After Breastfeeding & weight loss my breast look slightly deflated.I'm missing volume on the upper pole.I don't want big breasts,I want fullness. Nice Round Breast.I'm considering something around 250cc, round textured silicone implants.The only thing holding me up is,I can't decide between subfascial & Dual-Plane placement,since I do crossfit.Having my muscle cut & lose strength scares me.I want great results & no more hanging boobs.I'm afraid subfascial placement will make them hang over time.
Answer: Subfascial V. Dual Plane Hello,You should know that the concept of 'subfascial' is more theoretical than substantial in its difference from subglandular. It is really no different anatomically from subglandular, and the fascia, even if was important to make a difference from subglandular, is unlikely going to remain intact as a definitive layer after placement of the implants. Most importantly, it does not enjoy the lowest risk of capsular contracture or tissue coverage as subpectoral placement.You worry about how your Crossfit will be affected, but forget that your risk of reoperation is higher with implants placed over the muscle. You will not always be doing Crossfit, but you'll likely have implants for the rest of your life.Just as an aside, the same decision making process should be applied to your incisions. Periareolar incisions carry the highest risk of capsular contracture, and inframammary the lowest. In Southern California, there is a unique trend to place implants through the periareolar incision despite the evidence of worse outcome. Best of luck!
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Answer: Subfascial V. Dual Plane Hello,You should know that the concept of 'subfascial' is more theoretical than substantial in its difference from subglandular. It is really no different anatomically from subglandular, and the fascia, even if was important to make a difference from subglandular, is unlikely going to remain intact as a definitive layer after placement of the implants. Most importantly, it does not enjoy the lowest risk of capsular contracture or tissue coverage as subpectoral placement.You worry about how your Crossfit will be affected, but forget that your risk of reoperation is higher with implants placed over the muscle. You will not always be doing Crossfit, but you'll likely have implants for the rest of your life.Just as an aside, the same decision making process should be applied to your incisions. Periareolar incisions carry the highest risk of capsular contracture, and inframammary the lowest. In Southern California, there is a unique trend to place implants through the periareolar incision despite the evidence of worse outcome. Best of luck!
Helpful 1 person found this helpful
January 20, 2016
Answer: Implant placement As you know, there are advantages and disadvantages to both types of implant placement. Really, the final decision is going to be up to you. Only you can decide what's right for your lifestyle. Best, Dr. Nazarian
Helpful
January 20, 2016
Answer: Implant placement As you know, there are advantages and disadvantages to both types of implant placement. Really, the final decision is going to be up to you. Only you can decide what's right for your lifestyle. Best, Dr. Nazarian
Helpful
January 20, 2016
Answer: Torn between Subfascial and Dual-Plane BA. Which should I choose? (photo) Achieving your desired outcome depends on many factors, including choosing the implant size, shape, surface texturing, content, pocket plane, your body habitus and your surgeon.I can give you general guidelines, but in person physical exam is essential.I usually like to preserve the muscle in very active patients. Placing the implant in a subfascial plane is a great option for the right candidate, I use that plane in patients with enough skin/breast envelope to cover the implant. I hope that was helpful
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January 20, 2016
Answer: Torn between Subfascial and Dual-Plane BA. Which should I choose? (photo) Achieving your desired outcome depends on many factors, including choosing the implant size, shape, surface texturing, content, pocket plane, your body habitus and your surgeon.I can give you general guidelines, but in person physical exam is essential.I usually like to preserve the muscle in very active patients. Placing the implant in a subfascial plane is a great option for the right candidate, I use that plane in patients with enough skin/breast envelope to cover the implant. I hope that was helpful
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January 19, 2016
Answer: Submuscular vs subfascial We all have our own experiences and aesthetic ideals, which sculpt our practice patterns. In my opinion, basically every patient is a good candidate for submuscular implants but subfascial requires careful consideration and selection. A good candidate for subfascial (OR subglandular) augmentation 1) has enough breast tissue to cover the implant, particularly in the upper pole. 2) Desires small implants so there is less stress over time on the tissue, and 3) desires tear drop shaped implants for a less noticeable edge to the top of the implant. #3 is less important in the patient with ample upper breast coverage and many PS's have no issue with round implants in the SG or SF pocket. In your case, heavy exercise is the most compelling reason to consider going subfascial and it looks like you are a good candidate.
Helpful
January 19, 2016
Answer: Submuscular vs subfascial We all have our own experiences and aesthetic ideals, which sculpt our practice patterns. In my opinion, basically every patient is a good candidate for submuscular implants but subfascial requires careful consideration and selection. A good candidate for subfascial (OR subglandular) augmentation 1) has enough breast tissue to cover the implant, particularly in the upper pole. 2) Desires small implants so there is less stress over time on the tissue, and 3) desires tear drop shaped implants for a less noticeable edge to the top of the implant. #3 is less important in the patient with ample upper breast coverage and many PS's have no issue with round implants in the SG or SF pocket. In your case, heavy exercise is the most compelling reason to consider going subfascial and it looks like you are a good candidate.
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January 19, 2016
Answer: Textured subglandular/fascial I would recommend the textured implant in the subglandular/fascial position. Since you are very active and do cross fit, the submuscular option may result in dynamic deformities that you may not be happy with. The textured implant should limit the incidence of capsular contracture.
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January 19, 2016
Answer: Textured subglandular/fascial I would recommend the textured implant in the subglandular/fascial position. Since you are very active and do cross fit, the submuscular option may result in dynamic deformities that you may not be happy with. The textured implant should limit the incidence of capsular contracture.
Helpful 1 person found this helpful
