Do over the muscle implants sag/hang faster? (photos)

Question

Hi! So I have been to my consultation and they want me to get over the muscle. Motiva Round, 625cc's, FULL profile. I have low cheast and my boobs have sagging/hang. He told me I also can go under the muscle IF I want to, so now I'm not sure what to do. Yes I do want I more fake look, but I'm scared that if I take OVER that they will sag really fast, and I'm scared if I take UNDER that I will get dobble booble or anything like that. Do over sag/hang faster?? My surgery will be june 21st!

Donald R. Revis Jr, MD · Answer

Good afternoon,
Definitely go under the muscle- overs will sag and hang faster, mammograms aren't as good, and the capsular contracture rates are double. Under the muscle stays higher, perkier, for longer!

Caner Kacmaz, MD · Answer

Thank you for your question.

The breast, which is mainly composed of skin, adipose tissue and mammary gland, is fixed to the rib cage by the resistance of the skin and suspensory ligaments. If suspensory ligaments are loose and skin tension is low, a breast may sag regardless of its size. Even breasts with small volume may sag due to loosening of the skin and suspensory ligaments due to births and breastfeeding. At the same time, even though it is large, a breast with strong skin structure and ligaments might not sag. As a result, the characteristics and structure of each breast differ from one another.

Daniel Barrett, MD · Answer

Dear Katarina94,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Your breasts are too low on the chest wall for implants alone and you will need a lift.  The technique I recommend is a mini lift.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Based on your supplied images I think you need to have lift performed regardless of the position of the implant with respect to your chest muscle.  I would favor going under the muscle with a well-sized implant and a lift on top to minimize a double bubble deformity,

Do over the muscle implants sag/hang faster? (photos)

Answers (7)

Answer: Mini Lift with small implants or fat transfers

Answer: Mini Lift with small implants or fat transfers

Answer: Do over the muscle implants sag/hang faster?

Answer: Do over the muscle implants sag/hang faster?

Recommended reading

Everything you need to know about Breast Implants

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

Do over the muscle implants sag/hang faster? (photos)

Answers (7)

Answer: Mini Lift with small implants or fat transfers

Answer: Mini Lift with small implants or fat transfers

Answer: Do over the muscle implants sag/hang faster?

Answer: Do over the muscle implants sag/hang faster?

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

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