my friend went under the breast muscle w/ her implants...but now it looks rippling on the bottom. During consultation with a respected plastic surgeon in LA he told me under the pectoral muscle is much better... less risk from capsular contracture, safer for breast cancer screening, more natural (less stripper looking...his words, not mine!). Thoughts?
December 21, 2017
Answer: Implant Placement Hello,Thank you for your question. The answer to this is really patient specific. In a primary augmentation for someone with firm skin and small breasts, sub pectoral placement makes the most sense for many reasons, including less palpability and a more natural look. The animation deformity which can present itself is a drawback to this position. In very thin patients with thin breast skin, rippling may be seen or felt in the lower breast pole regardless of placement because this portion of the implant will not be covered by muscle either way. For my patients who have adequate fat and breast tissue and a slightly deflated or drooping breast appearance, I may recommend sub glandular placement instead to provide a perkier look. This advice is based on an in-person exam and detailed discussion of the patient's aesthetic goals.I recommend that you let your plastic surgeon know what you want to achieve and what your concerns are when choosing implant placement.All the best
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December 21, 2017
Answer: Implant Placement Hello,Thank you for your question. The answer to this is really patient specific. In a primary augmentation for someone with firm skin and small breasts, sub pectoral placement makes the most sense for many reasons, including less palpability and a more natural look. The animation deformity which can present itself is a drawback to this position. In very thin patients with thin breast skin, rippling may be seen or felt in the lower breast pole regardless of placement because this portion of the implant will not be covered by muscle either way. For my patients who have adequate fat and breast tissue and a slightly deflated or drooping breast appearance, I may recommend sub glandular placement instead to provide a perkier look. This advice is based on an in-person exam and detailed discussion of the patient's aesthetic goals.I recommend that you let your plastic surgeon know what you want to achieve and what your concerns are when choosing implant placement.All the best
Helpful 1 person found this helpful
December 4, 2017
Answer: Above or below muscle I agree with the plastic surgeon you saw in LA. Under the muscle is better in my opinion for all the reasons listed in your post. I also feel the implant looks more natural. Yes the lower pole of the breast may have some palpability of the implant because in that area the muscle does not cover the implant but this is better than the whole implant being palpable
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December 4, 2017
Answer: Above or below muscle I agree with the plastic surgeon you saw in LA. Under the muscle is better in my opinion for all the reasons listed in your post. I also feel the implant looks more natural. Yes the lower pole of the breast may have some palpability of the implant because in that area the muscle does not cover the implant but this is better than the whole implant being palpable
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May 8, 2017
Answer: Should Breast Implants Be Placed Under or over the Muscle? I think the shape of the person's breasts, their weight, and their lifestyle has a lot to do with where to place the breast implant. Most of the time, I place the implant under the pectoralis muscle. This is one additional layer of tissue that helps with creating a natural appearing shape. This is especially true for very thin patients and patients who do not have a significant inframammary fold. For patient's who have a borderline droopy breast with a bit higher body mass index, placing the implant over the muscle can look beautiful especially with using a silicone filled implant. In these patients, the risk of a double bubble phenomenon would be lower by placing the implant over the muscle without the need to perform a breast lift. For an avid workout fiend, using an anatomically shaped implant over the muscle may allow the patient to work out as she desires without the muscle impacting the shape of her breasts. I would recommend you get a few different opinions on this relatively controversial topic by seeing a few board certified plastic and reconstructive surgeons. Things are always changing in our field and individualizing treatments seems to be the best way to approach the care of patients.
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May 8, 2017
Answer: Should Breast Implants Be Placed Under or over the Muscle? I think the shape of the person's breasts, their weight, and their lifestyle has a lot to do with where to place the breast implant. Most of the time, I place the implant under the pectoralis muscle. This is one additional layer of tissue that helps with creating a natural appearing shape. This is especially true for very thin patients and patients who do not have a significant inframammary fold. For patient's who have a borderline droopy breast with a bit higher body mass index, placing the implant over the muscle can look beautiful especially with using a silicone filled implant. In these patients, the risk of a double bubble phenomenon would be lower by placing the implant over the muscle without the need to perform a breast lift. For an avid workout fiend, using an anatomically shaped implant over the muscle may allow the patient to work out as she desires without the muscle impacting the shape of her breasts. I would recommend you get a few different opinions on this relatively controversial topic by seeing a few board certified plastic and reconstructive surgeons. Things are always changing in our field and individualizing treatments seems to be the best way to approach the care of patients.
Helpful 2 people found this helpful
