Hi, I appreciate you taking the time to view this question. I have just had a second consultation with a different surgeon today about a breast augmentation. Unlike the first surgeon, who recommmended a dual plane approach, this surgeon said that I am at a high risk of animation deformity with submuscular, and that I should have the implants placed over the muscle. I am now very confused!
Answer: Breast augmentation dual plane or subglandular I have performed dual plane since the technique was available and never went back to subglandular especially someone who is as thin as you are. You don't have enough fat under the skin to hide the top edge of the implant, the implant will only be held by your skin which is already so loose and will sag quicker and the implant will be next to the breast gland, so higher risk of capsular contracture. The animation is very noticeable with submuscular plane not dual plane if it's done right.
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Answer: Breast augmentation dual plane or subglandular I have performed dual plane since the technique was available and never went back to subglandular especially someone who is as thin as you are. You don't have enough fat under the skin to hide the top edge of the implant, the implant will only be held by your skin which is already so loose and will sag quicker and the implant will be next to the breast gland, so higher risk of capsular contracture. The animation is very noticeable with submuscular plane not dual plane if it's done right.
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Answer: Are muscular women at a higher risk of animation deformation with submuscular implants? Hello, You may ask 10 doctors the same question but you may get 10 different answers. If you like to workout or have a labor intensive job I may suggest going on top of the muscle. There would be no muscle animation and less risk of implant displacement. All the best, Dr. Joe
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Answer: Are muscular women at a higher risk of animation deformation with submuscular implants? Hello, You may ask 10 doctors the same question but you may get 10 different answers. If you like to workout or have a labor intensive job I may suggest going on top of the muscle. There would be no muscle animation and less risk of implant displacement. All the best, Dr. Joe
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March 21, 2024
Answer: Implant placement Dear Onelove79, 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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March 21, 2024
Answer: Implant placement Dear Onelove79, 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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March 13, 2024
Answer: Surgery Implants placed behind the breast will give some animation deformity when the muscles are contracted. with your anatomy, I would suggest placing them behind the muscle for better upper breast fullness, coverage, and support. the animation is mainly noticed when you are nude. If that is a big issue for you, then have them placed in front of the muscle. However, you may see the implant edge, will have less upper breast fullness, and less support to your implants.
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March 13, 2024
Answer: Surgery Implants placed behind the breast will give some animation deformity when the muscles are contracted. with your anatomy, I would suggest placing them behind the muscle for better upper breast fullness, coverage, and support. the animation is mainly noticed when you are nude. If that is a big issue for you, then have them placed in front of the muscle. However, you may see the implant edge, will have less upper breast fullness, and less support to your implants.
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March 9, 2024
Answer: Sub muscular animation is a problem, but there are options. There can be more problems with animation if the implant is placed below your pectoral muscle. It is far less likely above the muscle. A dual plane approach for breast augmentation is still placing the implant below the muscle, although the muscle is partially divided. With only a small amount of breast tissue, like you have, the animation of the implant would be more evident because there is less tissue to camouflage it. You may wish to meet with additional plastic surgeons to get additional opinions as to which way would be the best way forward for you. Best wishes.
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March 9, 2024
Answer: Sub muscular animation is a problem, but there are options. There can be more problems with animation if the implant is placed below your pectoral muscle. It is far less likely above the muscle. A dual plane approach for breast augmentation is still placing the implant below the muscle, although the muscle is partially divided. With only a small amount of breast tissue, like you have, the animation of the implant would be more evident because there is less tissue to camouflage it. You may wish to meet with additional plastic surgeons to get additional opinions as to which way would be the best way forward for you. Best wishes.
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March 8, 2024
Answer: Pre pec vs sub pec I can see how that would be confusing. One of the joys of plastic surgery is there is not just one to do something, and neither is necessarily incorrect. Generally speaking, patients who flex their chest muscles (i.e. body builders or entertainers) animation deformity can be problematic. If that is not you, then it should not be a problem. You can have submuscular or dual plane placement with minimal movement of the implant; however, a submuscular implant will almost always move to some degree when flexing the chest muscles. For patients with limited upper pole or superior breast fullness, such as yourself, a pre pectoral implant may be more prominent and show rippling or visibility of the implant capsule. A dual plane approach allows the implant to fill out the lower portion of the breast tissue while providing superior pole coverage. I hope this helps!
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March 8, 2024
Answer: Pre pec vs sub pec I can see how that would be confusing. One of the joys of plastic surgery is there is not just one to do something, and neither is necessarily incorrect. Generally speaking, patients who flex their chest muscles (i.e. body builders or entertainers) animation deformity can be problematic. If that is not you, then it should not be a problem. You can have submuscular or dual plane placement with minimal movement of the implant; however, a submuscular implant will almost always move to some degree when flexing the chest muscles. For patients with limited upper pole or superior breast fullness, such as yourself, a pre pectoral implant may be more prominent and show rippling or visibility of the implant capsule. A dual plane approach allows the implant to fill out the lower portion of the breast tissue while providing superior pole coverage. I hope this helps!
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