My surgeon is very experienced & has suggested a subglandular placement & mentor tall high moderate protection tear drop.I have decided to go with the 475cc. My question is, have I gone to big for over the muscle, and if I had children down the track with this size implant and choosing to go subglandular, will this cause a lot of sagging as the muscle isn’t holding it in place. I am a B cup.I have already had 1 child. I do have a lot of breast tissue in the upper pole
May 28, 2018
Answer: Implant placement Dear leeshore77,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
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May 28, 2018
Answer: Implant placement Dear leeshore77,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
Helpful 1 person found this helpful
May 28, 2018
Answer: DUAL-PLANE IMPLANT PLACEMENT FOR A MORE NATURAL APPEARANCE. Hello leeshore77, I appreciate your questions! One of the most important decisions prior to a breast augmentation procedure with implants is the selection of the breast implant pocket. In this respect, I favor Dual-Plane over both Partial Submuscular (under the muscle) and Subglandular (above the pectoralis muscle of the chest) breast augmentation, because Dual-Plane placement allows for a more natural appearance while keeping the benefits of having the muscle cover the implant. There’s also a reduced tendency for the breast implant to ride high, as well as a reduced tendency for the implant to lateralize. Among the disadvantages of placing the implant over the muscle (subglandularly) are the following: 1) implant palpability may occur when the patient’s breast soft tissues are very thin; thus, it is vital that the plastic surgeon assess the soft tissue of the breast before deciding to place the implant subglandularly, and 2) there’s a higher risk of seeing ripples (especially with saline breast implants) and capsular contracture (almost 1 in 4 women). On the other hand, under the muscle implant placement is typically more painful, have a significant risk of double-bubble or snoopy deformity of the breast, and it’s associated with a longer period of recovery, and more post-operative discomfort. With regards to size, the maximum implant size would depend on the base diameter of your breasts which will be measured by your plastic surgeon. Going beyond the recommended size based on your breast parameters is associated with higher complications. Discuss your thoughts about a future pregnancy and breast-feeding with your plastic surgeon in advance of your surgery date. This information may affect your choice of incision and implant placement. For example, a periareolar incision (around the edge of the nipple) may disturb your milk ducts. Hope this is helpful! Dr. De La Cruz.
Helpful 1 person found this helpful
May 28, 2018
Answer: DUAL-PLANE IMPLANT PLACEMENT FOR A MORE NATURAL APPEARANCE. Hello leeshore77, I appreciate your questions! One of the most important decisions prior to a breast augmentation procedure with implants is the selection of the breast implant pocket. In this respect, I favor Dual-Plane over both Partial Submuscular (under the muscle) and Subglandular (above the pectoralis muscle of the chest) breast augmentation, because Dual-Plane placement allows for a more natural appearance while keeping the benefits of having the muscle cover the implant. There’s also a reduced tendency for the breast implant to ride high, as well as a reduced tendency for the implant to lateralize. Among the disadvantages of placing the implant over the muscle (subglandularly) are the following: 1) implant palpability may occur when the patient’s breast soft tissues are very thin; thus, it is vital that the plastic surgeon assess the soft tissue of the breast before deciding to place the implant subglandularly, and 2) there’s a higher risk of seeing ripples (especially with saline breast implants) and capsular contracture (almost 1 in 4 women). On the other hand, under the muscle implant placement is typically more painful, have a significant risk of double-bubble or snoopy deformity of the breast, and it’s associated with a longer period of recovery, and more post-operative discomfort. With regards to size, the maximum implant size would depend on the base diameter of your breasts which will be measured by your plastic surgeon. Going beyond the recommended size based on your breast parameters is associated with higher complications. Discuss your thoughts about a future pregnancy and breast-feeding with your plastic surgeon in advance of your surgery date. This information may affect your choice of incision and implant placement. For example, a periareolar incision (around the edge of the nipple) may disturb your milk ducts. Hope this is helpful! Dr. De La Cruz.
Helpful 1 person found this helpful