I am considering a breast augmentation. I would like to consider above the muscle with silicone gel implants. One of my friends had above the muscle and they are one of the most natural I have seen. Would this be an option for me as I am 5 foot 8 and 58 kilos with small breasts, athletic and like to run and weight train. I am 47 with no children. I only want small maybe 250 - 300cc. Please advise thoughts and any recommendations on a surgeon would be much appreciated.
May 21, 2016
Answer: Good question. Most plastic surgeons recommend an "under the muscle"placement for two primary reasons: 1. The likelihood of capsular contracture (hardening or distortion) is less, and 2. The muscle tends to disguise the round counter of the implant in thin patients making it look more natural and less round a artificial. There is no doubt that above the muscle is a great operation when it works out. You are taking a bit more of a risk with the "above the muscle" option of needing revision surgery if the final result is not what you had hoped for. Plastic surgery is not risk free, regardless of the implant you select, the pocket placement, or the plastic surgeon you select to perform your surgery. An experienced board certified plastic surgeon will review all of your options with you. Make sure that you are consulting with a plastic surgeon whose aesthetics align with yours. And make sure that you communicate your visual endpoint with photos, not just with words like "natural", proportionate", "not too big", because all of these descriptions are notoriously subjective and inexact. Also, if you are not confident after your first consultation, don;t hesitate to schedule a second or even third. It is much easier and less expensive to do your due diligence ahead of time than to be disappointed with your outcome and undergo revision surgery. Best of luck to you.
Helpful 1 person found this helpful
May 21, 2016
Answer: Good question. Most plastic surgeons recommend an "under the muscle"placement for two primary reasons: 1. The likelihood of capsular contracture (hardening or distortion) is less, and 2. The muscle tends to disguise the round counter of the implant in thin patients making it look more natural and less round a artificial. There is no doubt that above the muscle is a great operation when it works out. You are taking a bit more of a risk with the "above the muscle" option of needing revision surgery if the final result is not what you had hoped for. Plastic surgery is not risk free, regardless of the implant you select, the pocket placement, or the plastic surgeon you select to perform your surgery. An experienced board certified plastic surgeon will review all of your options with you. Make sure that you are consulting with a plastic surgeon whose aesthetics align with yours. And make sure that you communicate your visual endpoint with photos, not just with words like "natural", proportionate", "not too big", because all of these descriptions are notoriously subjective and inexact. Also, if you are not confident after your first consultation, don;t hesitate to schedule a second or even third. It is much easier and less expensive to do your due diligence ahead of time than to be disappointed with your outcome and undergo revision surgery. Best of luck to you.
Helpful 1 person found this helpful
May 21, 2016
Answer: Below muscle I feel that below the muscle would be the best option and most of my patients have your body type and do very well with this. The most important thing is for you to have a nice shape, because the breast is already 'pretty' and you should preserve that, only with a fuller size. The upper 'slope' of the breast should look so natural that you can still wear sun dresses and halter tops and have the breast augmentation be your secret. I hope this helps.
Helpful 1 person found this helpful
May 21, 2016
Answer: Below muscle I feel that below the muscle would be the best option and most of my patients have your body type and do very well with this. The most important thing is for you to have a nice shape, because the breast is already 'pretty' and you should preserve that, only with a fuller size. The upper 'slope' of the breast should look so natural that you can still wear sun dresses and halter tops and have the breast augmentation be your secret. I hope this helps.
Helpful 1 person found this helpful
