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POSTED UNDER Breast Implant Revision REVIEWS

Above the Muscle Implants (Subglandular Implants / Overs) - Amazing Job! Los Angeles, CA

ORIGINAL POST

I am writing this review for the women who are...

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I am writing this review for the women who are thinking about over the muscle breast implants and the amazing results I now have after years of having under the muscle implants. I am 35, and I finally had my gummy bear implants replaced after 8 years. I should have done it sooner. My gummies were under the muscle, and I was a large C (I am very thin and barely had A's before). Under the muscle felt more unnatural - the breasts were much firmer and didn't move or bounce much. I understand that this will happen when you have very little breast tissue to deal with. Fine. So I accepted it and took the advice of my doctor, and went under the muscle. Most doctors do unders and from my experience with consults, most don't even want to discuss overs. Finally, after years of not being happy and men always commenting on their firmness, I felt like I either had to find a doctor that specializes in overs or I had to have my breast implants removed. Anything, but to leave them in. When it starts to have an impact on your intimate moments/sex life or you find yourself covering up, there is a problem. It took a lot of research but eventually I came across Dr. Steven Svehlak in L.A. who I noticed had many over the muscle patients in his Before and After Gallery. I made an appt and asked him if overs could be done on me, or if not, that I would go without implants completely. He spent A LOT of time pulling my skin, measuring, just figuring out if I'd be a candidate. Keep in mind he needed to figure out what he was working with while I already had implants in me. I am a size 0 with very little body fat, so I expected the response to be No. However, after much consideration, he said it could be done. He even went back to double check the elasticity of my skin amongst other things once he told me Yes. He is very thorough, very skilled and very honest.It's now months later and I should have written this review sooner. I have never been this happy with my body, ever! I went with a small C (255cc), Mentor smooth round. Mentors are the least cohesive so they will be the least firm of all the implants (from what I was told). I also went with smooth round instead of textured or tear drop shape because the smooth will move around most freely in your pocket. Textured will grip to your surrounding tissue inhibiting the implants' movement (although minimal) and tear drop I heard have problems with turning around in the pocket so I didn't want to risk going that way.My incision was the same as before, through the nipple. My scars always heal well. The surgical team took great care of me and the same night of surgery I was up and about, eating, walking, with no problems once the remnants of general anesthesia wore off. The only other thing I would say is that if you are looking to go bigger than Cs, then overs may not work well because in that case I think you WILL see the implant more. Keep in mind that you're carrying these things around every day, and from my experience and my friends' experience, small Cs are the way to go otherwise it starts to look very unnatural and not elegant at all. But of course that will depend on your body type.So in summary, I want to again thank Dr. Svehlak for his care and expertise. I never even expected to have as good of an outcome as I did. My breasts look and feel so natural, even with very minimal breast tissue to start. I had a male friend look at them and he was shocked at how natural they look and feel. He was blown away. You cannot see the implant at all, it feels like natural breast tissue, I have zero rippling (because I went with smaller 255s; larger ones will ripple more), and you still can't see the implant even if you bend over. If you are considering overs, you MUST contact Dr. Svehlak first. In my mind he is the expert on them and he will honestly tell you if you are a candidate. My previous doctor is considered world-renowned and was featured in airline magazines which is nothing but good PR. He did not connect with my needs or concerns at all, and immediately was quick to dismiss overs for some of the reasons above. If I had only known about Dr. Svehlak years before, I wouldn't have had 8 miserable years with my last pair. PLEASE do your research because it's a big decision and an expensive decision, so get several opinions. It took me this long to save up again to be able to afford the procedure, so I wasn't going to make the same mistake. Find a plastic surgeon that specializes in your exact concerns.The pictures I am posting are afters. My scars are still healing. I don't have any pictures before but they were much bigger and I had a good deal of upper pole fullness that never dropped and never went away. Dr. Svehlak has befores so you if you are there for a consult you will see them.Very happy in L.A., finally,

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Steven Svehlak, MD

Steven Svehlak, MD

Board Certified Plastic Surgeon

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Replies (22)

