I have had a couple of consultations with plastic surgeons - the one I want to proceed with thinks that because I have some minor droop and suggested sub mammary placement of the implant. I personally would prefer a sub muscular placement, as I feel like sub mammary would only serve to create more heaviness in the breast tissue = more droop or not enough lift. Could I get some advice? I am 59kg, 23 yr old and a C cup currently. Thanks!
February 26, 2014
Answer: To provide best lift-submammary or sub muscular? Implants do not provide lift to a droopy breast. Some surgeons unfortunately think that if they put in a large enough implant they can get away without performing a lift and save the patient the additional scars. The result is large breasts that tend to be even more saggy due to the additional weight of the implant. If the implant was originally placed under the muscle, it will frequently drop enough to be almost below the edge of the muscle, so whether it was placed above or below the muscle becomes moot.A better approach is to use a smaller implant accompanied by a lift. Often this can be accomplished with a lollipop incision, avoiding an incision in the crease below the breast. In your case you already have a substantioal amount of breast tissue and merely need an implant to give fullness in the upper pole.It would be wise to rediscuss the plan with your surgeon, and get another opinion before proceeding.
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February 26, 2014
Answer: To provide best lift-submammary or sub muscular? Implants do not provide lift to a droopy breast. Some surgeons unfortunately think that if they put in a large enough implant they can get away without performing a lift and save the patient the additional scars. The result is large breasts that tend to be even more saggy due to the additional weight of the implant. If the implant was originally placed under the muscle, it will frequently drop enough to be almost below the edge of the muscle, so whether it was placed above or below the muscle becomes moot.A better approach is to use a smaller implant accompanied by a lift. Often this can be accomplished with a lollipop incision, avoiding an incision in the crease below the breast. In your case you already have a substantioal amount of breast tissue and merely need an implant to give fullness in the upper pole.It would be wise to rediscuss the plan with your surgeon, and get another opinion before proceeding.
Helpful
Answer: Sub mammary vs sub pectoral breast implants Breast implants are pillow volume. They fill the breast out (forward) but do not lift it vertically on the chest. Breasts that are too saggy (ptotic) cannot be filled out properly with an implant alone. This has to do with where the nipple-areola sits relative to the inframammary crease directly behind it. If the nipple-areola is more than 2 cm below the level of the inframammary crease behind it (upright with arms down), then an implant cannot be positioned properly behind it to fill it out properly regardless of whether it's sub mammary or sub pectoral. After decades of experience and for many different reasons both short term and long term, breast implants do best if they are partially sub pectoral and the best incision to place them is in the inframammary crease. In the sub pectoral position, the minimum size increase of a properly sized and positioned lowest profile breast implant is one cup size relative to the same chest circumference.In my opinion, properly sized and positioned breast implants to not make breasts sag, but breasts can sag without implants so there is no way to know or control whether borderline ptotic breasts will become too saggy in the future.
Helpful
Answer: Sub mammary vs sub pectoral breast implants Breast implants are pillow volume. They fill the breast out (forward) but do not lift it vertically on the chest. Breasts that are too saggy (ptotic) cannot be filled out properly with an implant alone. This has to do with where the nipple-areola sits relative to the inframammary crease directly behind it. If the nipple-areola is more than 2 cm below the level of the inframammary crease behind it (upright with arms down), then an implant cannot be positioned properly behind it to fill it out properly regardless of whether it's sub mammary or sub pectoral. After decades of experience and for many different reasons both short term and long term, breast implants do best if they are partially sub pectoral and the best incision to place them is in the inframammary crease. In the sub pectoral position, the minimum size increase of a properly sized and positioned lowest profile breast implant is one cup size relative to the same chest circumference.In my opinion, properly sized and positioned breast implants to not make breasts sag, but breasts can sag without implants so there is no way to know or control whether borderline ptotic breasts will become too saggy in the future.
Helpful
