Over and under the muscle - high profile or mod+? (Photo)

Question

Hi there! I am looking to do my breast and need some help. I am 29 with no children but I recently loss 20-30lbs. I went for a consultation and need a second opinion. Current breast size is 34c. I am looking to get the highest profile - 600cc gummies. I was recommended : mod+, 600cc over the muscle through the nipple. I am not looking for a natural look otherwise Id keep my own. So my questions are : Should I do mod+ or high profile Should I do over the muscle or under

Leland Deane, MD, FACS · Answer

First let's look at your present situation, before jumping to implant size.1. Your breasts are ptotic and an implant alone will not provide much lift, no matter what size or position2. You are young and haven't had children yet. The expectation is that , sometime in the future, you will have kids and the breast shape and size will change further3. You want to minimize scarring now, and maximize resultThe trap is to rely on large implants to do too many things at once. The breast augmentation procedure itself has been said to have as hight as 40% complication rate and most of these problems are due to implant size (too large) and malposition.You should go on several consultation visits with surgeons with at least 25 years of experience to get the best information. The decision you make now will affect you over the rest of your lift.Hope this helps,Leland Deane MD FACS

Michael Kreidstein, MD, FRCS(C) · Answer

Any advice you receive without a full consultation and examination must be considered incomplete, but putting a 600 cc implant under muscle will be damaging to the muscle and create significant movement artefact.  You have enough breast tissue to put implant over muscle.  Nipple or areolar incisions have many disadvantages, and you would be best served by an infra-mammary approach.  The implant profile could only be recommended following a bio-dimensional assessment in office.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. There are several advantages
and disadvantages to over vs under the muscle.  Under the muscle has the
advantage of lower capsular contracture rates, less risk of rippling, and
better visualization with future mammograms.  Most patients say that under
the muscle also has a more natural look and feel.  The size, shape,
and profile of the implant is based on your desired breast
size/shape, your chest wall measurements, and soft tissue quality. 
This decision should be based on a detailed discussion with
equal input from both you and your surgeon.  This entire surgery can be performed with a
small incision technique.  Make sure you specifically look at before
and after pictures of real patients who have had this surgery performed by your
surgeon and evaluate their results.   The
most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Ali Adibfar, MD, DDS · Answer

Hello Based on the limited photo you have submitted you may be rather a candidate for s breastlift .Getting such a large implant placed above the muscle through an areolar incision may lead to long term unsatisfactory results with higher chance of need for future revisions.Best for you to do a few more consultations.Thank you

Maisam Fazel, MA, MBBChir, FRCS · Answer

Thank you for your question. based on your pictures, I would suggest you consider a breast lift with implants. If you just have a breast augmentation, you will end up with fuller breasts but with the nipple facing downwards and an overall poor breast shape. If you do decide to have a breast lift as well, I would suggest using moderate profile implants. Again, from what I can see, you appear to have enough breast tissue to allow the implant to be placed over the muscle.

Over and under the muscle - high profile or mod+? (Photo)

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Over and under the muscle - high profile or mod+? (Photo)

Answers (9)

Answer: Breast Augmentation Toronto Plastic Surgeon Dr. Adibfar

Answer: Breast Augmentation Toronto Plastic Surgeon Dr. Adibfar

Answer: Under or over the muscle?

Answer: Under or over the muscle?

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Our mission is to create a world where every investment in modern beauty is Worth It.