Should I swap to over the muscle? (Photos)
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Doctor Answers 4
Your underlying problem is that your implants are now too high for your breast tissue. Your breast tissue has settled or dropped now making this problem more noticeable. It is unlikely you have capsular contracture as it is too early for this to have to developed. The best solution is to have your implant pockets adjusted so they sit in the correct position in relation to your breast tissue but leaving them in a submuscular pocket. They should stay under the muscle as changing to over may lead to problems with the muscle attachments and blood supply.
Switch to above the muscle
Your question touches on a very controversial area. There's definitely a split in thinking about above or below the muscle implants. This is especially true for bodybuilders. The reason this can be a difficult decision is this. Bodybuilders have thick muscles and are more prone to have a long time to settle however bodybuilders also have very little subcutaneous tissue and fat. Therefore the implants can be much more noticeable and have rippling and wrinkling which is equally undesirable. A switch to a different plane is certainly an option however you need to be evaluated by a board-certified plastic surgeon before this is done
Switch to over the muscle?
I agree that in very athletic patients, especially body builders, the best place for implants is above the muscle for the reasons you already mention. Given that you already have a right capsular contracture at 6 mo, you will need surgery to correct it, and I would certainly recommend that you speak to your surgeon about replacing the implants above the muscle
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