Why do many plastic surgeons recommend more under the muscle placements, rather than over the muscle, when there are a lot more problems with under the muscle placement (especially lateral displacement & animation deformity compared to capsular contracture with over the muscle placement)? That doesn't include the other problems that come under the muscle such as capsular contracture, bottoming out and double bubble.
May 7, 2024
Answer: Implant placement Dear Punkratty, I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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May 7, 2024
Answer: Implant placement Dear Punkratty, I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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April 17, 2024
Answer: Why is under muscle placement more commonly recommended than over muscle There are pros and cons of submuscular versus over the muscle breast implant positioning. The pros for over the muscle include decreased pain and no dynamic flexion motion. This means if one is actively flexing their pectoralis muscles, the breast does not move. Although most patients with under the muscle implant do not exhibit this, it is sometimes seen. There is also less swelling in the early healing time with over the muscle implants. Under the muscle implants (sub muscular) also has benefits. This includes ease of getting mammograms for monitoring for breast cancer in the future, a lower risk of capsular contracture (opposite of what the person who posed the question stated) less chance of feeling the implant and possibly less sag in the long run. I must state in our practice the vast majority of our implant placements are under the muscle. I find it is rare that a woman will be concerned with motion of the breast when lifting. We do discuss activities and proper resumption of training especially for the bodybuilding women in the practice.
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April 17, 2024
Answer: Why is under muscle placement more commonly recommended than over muscle There are pros and cons of submuscular versus over the muscle breast implant positioning. The pros for over the muscle include decreased pain and no dynamic flexion motion. This means if one is actively flexing their pectoralis muscles, the breast does not move. Although most patients with under the muscle implant do not exhibit this, it is sometimes seen. There is also less swelling in the early healing time with over the muscle implants. Under the muscle implants (sub muscular) also has benefits. This includes ease of getting mammograms for monitoring for breast cancer in the future, a lower risk of capsular contracture (opposite of what the person who posed the question stated) less chance of feeling the implant and possibly less sag in the long run. I must state in our practice the vast majority of our implant placements are under the muscle. I find it is rare that a woman will be concerned with motion of the breast when lifting. We do discuss activities and proper resumption of training especially for the bodybuilding women in the practice.
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