Over or Under the Muscle?
Doctor Answers 6
Over or Under the Muscle?
I think it is in the best interests of most patients seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which may increase with time, weight loss, and/or post-pregnancy changes).
The submuscular positioning also tends to interfere with mammography less so than breast implants in the sub glandular position. The incidence of breast implant encapsulation (capsular contraction) is also decreased with implants placed in the sub muscular position.
On the other hand, sub glandular breast implant positioning does not have the potential downside of “animation deformity” ( movement/ distortion of the breast implants seen with flexion of the pectoralis major muscle) they can be seen with breast implants placed in the sub muscular position.
I hope this, and the attached link, helps. Best wishes.
is really up to you. I have 2 champions who have had their implants under the muscle as they have found ways to deal with the muscle movement during their bikini contest. Yet if the muscle movement will be bothersome, then it should be above the muscle. Only you can decide what will work best for you but under the muscle has the following advantages: better mammograms, more fullness on top, no rippling on top, and LESS RISK for contractures.
Should your breast implants be over or under the muscle?
Thank you for your important question. Your concern is a very common one.
There are several advantages to placing the breast implant beneath the muscle most notably a reduced chance of capsular contraction or hardening of the breast implant over time.
However your surgeon has pointed out a common negative which is that when the implant is placed beneath the muscle and you contract the chest muscle during exercise the implants can have visible movement.
However it is up to you to decide whether this movement will be distressing to you. Many physically active young woman, even bodybuilders have had implants placed beneath the chest muscle and the motion during their activities do not bother them.
Recent data strongly suggests that textured breast implants are less likely to cause capsular contraction. If you do proceed, be sure to discuss the benefits of a textured implant whether it is placed over or under the muscle.
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Every Doctor has it's own opinion, for me the implants look more enhanced with a more natural look when they're placed under the muscle. The recovery with over or under it's still the same, same post op instructions to follow. It really depends on how you want them to look.
Breast Implants- Above or Below the Muscle
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