implants Thank you for sharing your question. Going underneath the muscle provides many advantages - increased implant coverage using your own muscle and breast tissue, a more natural look and feel, off-loading some of the weight of the implant from your breast skin, lowered capsular contracture risk, and mammogram benefits by separating the implant from your breast tissue. Hope this helps.
Helpful
October 18, 2020
Answer: Submuscular vs subglandular Thank you for your question. Having been in practice for over 25 years, performed over 4,000 breast surgeries, and have a practice that is dedicated to revisionary breast surgery, I have some perspective. First, subglandular placement is much easier for the surgeon and has NOTHING to do with the way we are taught. Breast augmentation is a very straight forward procedure for any surgeon above or below the muscle. Although subglandular breast augmentation can result in a nice result, it does have a much higher rate of capsular contracture and long-term complications. I often see "slide-down" of the entire breast complex down the chest wall over time giving a very poor cosmetic outcome. Also, I see significantly more wrinkling and rippling. The disconnection between the breast tissue and the pec major muscle disrupts any support to the breast. Please look at my revision gallery under "long-term changes associated with subglandular placement of implants". I strongly recommend to my patients to have dual plane (subpectoral) placement of their implants. Best wishes to you.
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October 18, 2020
Answer: Submuscular vs subglandular Thank you for your question. Having been in practice for over 25 years, performed over 4,000 breast surgeries, and have a practice that is dedicated to revisionary breast surgery, I have some perspective. First, subglandular placement is much easier for the surgeon and has NOTHING to do with the way we are taught. Breast augmentation is a very straight forward procedure for any surgeon above or below the muscle. Although subglandular breast augmentation can result in a nice result, it does have a much higher rate of capsular contracture and long-term complications. I often see "slide-down" of the entire breast complex down the chest wall over time giving a very poor cosmetic outcome. Also, I see significantly more wrinkling and rippling. The disconnection between the breast tissue and the pec major muscle disrupts any support to the breast. Please look at my revision gallery under "long-term changes associated with subglandular placement of implants". I strongly recommend to my patients to have dual plane (subpectoral) placement of their implants. Best wishes to you.
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