Hi I surf a lot and am pretty active. I don’t necessarily do a lot of push up or anything or try to build out my chest when working out but surfing does require some chest muscles when standing up on the board. I don’t have to much breast tissue because I lost a lot of volume due to breast feeding. I really want a natural look. What would you recommend?
Answer: Over or under the muscle? Generally if you are an active person it is your safest bet to go on top of the muscle. Why take the risk of the implant displacing? There are many different silicone styles of implants now that we recommend putting on top of the muscle because they are precision filled and do not cause wrinkling. If natural looking is what you are worried about, we go with a natural style implant as oppose on that is less natural.
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Answer: Over or under the muscle? Generally if you are an active person it is your safest bet to go on top of the muscle. Why take the risk of the implant displacing? There are many different silicone styles of implants now that we recommend putting on top of the muscle because they are precision filled and do not cause wrinkling. If natural looking is what you are worried about, we go with a natural style implant as oppose on that is less natural.
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August 22, 2024
Answer: Implant placement Dear Eclectic223178, I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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August 22, 2024
Answer: Implant placement Dear Eclectic223178, I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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August 9, 2024
Answer: For a natural look; dual plane ( implant is partially under muscle and partially under breast tissue) I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and profile implants. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful. There is always the possibility that the implants might be seen or felt on the side of the breast or under the breast where there is little or no muscle. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
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August 9, 2024
Answer: For a natural look; dual plane ( implant is partially under muscle and partially under breast tissue) I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and profile implants. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful. There is always the possibility that the implants might be seen or felt on the side of the breast or under the breast where there is little or no muscle. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
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August 7, 2024
Answer: Breasts You did not post photos, which would have been very helpful. with little breast tissue, I usually recommend going behind the muscle for better coverage and support and less sag potential in the future.
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August 7, 2024
Answer: Breasts You did not post photos, which would have been very helpful. with little breast tissue, I usually recommend going behind the muscle for better coverage and support and less sag potential in the future.
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July 30, 2024
Answer: Under or over the muscle When implants are placed underneath the muscle, the origin of the pectoralis major muscle from the 6th & 7th rib is often taken down and this will weaken the strength of the muscle. Also, in the retro-pectoral position, contraction of the muscle extrudes the implant inferiorly and laterally and this commonly leads to implant displacement and a revision is needed. When implants are placed in front of the muscle, it often cuts the nerve supply to the nipple and decreased sensation is the result. Also, in front of the muscle, the only thing holding up the implant is the skin envelope and often times the skin envelope is quite thin and rippling can occur and can be visible. Unfortunately, you have not provided photographs. However, you may benefit more from a lift with fat transfers rather than implants. Best Wishes, Gary Horndeski, M.D.
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July 30, 2024
Answer: Under or over the muscle When implants are placed underneath the muscle, the origin of the pectoralis major muscle from the 6th & 7th rib is often taken down and this will weaken the strength of the muscle. Also, in the retro-pectoral position, contraction of the muscle extrudes the implant inferiorly and laterally and this commonly leads to implant displacement and a revision is needed. When implants are placed in front of the muscle, it often cuts the nerve supply to the nipple and decreased sensation is the result. Also, in front of the muscle, the only thing holding up the implant is the skin envelope and often times the skin envelope is quite thin and rippling can occur and can be visible. Unfortunately, you have not provided photographs. However, you may benefit more from a lift with fat transfers rather than implants. Best Wishes, Gary Horndeski, M.D.
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