I have met with 2 Plastic surgeons. Both recommend under the muscle placement. One doctor (who has yrs more experience) says he will have to "disect" the muscle from the sternal border and may have to "weaken" or disect the bottom of the muscle to allow the implant to fill out my breast tissue due to sagging after nursing. The 2nd doctor said he would not have to cut the muscle and would only lift it, also that he wouldn't have to disect the middle. I'm not sure which to choose and which I need?
Answer: Submuscular augmentation technique The submuscular placement does involve dissecting the pectoralis major muscle along its lower chest wall attachments up to the sternal bone, so the muscle is "cut". Without that the muscle would push the implants superiorly and it may take a while for the implants to settle into their optimal position on the chest wall.
Helpful
Answer: Submuscular augmentation technique The submuscular placement does involve dissecting the pectoralis major muscle along its lower chest wall attachments up to the sternal bone, so the muscle is "cut". Without that the muscle would push the implants superiorly and it may take a while for the implants to settle into their optimal position on the chest wall.
Helpful
April 1, 2015
Answer: Your first doctor is correct. Although there are variations in anatomy, the vast majority of patients undergoing sub pectoral breast augmentation, almost without exception, will need the inferior most fibers of the muscle released from their attachments to the ribs and lower sternum. That being said, the exact operation you would most benefit from can only be determined in person with a proper physical examination by a board certified plastic surgeon experienced in aesthetic breast surgery. Best of luck to you.
Helpful
April 1, 2015
Answer: Your first doctor is correct. Although there are variations in anatomy, the vast majority of patients undergoing sub pectoral breast augmentation, almost without exception, will need the inferior most fibers of the muscle released from their attachments to the ribs and lower sternum. That being said, the exact operation you would most benefit from can only be determined in person with a proper physical examination by a board certified plastic surgeon experienced in aesthetic breast surgery. Best of luck to you.
Helpful
April 1, 2015
Answer: Does the muscle have to be "cut" for submuscular or "dual plane" placement? Most doctors who do subpectoral implant placement do release the muscle along the sternal border and inferior breast to allow the implant to round out medially. When the muscle is not released, the breast tend to look flatter medially and there is more displacement of the implants laterally with muscle contraction. With either technique, the muscle must be lifted in the middle to place the implant.
Helpful
April 1, 2015
Answer: Does the muscle have to be "cut" for submuscular or "dual plane" placement? Most doctors who do subpectoral implant placement do release the muscle along the sternal border and inferior breast to allow the implant to round out medially. When the muscle is not released, the breast tend to look flatter medially and there is more displacement of the implants laterally with muscle contraction. With either technique, the muscle must be lifted in the middle to place the implant.
Helpful
April 1, 2015
Answer: Breast augmentation technique Experienced plastic surgeons will release the pectorals muscle in a limited way. Usually the lower connections are tweaked to allow the implant to sit well in the dual plane dissection. I am surprised about your question concerning the muscle technique used. If you are a competitive golfer, teens player or rower then you might consider above muscle placement.It sound like you have seen two thoughtful board certified plastic surgeons. Good luck...
Helpful
April 1, 2015
Answer: Breast augmentation technique Experienced plastic surgeons will release the pectorals muscle in a limited way. Usually the lower connections are tweaked to allow the implant to sit well in the dual plane dissection. I am surprised about your question concerning the muscle technique used. If you are a competitive golfer, teens player or rower then you might consider above muscle placement.It sound like you have seen two thoughtful board certified plastic surgeons. Good luck...
Helpful
April 1, 2015
Answer: Duel plane Breast aug It sounds like they differ in their opinion regarding the dual placement technique used. There are three listed Duplain tech Meeks each of which removes more of the lower portion of the pectoralis muscle from this insertion along the sternum and rib cage. In a patient with absolutely no ptosis and a normal insertion along the lower border of the sternum the muscle consider simply be lifted and no release is necessary. In patients with mild to moderate ptosis or a lateral attachment to the muscle a portion of the muscle must be released. In patients with a very lateral lower attachment of the muscle or type two ptosis the entire lower portion of the muscle should be released. I think it is important that you should discuss with your surgeon. Ptosis and Breast fill as well as implant choices can make a huge difference in your ultimate result.
Helpful
April 1, 2015
Answer: Duel plane Breast aug It sounds like they differ in their opinion regarding the dual placement technique used. There are three listed Duplain tech Meeks each of which removes more of the lower portion of the pectoralis muscle from this insertion along the sternum and rib cage. In a patient with absolutely no ptosis and a normal insertion along the lower border of the sternum the muscle consider simply be lifted and no release is necessary. In patients with mild to moderate ptosis or a lateral attachment to the muscle a portion of the muscle must be released. In patients with a very lateral lower attachment of the muscle or type two ptosis the entire lower portion of the muscle should be released. I think it is important that you should discuss with your surgeon. Ptosis and Breast fill as well as implant choices can make a huge difference in your ultimate result.
Helpful
