Would it be safe to get under the muscle implants if you do intense mountain biking?

Question

I’m considering small (~200cc) silicone implants placed under the muscle. Subglandular not an option after explant due to capsular contracture. I do a lot of mountain biking (long, physically demanding trails that require a lot of upper body movement/strength) and would like opinions on whether sub muscular implants will be suitable given this - thanks for your help.

Richard Baxter, MD · Answer

Under muscle placement using the dual plane method is associated with animation deformity especially in athletic women. It has also been shown that you lose strength and function of the pectoral muscle. The muscle splitting technique preserves muscle function and allows for upper pole coverage. In the UK, Umar Khan in Kent is an expert in this procedure.

Daniel Barrett, MD · Answer

Dear CBB_111,
  
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 it’s not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle. 
  
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery
  
Member, American Society of Plastic Surgery
  
Member, American Society of Aesthetic Plastic Surgery

Tom J. Pousti, MD · Answer

I think it is in the best interests of most patients (including athletes) seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position.  This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look  of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability  of the implants (which may increase with time, weight loss, and/or post-pregnancy changes). The submuscular positioning  also tends to interfere with mammography less so than breast implants in the sub glandular position. The incidence of breast implant encapsulation (capsular  contraction)  is also decreased with implants placed in the sub muscular position. 
On the other hand,  sub glandular breast implant positioning does not have the potential downside of “animation deformity” ( movement/ distortion of the breast implants  seen with flexion of the  pectoralis major muscle)  that can be seen with breast implants placed in the sub muscular position.  My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as  well.   I find that the use of goal photographs and computer imaging are very helpful during this communication phase. Working together you will come up with a good plan to achieve your goals.  Best wishes.

Charles Nduka, MD · Answer

Since the surgery will greatly affect the pectoral muscles, it will weaken the muscle and may affect performance and strength. It will also add pressure on your muscles as they contract for long periods of time. However, some athletic patients have undergone the same procedure and were still able to do their sport to a certain degree. This would need an in-person examination. Schedule an appointment with a board certified plastic surgeon for a detailed discussion of your surgical options.

Jesus M. Abreu Monttero, MD · Answer

hello thank you for your question and provided information as well.based on your question it is difficult to evaluate your case without photos, my recommendation is a consultation in person with a certified plastic surgeon that sees you and evaluates what you need.

Would it be safe to get under the muscle implants if you do intense mountain biking?

Answers (9)

Answer: Would it be safe to get under the muscle implants if you do intense mountain biking?

Answer: Would it be safe to get under the muscle implants if you do intense mountain biking?

Answer: Would it be safe to get under the muscle implants if you do intense mountain biking?

Answer: Would it be safe to get under the muscle implants if you do intense mountain biking?

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Would it be safe to get under the muscle implants if you do intense mountain biking?

Answers (9)

Answer: Would it be safe to get under the muscle implants if you do intense mountain biking?

Answer: Would it be safe to get under the muscle implants if you do intense mountain biking?

Answer: Would it be safe to get under the muscle implants if you do intense mountain biking?

Answer: Would it be safe to get under the muscle implants if you do intense mountain biking?

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Recommended reading

Everything you need to know about Breast Implants

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