My implant size is 550cc silicone round. My main concern is that I do train a lot in the gym, I’m worried about this having an impact on implant shape etc if I go under the muscle. What is (in your opinion) my best option for implant placement? With the least risks for the future? (Current breast size in photos) Thanks in advance!
May 31, 2019
Answer: Under or over pectoralis major muscle best for breast augmentation surgery? Thank you for the question. It is extremely common to receive different opinions from different plastic surgeons about the best way to proceed. Each plastic surgeon may have his/her opinion that is based on their specific/unique education, experience, and personal preferences. Their opinions may also be shaped by unfavorable results they have encountered in their practices. There are pros and cons to the placement of breast implants in the “sub muscular” position versus the "sub glandular position”. 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. Best wishes with your upcoming surgery.
Helpful 1 person found this helpful
May 31, 2019
Answer: Under or over pectoralis major muscle best for breast augmentation surgery? Thank you for the question. It is extremely common to receive different opinions from different plastic surgeons about the best way to proceed. Each plastic surgeon may have his/her opinion that is based on their specific/unique education, experience, and personal preferences. Their opinions may also be shaped by unfavorable results they have encountered in their practices. There are pros and cons to the placement of breast implants in the “sub muscular” position versus the "sub glandular position”. 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. Best wishes with your upcoming surgery.
Helpful 1 person found this helpful
May 30, 2019
Answer: Caution with under muscle implants for weight training Over muscle implants will not cause animation deformity but may look unnatural when they are large and the patient is thin, as weight trainers often are. Under muscle placement with the dual plane will result in weakening of the pectoral muscles and often distortion with muscle activity. Consider the split muscle approach instead (also called muscle splitting biplane.)
Helpful 1 person found this helpful
May 30, 2019
Answer: Caution with under muscle implants for weight training Over muscle implants will not cause animation deformity but may look unnatural when they are large and the patient is thin, as weight trainers often are. Under muscle placement with the dual plane will result in weakening of the pectoral muscles and often distortion with muscle activity. Consider the split muscle approach instead (also called muscle splitting biplane.)
Helpful 1 person found this helpful