I had my 2nd consultation and agreed with my surgeon that 225cc, round implant, high profile and over the muscle would be best suited to me. I am 5'3, petite size 6, 7 and a half stone, 32A. I mentioned to my surgeon about having the implant under the muscle as this seems more common/preferred but he said as I am getting a small implant and I have enough room for it that over the muscle would be better. He also mentioned that unders do not reduce the risk of capsulating... thoughts?
November 23, 2016
Answer: Under or over pec major for breast implant placement Thank you for the question. There are pros and cons to the placement of breast implants in the “sub muscular” position versus the "sub glandular position”. I will try to outline some of the differences here; you may find the attached link helpful as well. I think it is in the best interests of most patients 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 these sub muscular position. Best wishes with your decision-making and for an outcome that you will be very pleased with.
Helpful
November 23, 2016
Answer: Under or over pec major for breast implant placement Thank you for the question. There are pros and cons to the placement of breast implants in the “sub muscular” position versus the "sub glandular position”. I will try to outline some of the differences here; you may find the attached link helpful as well. I think it is in the best interests of most patients 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 these sub muscular position. Best wishes with your decision-making and for an outcome that you will be very pleased with.
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November 23, 2016
Answer: Implant position It is commonly recognized, and discussed in the literature that implants under the muscle have a lower rate of capsular contracture. Also they are in a better position for reading mammograms down the line.
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November 23, 2016
Answer: Implant position It is commonly recognized, and discussed in the literature that implants under the muscle have a lower rate of capsular contracture. Also they are in a better position for reading mammograms down the line.
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