Hi. What's the best, over or under muscle? I had two consultations with to different doctor that recommended different. One said that I was the perfect patient for over muscle. The other recommend under muscle, to avoid implants to «show» because i have small breasts and normally skinny. 285-300 round implants
Answer: Breasts In women who have little breast tissue, I recommend placing the implants behind the muscle for best long-term look with support for the weight of the implants and to avoid the implant edge or ball look.
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Answer: Breasts In women who have little breast tissue, I recommend placing the implants behind the muscle for best long-term look with support for the weight of the implants and to avoid the implant edge or ball look.
Helpful 1 person found this helpful
Answer: Over or under muscle? Hi, Choosing between over or under the muscle implant placement is complex. Firstly, it's essential to understand the terminology: "submuscular" means under the muscle; "subglandular" means under the breast tissue, over the muscle and muscle fascia; and "subfascial" means over the muscle but under the pectoralis fascia. A surgeon's experience and your body type heavily influence this decision. Surgeons often prefer the approach they've had the most success with for similar body types. If you have minimal chest tissue, submuscular placement helps avoid an unnatural, abrupt transition between the chest and breast. However, if you have good breast form and desire a small increase in size and projection, subglandular placement might be suitable. The subfascial approach, offering most advantages of submuscular placement without disturbing or injuring the muscle, is gaining popularity. For those who exercise regularly, over the muscle placement is recommended to prevent "animation deformity," where implants move laterally and inferiorly, potentially causing distortion, displacement, or flipping when contracting upper body muscles. Ultimately, discussing your aesthetic goals, anatomy, body type, and lifestyle with your surgeon is crucial for deciding the best implant placement. My comments and recommendations are solely based on your text and are subject to change. I always recommend a face-to-face consultation with a specialist to plan the treatment. Best wishes, Dr. Surmeli.
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Answer: Over or under muscle? Hi, Choosing between over or under the muscle implant placement is complex. Firstly, it's essential to understand the terminology: "submuscular" means under the muscle; "subglandular" means under the breast tissue, over the muscle and muscle fascia; and "subfascial" means over the muscle but under the pectoralis fascia. A surgeon's experience and your body type heavily influence this decision. Surgeons often prefer the approach they've had the most success with for similar body types. If you have minimal chest tissue, submuscular placement helps avoid an unnatural, abrupt transition between the chest and breast. However, if you have good breast form and desire a small increase in size and projection, subglandular placement might be suitable. The subfascial approach, offering most advantages of submuscular placement without disturbing or injuring the muscle, is gaining popularity. For those who exercise regularly, over the muscle placement is recommended to prevent "animation deformity," where implants move laterally and inferiorly, potentially causing distortion, displacement, or flipping when contracting upper body muscles. Ultimately, discussing your aesthetic goals, anatomy, body type, and lifestyle with your surgeon is crucial for deciding the best implant placement. My comments and recommendations are solely based on your text and are subject to change. I always recommend a face-to-face consultation with a specialist to plan the treatment. Best wishes, Dr. Surmeli.
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November 15, 2024
Answer: Implant placement Dear Pioneering26540, 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
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November 15, 2024
Answer: Implant placement Dear Pioneering26540, 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
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October 29, 2024
Answer: Over vs Under the muscle Thank you for your question! Over the muscle placement (subglandular) can create a fuller, rounder look without extra muscle involvement, which can sometimes be ideal for patients looking for a strong, noticeable upper pole fullness. For naturally smaller and leaner patients, there’s a higher chance that the implants may be more visible or feel less natural, especially in the upper part of the breast, which is why visibility can sometimes be a concern for patients with less breast tissue. However, under the muscle placement (submuscular) can provide a more natural look, especially for patients with small breasts and a lean build, as the muscle helps to camouflage the implant. In your case, the choice depends on your priority for either a fuller look with quicker recovery (over the muscle) or a more natural look with minimized implant visibility (under the muscle). Both options can be tailored to give great results, but based on your thin frame and small natural breast size, the recommendation for under the muscle might indeed help achieve a softer, more natural result.
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October 29, 2024
Answer: Over vs Under the muscle Thank you for your question! Over the muscle placement (subglandular) can create a fuller, rounder look without extra muscle involvement, which can sometimes be ideal for patients looking for a strong, noticeable upper pole fullness. For naturally smaller and leaner patients, there’s a higher chance that the implants may be more visible or feel less natural, especially in the upper part of the breast, which is why visibility can sometimes be a concern for patients with less breast tissue. However, under the muscle placement (submuscular) can provide a more natural look, especially for patients with small breasts and a lean build, as the muscle helps to camouflage the implant. In your case, the choice depends on your priority for either a fuller look with quicker recovery (over the muscle) or a more natural look with minimized implant visibility (under the muscle). Both options can be tailored to give great results, but based on your thin frame and small natural breast size, the recommendation for under the muscle might indeed help achieve a softer, more natural result.
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October 8, 2024
Answer: Over or under? I generally prefer to put the implant under the muscle for several reasons. Probably the most important consideration is how much tissue you have in the upper pole of your breast to hide and soften the implant appearance. If you pinch this area and have about 2 cm of tissue above the muscle, placing the implant over the muscle probably will not lead to issues of implant visibility. But then if a patient loses weight… Visibility may occur.
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October 8, 2024
Answer: Over or under? I generally prefer to put the implant under the muscle for several reasons. Probably the most important consideration is how much tissue you have in the upper pole of your breast to hide and soften the implant appearance. If you pinch this area and have about 2 cm of tissue above the muscle, placing the implant over the muscle probably will not lead to issues of implant visibility. But then if a patient loses weight… Visibility may occur.
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October 5, 2024
Answer: Options for breast implant placement. Whether to place your breast implants above or below your muscles depends upon your anatomy and your wishes and your understanding of the pluses and minuses of each choice. Most surgeons in the United States place the implant underneath the muscle. Many surgeons in Europe, place the implants above the muscle. As a general rule, patients who are thin, have minimal breast tissue and small breasts, are best served by placement of the implant under the muscle so that you gain one additional layer of coverage and camouflage of the edges of the implant. Placement of the implant under the muscle also helps to decrease the rate of capsular contracture, at least within the first 10 years. That said, with meticulous adherence to the 14 step protocol for minimizing capsular contracture that most plastic surgeons follow nowadays, the rate of capsule contracture and implants placed above the muscle as opposed to below the muscle is very close. Best wishes.
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October 5, 2024
Answer: Options for breast implant placement. Whether to place your breast implants above or below your muscles depends upon your anatomy and your wishes and your understanding of the pluses and minuses of each choice. Most surgeons in the United States place the implant underneath the muscle. Many surgeons in Europe, place the implants above the muscle. As a general rule, patients who are thin, have minimal breast tissue and small breasts, are best served by placement of the implant under the muscle so that you gain one additional layer of coverage and camouflage of the edges of the implant. Placement of the implant under the muscle also helps to decrease the rate of capsular contracture, at least within the first 10 years. That said, with meticulous adherence to the 14 step protocol for minimizing capsular contracture that most plastic surgeons follow nowadays, the rate of capsule contracture and implants placed above the muscle as opposed to below the muscle is very close. Best wishes.
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