M to F Transgender- Anatomical Shape over the Muscle?

Thank you for the question.

No, I generally advise all my breast  augmentation patients to have their procedures done in the partially submuscular position and use round breast implants.  In my opinion, there are a lot of advantages of placing implants in the submuscular position  and disadvantages in using anatomical shaped implants.

Although no technique,  placement of implant,  or type of implant is perfect I think the potential need for revisionary surgery is greater when implants are placed on top of the muscle and when anatomic implants are used. You will find other plastic surgeons who differ in their views.

I hope this helps.

While there are a number of special factors that need to be taken into account when considering breast augmentation in a M to F transgender patient, I do not believe that my basic "rules" for augmentation change.   I typically recommend sub-muscular placement of round implants.  Sub-muscular placement increases soft tissue coverage and camouflage of the implant while (probably) decreasing the risk of capsular contracture.  I have operated on a number of M to F transgender patients and find that the outcome is similar to that seen in small breasted (small A cup) female breast augmentation patients.   I have found that it often takes longer for the final shape and contour to emerge.

I did use a number of anatomically shaped implants in the past, but did not find any advantage to their use.  In fact, if the implant rotated in the pocket the outcome was compromised.   You should carefully consider the available information and your reasons for wanting subglandular-anatomical implants before proceeding.  Talk to your surgeon and get another opinion if appropriate.  Good luck.