I am a large A small B and have a decent amount of tissue at the top of my breast, and am getting gel implants. I don't really want a submuscular placement. I am worried about distortion because I am very active and lift weights. I don't want to look weird when I am working out or if lift something when I am in a swimsuit. Would subfascial placement be a good option for me? Does it have a lower capsular contracture rate than subglandular placement?
Answer: What is the best way to perform breast augmentation for athletic and active women? For active and athletic women I think the most important factor to an excellent outcome is the base width diameter and not whether it is above the muscle (subglandular) beneath the muscle (submuscular) or beneath the thin lining of the muscle (subfascial).For athletic women you want to make sure that the implant does not "overwhelm" the appearance of a thin, or muscular torso. I find that implants that are too wide for a patients are frequently used which then distorts the athletic shape.For the very infrequent occasion when you will be flexing the pectoralis major muscle while someone is looking at your breast in a swimsuit or exercise top then placing the implant above the muscle or beneath the fascia would limit or eliminate distortion or animation.If you would like more information regarding breast augmentation you can download my free breast augmentation planner at aBetterBreast.com
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Answer: What is the best way to perform breast augmentation for athletic and active women? For active and athletic women I think the most important factor to an excellent outcome is the base width diameter and not whether it is above the muscle (subglandular) beneath the muscle (submuscular) or beneath the thin lining of the muscle (subfascial).For athletic women you want to make sure that the implant does not "overwhelm" the appearance of a thin, or muscular torso. I find that implants that are too wide for a patients are frequently used which then distorts the athletic shape.For the very infrequent occasion when you will be flexing the pectoralis major muscle while someone is looking at your breast in a swimsuit or exercise top then placing the implant above the muscle or beneath the fascia would limit or eliminate distortion or animation.If you would like more information regarding breast augmentation you can download my free breast augmentation planner at aBetterBreast.com
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Answer: Sub fascial breast implant positioning I think a sub fascial implant position will help with animation deformity. The trade off is that there is less soft tissue coverage over the implant (making its edges more visible) and the rate of capsular contracture may be higher in the sub fascial position, although that issue is not completely understood at this time.
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Answer: Sub fascial breast implant positioning I think a sub fascial implant position will help with animation deformity. The trade off is that there is less soft tissue coverage over the implant (making its edges more visible) and the rate of capsular contracture may be higher in the sub fascial position, although that issue is not completely understood at this time.
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November 10, 2014
Answer: Subfascial breast augmentation Thank you for your picture. There is no science that Subfascial augmentation reduces capsular contracture. I do not think there's any benefit to subfascial versus subglandular augmentation.
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November 10, 2014
Answer: Subfascial breast augmentation Thank you for your picture. There is no science that Subfascial augmentation reduces capsular contracture. I do not think there's any benefit to subfascial versus subglandular augmentation.
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November 9, 2014
Answer: Subfascial vesus Subpectoral placement Thank you for your picture and question.Congratulations on your decision to undergo breast augmentation surgery. The choice is yours in the end if you want to have sub-pectoral or sub-fascial placement.I favor the subpectoral placement for breast implants. The placement of the implant is in a dual plane --- meaning the top half of the implant is under the muscle while the bottom half is under the gland. The capsular contracture rate is lowest if the implant is placed under the muscle, in this manner.I hope this helps.- Dr. Bryson Richards
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November 9, 2014
Answer: Subfascial vesus Subpectoral placement Thank you for your picture and question.Congratulations on your decision to undergo breast augmentation surgery. The choice is yours in the end if you want to have sub-pectoral or sub-fascial placement.I favor the subpectoral placement for breast implants. The placement of the implant is in a dual plane --- meaning the top half of the implant is under the muscle while the bottom half is under the gland. The capsular contracture rate is lowest if the implant is placed under the muscle, in this manner.I hope this helps.- Dr. Bryson Richards
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November 9, 2014
Answer: Best Breast Implant Aumentation Options for Athletes and Weight Lifters Pectoralis Muscle fascia is about a thick as a single piece of typing paper so would not give you more soft tissue padding which is most important for small breasted women. I would recommend a submuscular position as there is more soft tissue padding between the implants and your skin. To minize motion with lifting and exercise which is your major opjection to a submuscular placement, consider textured implants (I prefer Sientra) which tend to stay in place due to capsule ingrowth - therefore minimizing these concerns.
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November 9, 2014
Answer: Best Breast Implant Aumentation Options for Athletes and Weight Lifters Pectoralis Muscle fascia is about a thick as a single piece of typing paper so would not give you more soft tissue padding which is most important for small breasted women. I would recommend a submuscular position as there is more soft tissue padding between the implants and your skin. To minize motion with lifting and exercise which is your major opjection to a submuscular placement, consider textured implants (I prefer Sientra) which tend to stay in place due to capsule ingrowth - therefore minimizing these concerns.
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