If I pole dance - should go with over or under the muscle implants?

Question

Hello, I'm thinking about having a breast enlargement since forever. Now I can finally afford it, however, I also love exercise and pole dancing. These two elements shape who I am and giving up on them is not an option. I need to know if after my surgery I will be able to pole dance again (I am intermediate to advanced level) or being able to do weightlifting. So, what should I do? Over or under muscle? The surgeon I spoke to never had pole dancer patients before. Thank you

Ted Eisenberg, DO, FACOS, FAACS · Answer

I advise my patients that at three weeks after surgery, it’s OK for you to do aerobic activity (treadmill, stationary bike, etc.), running and lower-body weight training. Women are usually comfortable doing arm exercises (upper-body weights) starting about six weeks after surgery. Among my patients are Triple Crown bodybuilders and kickboxers who go back into competition after getting implants. They start with light training at six weeks and heavier training after eight weeks. None of their implants has deflated. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Celal Alioglu, MD · Answer

Hello your pole dance will not matter where will be putten implants. It is important if you have breast tissues you will need to put on the muscle if not so under the muscle.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Thats excellent! So for exercise and exercise related pole dancing it is still completely safe to go under the muscle. It is for those who perform and have shows that they sometimes opt to go over the muscle to avoid animation deformity. Animation deformity is when you are activating your pec muscles while exercising and the implants under them shift and it can be apparent. So for performers and pole dancers and body builder competitors we go above the muscle.  Speak to your plastic surgeon about your concerns. Feel free to check out our website and youtube channel for more information.

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  I typically always recommend implants to be placed below the muscle.  I find they last longer cosmetically, look and feel much more natural then above the muscle implants.  Implants above the muscle tend to stretch out the skin over time and you can typically see more of the defect of an implant above the muscle.  I would recommend speaking with a Board Certified Plastic Surgeon in person to evaluate you and discuss your options.  Best of luck to you.

Anna Steve, MD · Answer

Breast implants can be placed above or below the muscle with excellent results. Placing breast implants below the muscle decreases risk of capsular contracture. Placing implants above the muscle avoid the risk of animation deformity. 
In women who perform a significant amount of body building that includes the chest muscles, sometimes breasts implants are preferentially placed above the muscle. 
Placing implants in either plane (above or below muscle) should not impact ability to engage in regular exercise or pole dancing after the recovery period.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to breast revision surgery. I have been in practice 28 years and have seen every aspect of breast augmentation surgery and perform breast augmentations commonly on fitness competitors. Over the years, the long term (over 5 years) changes associated with subglandular placement of implants is not near as good as submuscular placement. The common issues are implant wrinkling, slide down, and capsular contracture. in fact, it is rare for me to see breast with subglandular placement that don't have one of these issues. If you don't believe me, look at my gallery under breast revision "correction of long term change associated with implants on top of the muscle". I strongly recommend subpectoral/dual plane placement of your implants. Best wishes to you.

Ram Kalus, MD, FACS · Answer

Thank you for your question. I’ve actually had pole dancer patients

Daniel Barrett, MD · Answer

Dear Graceful414676,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Heather Vande Ven, DO · Answer

Deciding between over or under the muscle implants as a pole dancer would depend on various factors including your body type, personal preference, and the recommendations of your plastic surgeon. Here are some considerations for both options:1. Over the Muscle (Subglandular):• These implants are placed above the chest muscle but under the breast tissue.• Recovery time may be shorter compared to under the muscle placement.• Over the muscle implants may provide a more natural-looking result for some individuals.• However, they may be more visible, especially in thinner individuals, and may be more prone to capsular contracture (a tightening of scar tissue around the implant).2. Under the Muscle (Submuscular):• These implants are placed beneath the chest muscle.• They may provide a more natural-looking result, particularly for women with less breast tissue.• Under the muscle placement can offer better long-term support and may reduce the risk of capsular contracture.• However, the recovery period may be longer, and there could be temporary discomfort or restriction of movement in the chest area.For pole dancing specifically, the under-the-muscle placement might provide more support and stability, especially during strenuous movements that engage the chest muscles. However, it's essential to discuss your specific concerns and goals with your plastic surgeon. They can provide recommendations based on your body type, lifestyle, and activity level to help you make the best decision. Additionally, consider consulting with a pole dance instructor to understand how the implants may affect your performance and comfort level while dancing.

Michael Ablavsky, MD · Answer

Placing an implant under the muscle helps camouflage the implant shape, providing a smoother transition from the implant to your own chest and decreases the chance of rippling. One of the downsides to placing under the muscle is what is called animation deformity. As the muscle activates during exercise this can push on the implant causing it to move (animate). An in-person physical examination and consultation is important to establish your expectations and help choose a procedure that best meets them. Getting more than one opinion is always helpful.

If I pole dance - should go with over or under the muscle implants?

Answers (17)

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