I highly recommend under the muscle to prevent as much direct contact between implant and the breast tissue. This is important in preventing potential capsular contracture risk.
Thank you for your question. You have a moderate waterfall deformity, where the breast tissue is falling off the implant, as well as a double bubble deformity. The solution for this would be a circumvertical mastopexy, which controls the nipple areolar complex, as well as provides a breast lift....
A peri-areolar incision (incision around the nipple) can be used to decrease the size of the nipple. If there are any unreleased bands that are preventing your implant from filling out the lower portion the breast (portion that is underdeveloped in tuberous breasts), these bands could also be...
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