Subpectoral to subglandular implant change

Question

I currently have subpectoral 265cc textured implants. I've had capsular contracture twice in the past. I am at removing and replacing my implants subglandular, as I am very active and do a lot of weight training. I have a lot of natural breast tissue. Sometimes my current implants feel slightly too big. If I get the same size, will they look larger being placed subglandular? I am deciding between 240 & 265cc. I know the difference is negligible, I do no want much, if any, change.

Daniel Barrett, MD · Answer

Dear em_taurus91,
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 its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

Do not change to over the muscle, this will only increase your risk for CC, as well as for rippling and tissue stretch. So many women who are very active have their implants under the muscle without a problem. Having had CC twice makes me wonder how the surgeon (s) performed corrective surgery; that has more to do with your bad luck than implant placement.

Harry T. Haramis, MD, FACS · Answer

In my experience, over the muscle or subglandular is a good option in body builders and patients with issue submuscular.

History of repeat capsule contracture would be reduced with biological mesh over the implants above the muscle.

Subglandular gives a more natural look and avoids any muscle animation deformities. Same size May look slightly larger and 25cc not significant difference, would recommend same size.

Further exam and discussion with your/a plastic surgeon is recommended to best discuss options, expectations, etc.

Connie Hiers, MD, FACS · Answer

With having capsules before, I would suggest going a little smaller.  Also, there won't be as much support for these implants since they will be in front of the muscle.

Stephanie Dreckmann, MD · Answer

I frequently recommend placing implants subglandular in patients who are active and do a lot of weight training. I find it looks very natural and typically doesn't look larger being placed subglandular. If you feel the current ones are slightly too big, I'd go with the 240 cc ones.

Subpectoral to subglandular implant change

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Subpectoral to subglandular implant change

Answers (7)

Answer: Implants

Answer: Implants

Answer: Subglandular implants

Answer: Subglandular implants

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Recommended reading

Everything you need to know about Breast Implant Revision

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