I am 22 years old and have lost most the volume in my breasts after pregnancy. Prior to my daughter being born, I had perky 32D breasts with no complaints. Now, my nipples have changed significantly and lost all the volume in my upper pole. Would a high profile saline implant restore the fullness I am looking for and help lift them a little? Does the subglandular or submuscular placement help with that at all?
Answer: Sub muscular vs Sub Glandular placement Under the Muscle (sub-muscular) – When you hear the words “under the muscle” this actually means the breast implant is placed partially under the pectorals major muscle. Submuscular placement may be more uncomfortable the first few days following surgery due to the disruption of the muscle. The possible benefits of submuscular placement are that it may result in less palpable implants, decreased risk of capsular contracture, and easier to image the breast with a mammogram. Under the muscle placement is recommend for women are are very thin with very little breast tissue. The partial muscle coverage will hide the implant better and help avoid visibility of any implant imperfections such as rippling. The appearance will also look more natural.Over the Muscle (sub-glandular) – Over the muscle means above the muscle and under the breast tissue. This placement may make your surgery and recovery shorter and you will likely have less discomfort. This placement can provide a slight “lift.” Sub-glandular placement can result in more palpable implants, increased risk of capsular contracture and more difficult imaging of the breast with mammogram. This placement is often recommended for those patients with mild breast sag, but do not want a breast lift (mastopexy) and for tubular breast deformity.
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Answer: Sub muscular vs Sub Glandular placement Under the Muscle (sub-muscular) – When you hear the words “under the muscle” this actually means the breast implant is placed partially under the pectorals major muscle. Submuscular placement may be more uncomfortable the first few days following surgery due to the disruption of the muscle. The possible benefits of submuscular placement are that it may result in less palpable implants, decreased risk of capsular contracture, and easier to image the breast with a mammogram. Under the muscle placement is recommend for women are are very thin with very little breast tissue. The partial muscle coverage will hide the implant better and help avoid visibility of any implant imperfections such as rippling. The appearance will also look more natural.Over the Muscle (sub-glandular) – Over the muscle means above the muscle and under the breast tissue. This placement may make your surgery and recovery shorter and you will likely have less discomfort. This placement can provide a slight “lift.” Sub-glandular placement can result in more palpable implants, increased risk of capsular contracture and more difficult imaging of the breast with mammogram. This placement is often recommended for those patients with mild breast sag, but do not want a breast lift (mastopexy) and for tubular breast deformity.
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March 29, 2016
Answer: Loss of volume My recommendation is under the muscle for any type of breast implant most often. If you do not you will see your implant more at the upper pole. You will need a lift or minilift at least. Finally, high profile just means more projection and is a more narrow implant per a given volume...it does not mean it sits higher on the chest. Seek a plastic surgeon that specializes in cosmetic breast surgery and implants as I do and have an exam, try on some sizers and see the shape you are interested in.
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March 29, 2016
Answer: Loss of volume My recommendation is under the muscle for any type of breast implant most often. If you do not you will see your implant more at the upper pole. You will need a lift or minilift at least. Finally, high profile just means more projection and is a more narrow implant per a given volume...it does not mean it sits higher on the chest. Seek a plastic surgeon that specializes in cosmetic breast surgery and implants as I do and have an exam, try on some sizers and see the shape you are interested in.
Helpful
March 29, 2016
Answer: Subglandular vs. submuscular? High profile or moderate profile? Implants alone do not adequately lift the breast when there is significant sagging, no matter the size or the type, and will not produce a good cosmetic result in a patient who also needs some variation of a lift. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue,assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result. Robert Singer, MD FACS La Jolla, California
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March 29, 2016
Answer: Subglandular vs. submuscular? High profile or moderate profile? Implants alone do not adequately lift the breast when there is significant sagging, no matter the size or the type, and will not produce a good cosmetic result in a patient who also needs some variation of a lift. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue,assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result. Robert Singer, MD FACS La Jolla, California
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March 29, 2016
Answer: Breast Lift and Submuscular Implants Sorry to be the bearer of bad news, but to get to your wish pic, a breast lift and sub muscular implants are the correct answer. Going with sub glandular implants to "fill out" the envelope is the wrong idea. You will be destined for a breast lift and pocket change in the future as the implants will continue to pull down your already moderate sized breasts. As an aside, your tummy is amazing for postpartum, even though your breasts did stretch and the nipples became enlarged. An amazing tummy after pregnancy is hard to come by, so you're lucky at least in that way!
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March 29, 2016
Answer: Breast Lift and Submuscular Implants Sorry to be the bearer of bad news, but to get to your wish pic, a breast lift and sub muscular implants are the correct answer. Going with sub glandular implants to "fill out" the envelope is the wrong idea. You will be destined for a breast lift and pocket change in the future as the implants will continue to pull down your already moderate sized breasts. As an aside, your tummy is amazing for postpartum, even though your breasts did stretch and the nipples became enlarged. An amazing tummy after pregnancy is hard to come by, so you're lucky at least in that way!
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March 28, 2016
Answer: What implant and where? Thank you for the post and for the accompanying photos. Based on the information provided, you would almost certainly require a breast lift (mastopexy) to restore your breast height as well as implant placement to restore your breast volume. Submuscular implant placement is generally the more preferred method in the United States most likely for two principle reasons: (1) additional tissue coverage of the implant to yield as natural a contour as possible and (2) potentially decreased rate of capsular contracture under certain conditions. As far as which profile to select, that will depend on two factors: what size you want to be and specifics about your anatomy. The higher profile implants have a narrower base. So if you are looking at larger volumes, you will likely require a larger volume. I recommend seeking out a board certified plastic surgeon in your area and letting him/her guide you through the process. Good luck!
Helpful
March 28, 2016
Answer: What implant and where? Thank you for the post and for the accompanying photos. Based on the information provided, you would almost certainly require a breast lift (mastopexy) to restore your breast height as well as implant placement to restore your breast volume. Submuscular implant placement is generally the more preferred method in the United States most likely for two principle reasons: (1) additional tissue coverage of the implant to yield as natural a contour as possible and (2) potentially decreased rate of capsular contracture under certain conditions. As far as which profile to select, that will depend on two factors: what size you want to be and specifics about your anatomy. The higher profile implants have a narrower base. So if you are looking at larger volumes, you will likely require a larger volume. I recommend seeking out a board certified plastic surgeon in your area and letting him/her guide you through the process. Good luck!
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