I've chosen sub-muscular placement for my breast implants, but I want to clearly understand the best technique for placement. Some surgeons say they can avoid cutting the muscle by splitting along the muscle fibers and inserting the upper part of the implant under the upper portion of the muscle and laying the lower part of the implant atop the muscle (pectoralis). This avoids detaching or cutting across the muscle which worries me because I'm athletic.
Answer: Muscle Modification with Breast Augmentation
Hi there-
Here are my thoughts....
There is no doubt in my mind that (unless you are a body builder and lift heavy weights for hours each day) you will be better off in the long term if your implants are placed under your muscle. Even though you are athletic.
The muscle modification that occurs in the average operation is NOT enough to permanently affect a patient's ability to engage in sporting activities, or limit her performance in them. I personally have several professional athletes as patients- all of them have implants under the muscle, and they are all able to do what they do without a problem.
The degree of modification is ideally individualized to the needs of each patient, in order for each patient to achieve her optimal outcome and as close an approximation as possible to her goals. Limiting your surgeon's ability to perform an important aspect of the surgery would not be in your best interests...
In other words, if you are able to dictate what happens to you muscle during surgery, but after surgery your breasts look funny or ugly to you, will you be happy? I doubt it....
It is very important that rather than focus on the details of what will happen in the operation, you spend that energy finding a surgeon you can trust and that you like and can get along with.
Once you've found such a surgeon, communicate your goals and concerns- then trust them to do what they do.
Honestly, some of the worst outcomes I have seen, in the most unhappy patients, have been when the patient was able to find a surgeon willing to alter what they would normally do to accommodate what the patient thought was in her best interests...
Here is some advice on how to best find a surgeon:
Helpful 3 people found this helpful
Answer: Muscle Modification with Breast Augmentation
Hi there-
Here are my thoughts....
There is no doubt in my mind that (unless you are a body builder and lift heavy weights for hours each day) you will be better off in the long term if your implants are placed under your muscle. Even though you are athletic.
The muscle modification that occurs in the average operation is NOT enough to permanently affect a patient's ability to engage in sporting activities, or limit her performance in them. I personally have several professional athletes as patients- all of them have implants under the muscle, and they are all able to do what they do without a problem.
The degree of modification is ideally individualized to the needs of each patient, in order for each patient to achieve her optimal outcome and as close an approximation as possible to her goals. Limiting your surgeon's ability to perform an important aspect of the surgery would not be in your best interests...
In other words, if you are able to dictate what happens to you muscle during surgery, but after surgery your breasts look funny or ugly to you, will you be happy? I doubt it....
It is very important that rather than focus on the details of what will happen in the operation, you spend that energy finding a surgeon you can trust and that you like and can get along with.
Once you've found such a surgeon, communicate your goals and concerns- then trust them to do what they do.
Honestly, some of the worst outcomes I have seen, in the most unhappy patients, have been when the patient was able to find a surgeon willing to alter what they would normally do to accommodate what the patient thought was in her best interests...
Here is some advice on how to best find a surgeon:
Helpful 3 people found this helpful
Answer: Possible to Get Under Muscle Breast Implants Without Cutting Muscle
Possible to Get Under Muscle Breast Implants Without Cutting Muscle? Yes, it is possible but not desireable
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Answer: Possible to Get Under Muscle Breast Implants Without Cutting Muscle
Possible to Get Under Muscle Breast Implants Without Cutting Muscle? Yes, it is possible but not desireable
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October 25, 2018
Answer: Split muscle technique avoids cutting the muscle for implants under The split muscle technique was specifically designed to avoid having to cut the muscle attachment on the ribs, which is done with the "dual plane" and every other version of implants under. When the muscle is detached this way, it may contribute to animation deformities when the muscle flexes. The split muscle technique leaves all of the attachments of the muscle intact, so function is not compromised, the breast doesn't distort as much with activity, and you still have coverage in the upper portion where it is most needed. The part that is left behind the implant would provide coverge in the middle, where the breast tissue is so the extra muscle coverage isn't as important. I developed the split muscle technique more than 6 years ago specifically for athletic women, and have done about 500 cases now. There is no other way to avoid cutting the muscle.
Helpful 1 person found this helpful
October 25, 2018
Answer: Split muscle technique avoids cutting the muscle for implants under The split muscle technique was specifically designed to avoid having to cut the muscle attachment on the ribs, which is done with the "dual plane" and every other version of implants under. When the muscle is detached this way, it may contribute to animation deformities when the muscle flexes. The split muscle technique leaves all of the attachments of the muscle intact, so function is not compromised, the breast doesn't distort as much with activity, and you still have coverage in the upper portion where it is most needed. The part that is left behind the implant would provide coverge in the middle, where the breast tissue is so the extra muscle coverage isn't as important. I developed the split muscle technique more than 6 years ago specifically for athletic women, and have done about 500 cases now. There is no other way to avoid cutting the muscle.
Helpful 1 person found this helpful
December 5, 2015
Answer: Implants under rhe muscle
For the implants to sit properly, you need to divide the lower border of the pectoralis muscle. If you do not, the implants will sit too high.
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December 5, 2015
Answer: Implants under rhe muscle
For the implants to sit properly, you need to divide the lower border of the pectoralis muscle. If you do not, the implants will sit too high.
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May 23, 2010
Answer: Development of the dual plane will not compromise your pectoralis major muscle
As the other consultants have outlined, in development of the subpectoral, submuscular or dual plane pocket, most surgeons will release, divide or cut the muscle's attachments to the breast bone to ensure that the implant settles on the front of your chest wall and does not "lateralize" when you press your hands on your hips.
I would agree that even in the most athletic patients, this surgical manuever does not compromise their ability to exercise, post-op. Apart from the obvious recruitment of additional soft tissue (muscle) over the implant, which masquerades wrinkling and rippling, the dual plane is preferred because of the lower rate of capsular contracture and improved mammographic surveillance.
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May 23, 2010
Answer: Development of the dual plane will not compromise your pectoralis major muscle
As the other consultants have outlined, in development of the subpectoral, submuscular or dual plane pocket, most surgeons will release, divide or cut the muscle's attachments to the breast bone to ensure that the implant settles on the front of your chest wall and does not "lateralize" when you press your hands on your hips.
I would agree that even in the most athletic patients, this surgical manuever does not compromise their ability to exercise, post-op. Apart from the obvious recruitment of additional soft tissue (muscle) over the implant, which masquerades wrinkling and rippling, the dual plane is preferred because of the lower rate of capsular contracture and improved mammographic surveillance.
Helpful