Dual plane or over the muscle? (Photos)

Question

Hi, I’ve had 3 different consults and only 1 surgeon suggested over the muscle, the other two suggested dual plane. I am leaning towards dual since it has been suggested twice and because I don’t think I have enough breast tissue for OTM. However these are my concerns. 1. dual plane - i am wanting to eventually go back to doing shoulder presses and pull ups, but worried of the implant moving 2. Over the muscle - I just don’t think I enough breast tissue to make the implant look natural, worried of rippling Either option I would be doing Motiva approx 285cc. I’m approx 11.5cm width and about a 12a/b. Would love some advice as I’m quite stuck.

Don W. Griffin, MD · Answer

Thank you for your question. There is no right or wrong answer to your question as both are reasonable options. Over the muscle carries a higher risk of capsular contracture than dual plane placement in most studies, but does have less risk of animation deformity. The other drawback with over the muscle placement is increased palpability of the implant and wrinkling in thin patients. Your concern about weight lifting, specifically shoulder presses and pull ups, is not really an issue in the long term. It will not affect your ability to do either exercise once you have healed.

Ram Kalus, MD, FACS · Answer

Whenever possible I recommend “Above the Muscle” placement to avoid animation deformity (flexing of breasts with certain arm movements) and make for a more comfortable and faster recovery.

An examination in person would be required to specifically advise you but from your photos it appears you would be a candidate for implant placement above the muscle. Your surgeon can start with that approach and if he or she are concerned that the implants are too visible, he or she can convert to “under the muscle”.

I recommend you find photos of women’s breasts you find to be appealing g and share those photos with your surgeon. Best of luck to you.

Dual plane or over the muscle? (Photos)

Answers (2)

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