I am getting organized for breast augmentation but I am concerned about both my performance as an extreme whitewater kayaker, needing strength around my pectorals, and capsular contracture. Where do you suggest placing the implants?
Answer: Muscle damage due to retro pectoral implants Placing the implant under the muscle will stretch the muscle. This results in decrease of strength by Starling’s Law. Also, placing the implants under the muscle frequently results in cutting portions of the muscle and this again decreases the strength of the pectoralis major muscle. The technique which would maintain the greatest strength of your muscle would be pre-pectoral placement. However, pre-pectoral placement has a higher risk for capsular contracture. Unfortunately, you have not provided photographs or told us your bra size. Another option to consider is fat transfer instead of augmentation. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
Helpful 1 person found this helpful
Answer: Muscle damage due to retro pectoral implants Placing the implant under the muscle will stretch the muscle. This results in decrease of strength by Starling’s Law. Also, placing the implants under the muscle frequently results in cutting portions of the muscle and this again decreases the strength of the pectoralis major muscle. The technique which would maintain the greatest strength of your muscle would be pre-pectoral placement. However, pre-pectoral placement has a higher risk for capsular contracture. Unfortunately, you have not provided photographs or told us your bra size. Another option to consider is fat transfer instead of augmentation. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
Helpful 1 person found this helpful
Answer: Breast Augmentation Thank you for your question. I typically recommend for all my patients to have their implants placed under the muscle. I find that implants under the muscle uphold better, look natural and feel natural. Even those patients that are body builders, athletes, or who have strenuous jobs do very well with this type of placement. I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you, discuss your options and answer your questions. Best of luck to you.
Helpful
Answer: Breast Augmentation Thank you for your question. I typically recommend for all my patients to have their implants placed under the muscle. I find that implants under the muscle uphold better, look natural and feel natural. Even those patients that are body builders, athletes, or who have strenuous jobs do very well with this type of placement. I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you, discuss your options and answer your questions. Best of luck to you.
Helpful
March 24, 2020
Answer: Over or Under the Muscle Thank you for your question! I suggest you seek a board certified plastic surgeon and have an examination and communicate your lifestyle clearly to get the desired results your looking for that fits your lifestyle. Best of luck!Dr Dhaval Patel
Helpful
March 24, 2020
Answer: Over or Under the Muscle Thank you for your question! I suggest you seek a board certified plastic surgeon and have an examination and communicate your lifestyle clearly to get the desired results your looking for that fits your lifestyle. Best of luck!Dr Dhaval Patel
Helpful
March 14, 2020
Answer: Breast Implants & Sports Hi, thank you for your question. A dual plane (partially under the muscle) may be a good option for you. Many surgeons tend to place breast implants under the muscle in order to reduce the risk of capsular contracture, however, it involves releasing some of the muscle attachments. This will likely not impact your ability to kayak, but will require 8 full weeks of restraint from sports. Consult with a board certified plastic surgeon who can explain the procedure in detail after an in-person exam. I hope this helps. Best of luck!
Helpful
March 14, 2020
Answer: Breast Implants & Sports Hi, thank you for your question. A dual plane (partially under the muscle) may be a good option for you. Many surgeons tend to place breast implants under the muscle in order to reduce the risk of capsular contracture, however, it involves releasing some of the muscle attachments. This will likely not impact your ability to kayak, but will require 8 full weeks of restraint from sports. Consult with a board certified plastic surgeon who can explain the procedure in detail after an in-person exam. I hope this helps. Best of luck!
Helpful
March 13, 2020
Answer: Can I have implants under the muscle if I am an extreme sports athlete? Hello, thank you for your question. Sub-muscular (dual plane) is a better choice for a number of reasons including reduced risk of capsular contracture, better longevity, and greater implant coverage. There will be some level of animation deformity with sub-muscular placement but the goal is to minimize it to the extent possible. Very few breast augmentation patients have enough breast tissue to permit a sub-glandular augmentation. As a bodybuilder, I perform breast augmentation in fitness and bodybuilding patients who opt for silicone breast implants and have very large or strong chest muscles. More cleavage can be created because the implants can be placed slightly closer together. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon for proper evaluation
Helpful
March 13, 2020
Answer: Can I have implants under the muscle if I am an extreme sports athlete? Hello, thank you for your question. Sub-muscular (dual plane) is a better choice for a number of reasons including reduced risk of capsular contracture, better longevity, and greater implant coverage. There will be some level of animation deformity with sub-muscular placement but the goal is to minimize it to the extent possible. Very few breast augmentation patients have enough breast tissue to permit a sub-glandular augmentation. As a bodybuilder, I perform breast augmentation in fitness and bodybuilding patients who opt for silicone breast implants and have very large or strong chest muscles. More cleavage can be created because the implants can be placed slightly closer together. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon for proper evaluation
Helpful
March 11, 2020
Answer: Can I have implants under the muscle if I am an extreme sports athlete? Yes, you can have implants placed under the muscle and still enjoy your active lifestyle. You will need to allow time to fully heal from surgery before resuming extreme exercise. You will be able to gradually increase your activity level after surgery to build up to where you are now.
Helpful
March 11, 2020
Answer: Can I have implants under the muscle if I am an extreme sports athlete? Yes, you can have implants placed under the muscle and still enjoy your active lifestyle. You will need to allow time to fully heal from surgery before resuming extreme exercise. You will be able to gradually increase your activity level after surgery to build up to where you are now.
Helpful
