I am 5’7 and 135lbs, athletic, and into weightlifting. I want to get a breast augmentation but worry about going under the muscle because of animation deformity and loss of strength. I don’t know if I’m a good candidate for subfacial or sub glandular, or if I need to go under the muscle to obtain better symmetry. I don’t have much upper breast fullness so my last consult recommended teardrop anatomic implants if I chose to go over. Also, I’m 28 y/o, no kids
Answer: Implants Going behind the muscle will give the best upper breast fullness and decrease the risk of the implant edge showing. However, you will have muscle animation. Most women do not loose strength, but it is possible. I prefer smooth round implants behind the muscle for a great look and the least long term risks.
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Answer: Implants Going behind the muscle will give the best upper breast fullness and decrease the risk of the implant edge showing. However, you will have muscle animation. Most women do not loose strength, but it is possible. I prefer smooth round implants behind the muscle for a great look and the least long term risks.
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Answer: I woould recommend subglandular augmentation I would recommend a subglandular augmentation with a smooth round silicone gel implant. Based on the pictures you have enough gland over top of your chest wall to support the implant underneath and keep it from being too visible. Additionally being that you are very active and have an athletic build, a subglandular pocket will decrease your risk for implant displacement.
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Answer: I woould recommend subglandular augmentation I would recommend a subglandular augmentation with a smooth round silicone gel implant. Based on the pictures you have enough gland over top of your chest wall to support the implant underneath and keep it from being too visible. Additionally being that you are very active and have an athletic build, a subglandular pocket will decrease your risk for implant displacement.
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September 21, 2022
Answer: You have options In general, you have several options to achieve symmetry given your pictures. Your right breast is not only larger, but has more pseudoptosis (skin below the nipple) as well as a slight ptosis (low nipple). In my opinion, your best bet for true symmetry would be a staged procedure in which you underwent a subglandular or subfascial augmentation followed by a lift at a later time. Anatomic implants in the subfascial plane can look excellent, however can also lead to malposition. To decrease the risk of malposition, there are other cohesive smooth round implants that can give you a similar and reliable result. You could opt for a single stage subglandular augmentation mastopexy procedure on the right side, but the risk of asymmetry and revision surgery is slightly higher.
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September 21, 2022
Answer: You have options In general, you have several options to achieve symmetry given your pictures. Your right breast is not only larger, but has more pseudoptosis (skin below the nipple) as well as a slight ptosis (low nipple). In my opinion, your best bet for true symmetry would be a staged procedure in which you underwent a subglandular or subfascial augmentation followed by a lift at a later time. Anatomic implants in the subfascial plane can look excellent, however can also lead to malposition. To decrease the risk of malposition, there are other cohesive smooth round implants that can give you a similar and reliable result. You could opt for a single stage subglandular augmentation mastopexy procedure on the right side, but the risk of asymmetry and revision surgery is slightly higher.
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September 1, 2022
Answer: Response An appropriately done sub-muscular dual plane breast augmentation should not lead to an animation deformity. If you are able to take a break from pectoralis major work for the recovery (at least 6 weeks), this surgery would not be a problem in the future to resume your athletic lifestyle. The benefits of a submuscular pocket and risks of a subfascial/subglandular pocket are something you should extensively discuss with a board-eligible or board-certified plastic surgeon during an in-person consultation.
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September 1, 2022
Answer: Response An appropriately done sub-muscular dual plane breast augmentation should not lead to an animation deformity. If you are able to take a break from pectoralis major work for the recovery (at least 6 weeks), this surgery would not be a problem in the future to resume your athletic lifestyle. The benefits of a submuscular pocket and risks of a subfascial/subglandular pocket are something you should extensively discuss with a board-eligible or board-certified plastic surgeon during an in-person consultation.
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August 23, 2022
Answer: Implants - over or under? Hello, Thank you for the question. Based on your photos, you appear to be a good candidate for breast augmentation. Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on your desires, as well as breast and soft tissue dimensions of your chest wall. I also utilize Vectra 3D planning to further help with implant selection. The breast implants are typically placed under the muscle to provide more soft tissue coverage using a small incision at the breast fold. I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results. I hope this helps.Best regards, Dr. Karanetz Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon
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August 23, 2022
Answer: Implants - over or under? Hello, Thank you for the question. Based on your photos, you appear to be a good candidate for breast augmentation. Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on your desires, as well as breast and soft tissue dimensions of your chest wall. I also utilize Vectra 3D planning to further help with implant selection. The breast implants are typically placed under the muscle to provide more soft tissue coverage using a small incision at the breast fold. I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results. I hope this helps.Best regards, Dr. Karanetz Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon
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