Slender, 48, 5”1, 100 lbs If I decide to move forward with the revision and avoid the shape of the breasts change due to lifting weights, should I go on top of the muscles. I’m worried of seeing ribles on the top since I’m skinny. Should I go 250cc or 275cc silicon high profile on top of muscles to avoid shape change due to lifting weights? I do not want to have 2 stand up head lights but do not want it’s small and not have enough volumn. I understand the pros and cons of both.Not sure which one
Answer: Implant exchange? It is my understanding that you already have implant, right? In that case, it would be best to keep them in the same pocket if you do not have any issue with mucle show. However, if you do not have implants, based on these photos, you can have them placed both on top or under the muscle. Difference between 250 and 275 ml. implants would be barely noticable. Only on the basis of in person consultation one could give you more direct answer. Hope this helps.
Helpful 1 person found this helpful
Answer: Implant exchange? It is my understanding that you already have implant, right? In that case, it would be best to keep them in the same pocket if you do not have any issue with mucle show. However, if you do not have implants, based on these photos, you can have them placed both on top or under the muscle. Difference between 250 and 275 ml. implants would be barely noticable. Only on the basis of in person consultation one could give you more direct answer. Hope this helps.
Helpful 1 person found this helpful
Answer: Implant placement Dear DNP, 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Helpful
Answer: Implant placement Dear DNP, 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Helpful
April 10, 2023
Answer: Implants Stay behind the muscle or at least the fascia to avoid seeing ripples and the implant edge. Since they are behind the muscle now, you still may see some muscle movement even if placed in front of the muscle.
Helpful
April 10, 2023
Answer: Implants Stay behind the muscle or at least the fascia to avoid seeing ripples and the implant edge. Since they are behind the muscle now, you still may see some muscle movement even if placed in front of the muscle.
Helpful
April 5, 2023
Answer: Make sure muscle is re-attached when goin under to over breast implants If your concern is animation deformity from using your pectoral muscle, then make sure it is re-attached when replacing the implants from under to over muscle or the problem can persist. Because you will have less coverage with over muscle placement, there are a few things you can do to minimize visible rippling: First, stay with moderate profile not high profile; and second, consider a more cohesive gel such as Sientra HSC+ or Allergan cohesive.
Helpful
April 5, 2023
Answer: Make sure muscle is re-attached when goin under to over breast implants If your concern is animation deformity from using your pectoral muscle, then make sure it is re-attached when replacing the implants from under to over muscle or the problem can persist. Because you will have less coverage with over muscle placement, there are a few things you can do to minimize visible rippling: First, stay with moderate profile not high profile; and second, consider a more cohesive gel such as Sientra HSC+ or Allergan cohesive.
Helpful
March 31, 2023
Answer: Should I switch to over the muscle implants to avoid shape change due to lifting weights? Submuscular implant placement results in animation deformity. Placing implant above the muscle eliminates animation on muscle contraction.If the tissues are thin ,I add an absorbable mesh and fat grafting.
Helpful
March 31, 2023
Answer: Should I switch to over the muscle implants to avoid shape change due to lifting weights? Submuscular implant placement results in animation deformity. Placing implant above the muscle eliminates animation on muscle contraction.If the tissues are thin ,I add an absorbable mesh and fat grafting.
Helpful
March 30, 2023
Answer: Explant with Bellesoma Method Your breasts have fallen over the years. You need a lift more than switching position of the implants. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
Helpful
March 30, 2023
Answer: Explant with Bellesoma Method Your breasts have fallen over the years. You need a lift more than switching position of the implants. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
Helpful