I am 35 year old mother of two breast fed infants left with with saggy size B breasts. I keep reading that UNDER the muscle is a better choice but my surgeon has recommended over the muscle. WHY?
Answer: Implants or lift?
The key word in your post is "saggy." You did not include a photo so let's go by that description. Implants alone will add volume to your breasts but they will not lift them. That requires a breast lift procedure. If you are saggy and you put implants under your chest muscle then the implants will sit too high on your chest wall. If you place them above the chest muscle then they will settle down to where your breast tissue is located. Then you will be larger but still saggy. If that would make you happy then that would be an option for you. If you are truly saggy, however, and you want a perkier look to your breasts then I would suggest a breast lift with or without implants placed under the chest muscle. The trade-off would be additional scars to the breasts. Bigger and still saggy or perkier with more scarring? That is the question you need to consider.
Helpful 1 person found this helpful
Answer: Implants or lift?
The key word in your post is "saggy." You did not include a photo so let's go by that description. Implants alone will add volume to your breasts but they will not lift them. That requires a breast lift procedure. If you are saggy and you put implants under your chest muscle then the implants will sit too high on your chest wall. If you place them above the chest muscle then they will settle down to where your breast tissue is located. Then you will be larger but still saggy. If that would make you happy then that would be an option for you. If you are truly saggy, however, and you want a perkier look to your breasts then I would suggest a breast lift with or without implants placed under the chest muscle. The trade-off would be additional scars to the breasts. Bigger and still saggy or perkier with more scarring? That is the question you need to consider.
Helpful 1 person found this helpful
September 10, 2013
Answer: Avoid over muscle implants in saggy breasts
Unfortunately, you have not provided any photographs but describe yourself as a saggy B. If the implant is placed in front of the muscle, the additional weight will stretch the saggy envelope even more and you will be dissatisfied. There is a new technique called Breast Augmentation with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant. Small silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision.
Best Wishes,
Gary Horndeski, M.D.
Helpful
September 10, 2013
Answer: Avoid over muscle implants in saggy breasts
Unfortunately, you have not provided any photographs but describe yourself as a saggy B. If the implant is placed in front of the muscle, the additional weight will stretch the saggy envelope even more and you will be dissatisfied. There is a new technique called Breast Augmentation with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant. Small silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision.
Best Wishes,
Gary Horndeski, M.D.
Helpful
September 9, 2013
Answer: Under the Muscle Vs. over the Muscle?
It is impossible to tell without a picture but i like under muscle +- a lift. The muscle helps to hide the implant and prevent rippling. Over the muscle is not the wrong choice, just another opinion.
Helpful
September 9, 2013
Answer: Under the Muscle Vs. over the Muscle?
It is impossible to tell without a picture but i like under muscle +- a lift. The muscle helps to hide the implant and prevent rippling. Over the muscle is not the wrong choice, just another opinion.
Helpful
September 9, 2013
Answer: Saggy breasts
Hello there and thank you for your kind question
The key term you used here is 'saggy' and as I am sure other surgeons will mention, if you do not have an associated uplift to cope with the excess skin you may have a less than ideal result if you go under the muscle. You obviously have an expanded skin envelope following breast feeding and this needs to be filled out adequately. The best way to do this is by going on top of the muscle. I am sure your surgeon has also discussed the limitations of this method too. Good luck!
Paul Banwell
Helpful
September 9, 2013
Answer: Saggy breasts
Hello there and thank you for your kind question
The key term you used here is 'saggy' and as I am sure other surgeons will mention, if you do not have an associated uplift to cope with the excess skin you may have a less than ideal result if you go under the muscle. You obviously have an expanded skin envelope following breast feeding and this needs to be filled out adequately. The best way to do this is by going on top of the muscle. I am sure your surgeon has also discussed the limitations of this method too. Good luck!
Paul Banwell
Helpful
Answer: Breast Implants Under Muscle vs. Over Muscle Thank you for your question. Although there are advantages to placement of breast implants beneath the chest muscle, as discussed by other physicians answering this question, depending on the shape of your breasts, under the muscle placement can not always the done alone.If after pregnancy your breasts have sagged, and the nipple and areola are below the inframammary crease, that is the fold underneath your breast, then placing breast implants under the chest muscle may result in the nipple areola being pushed further down and creating an unusual appearance called the "snoopy deformity."If breast ptosis or sagging breast is present a breast lift or dermal mastopexy must be performed first to restore the nipple areola to a proper location before breast implants can be placed beneath the chest muscle. Some surgeons do both of these operations at the same time although many prefer to do the breast augmentation first, allow the implant to settle and then do the breast lift as a second procedure 3-6 months later.In patients who do not want to have the scarring associated with a breast lift and if the breast ptosis is not too severe, some surgeons prefer to place the breast implant under the breast gland and over the muscle which allows the implant to settle or fall down into the breast and avoid the "snoopy deformity".These issues are discussed further in the link to the article below.Be sure to consult a plastic surgeons who are certified by the American Board of Plastic Surgery, experienced in cosmetic breast surgery and to have an excellent reputation in your community.
Helpful 1 person found this helpful
Answer: Breast Implants Under Muscle vs. Over Muscle Thank you for your question. Although there are advantages to placement of breast implants beneath the chest muscle, as discussed by other physicians answering this question, depending on the shape of your breasts, under the muscle placement can not always the done alone.If after pregnancy your breasts have sagged, and the nipple and areola are below the inframammary crease, that is the fold underneath your breast, then placing breast implants under the chest muscle may result in the nipple areola being pushed further down and creating an unusual appearance called the "snoopy deformity."If breast ptosis or sagging breast is present a breast lift or dermal mastopexy must be performed first to restore the nipple areola to a proper location before breast implants can be placed beneath the chest muscle. Some surgeons do both of these operations at the same time although many prefer to do the breast augmentation first, allow the implant to settle and then do the breast lift as a second procedure 3-6 months later.In patients who do not want to have the scarring associated with a breast lift and if the breast ptosis is not too severe, some surgeons prefer to place the breast implant under the breast gland and over the muscle which allows the implant to settle or fall down into the breast and avoid the "snoopy deformity".These issues are discussed further in the link to the article below.Be sure to consult a plastic surgeons who are certified by the American Board of Plastic Surgery, experienced in cosmetic breast surgery and to have an excellent reputation in your community.
Helpful 1 person found this helpful