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December 7, 2014
Could you include your pricing and thank you for this not the usual perspective for our consideration. I am very concerned about scaring and have seen areola scars and had thought I would not want to go that route.
December 7, 2014
The price was around $9-$10k, but that includes implant removal too. Your skin and nipple size as well will determine where your incision should be made. I have a friend who had hers inserted under the breast in the fold, and she is doing wonderfully.
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December 8, 2014
Thanks for your review. Your boobs look great! I have been advised to go with overs because of some sagging. It's great to hear someone who has experienced both and that they are more natural feeling.
March 12, 2015
Wow, thanks for this review. My PS specializes in overs and it scares me (so much that I've canceled the surgery twice!) I fear Capsular contracture.... And true, most PS will dismiss overs and prefer unders. You give me hope!
March 17, 2015
Hi Nattie, I'm glad I give you hope :) Capsular contracture is rare, but it is always a possibility. If it does happen it can be fixed from what I understand. I am glad you have a doctor that specializes in overs. Maybe one more consult with another doctor will make you feel comfortable with the surgery. My best friend was thinking about the surgery for 3-4 years and finally had them done last year. She loves them and wishes she would have had them done sooner. You will make the right decision for yourself in time. There is no rush.
March 13, 2015
It was great to see this review! My dr suggested overs for me although he typically prefers to go under. I have some mild ptosis from breastfeeding and am a 34b. I'm getting my surgery next Thursday and I went with 400cc mentor gummy bears to fill me in and have a good D cup. I'm afraid of the cons of overs but the dr said unders might give me the snoopy deformity and i don't think I want a breast lift. At first I was thinking of doing unders and seeing if they turned out okay but yours look great! In the last few days of research and thinking I decided to go with my surgeons opinion with the overs. I picked him because of his 30 plus years of experience and positive reviews after all. I'm still slightly worrying that I may end up going over and needing a lift anyways though. Before this site and researching BA etc I didn't even realize I had actual ptosis honestly! I'm rambling- sorry! Lol! Anyways, I hope I look as good as you do after my surgery!
March 17, 2015
Thanks for the compliment Rinnie. I think you'll be happy with the way overs turn out...I just didn't think one could do overs in that size without them drooping. A "D" sounds big but then again I don't know your frame. I don't want to always be the person talking people into going smaller but I have had experience with myself and with friends who get tired of carrying around anything more than a large C. Either way, it sounds like you have a great doctor and good luck on Thursday. Smooth mentors are what I have, good choice!
March 13, 2015
Hi, thank you so much for your review. Your breasts are my wish breasts! I think I have a very similar frame- I am very small on top- about an A cup and I'm tired of not being able to fill out even my small bras. Having a natural look AND feel are priorities for me and I'm scared they may not turn out that way. I think your size is perfect and too would only want to small to mid C. I assume yours are silicon? Any other suggestions you can give to someone who was once in your boat. Also, do you happen to have any before pixs? I'm curious to see your frame prior to implants and also with the first set of implants that were too! firm. Thanks!!
March 17, 2015
Hi, I don't have any before pics on my computer because it was back in 1997. But I was barely an A and my frame is small, as narrow as Nicole Richie's. So big implants did not work for me and they were very obvious. Yes silicone is what I have because saline does not feel natural. I would suggest to go for smooth, round Mentors since they are known to be the least firm of all the silicone implants. If you have a small frame I would suggest small C's but everybody is different. Dr. Svehlak knew what my frame could carry without it looking obvious that I had something done. And if you're thinking about overs make sure you go to a doctor who is experienced in placing them that way.
UPDATED FROM AV2101
11 months post

Update - 11 months post-op

AV2101
My overs are looking amazing, scars are 99% gone unless you look very closely. A little more time and they will fade more. Best decision I ever made. I cringe when I think of unders. I will update with a photo soon.

Replies (4)

April 11, 2015
So nice to have a positive review of overs. They look nice and natural, which is the look I am after. I am going overseas for my BA and was suggested with overs as I have slight ptosis (consult done with photo). Where ever I looked everyone seems to only suggest unders so your review has really helped me settle my nerves. 11 more sleeps eeek :)
April 13, 2015
Good luck with your surgery! I hope you have a great surgeon and check reviews, both good and bad! Let us know how they turned out. I'd like to hear back from more people with overs and their experiences with them.
July 28, 2015
Your results are amazing! I am also thinking of over the muscle, under the fascia, for my BA. I am really happy to see how natural and beautiful your's look and that you haven't had any issues with CC, one of my scares about going over. With my breast shape, wide spaced, etc. my PS thinks this will give me best shape. Excited after seeing your review. Thanks!
December 25, 2015
Thank you so much for writing his review!!! I'm getting overs in February, I'm 12 years post op (breast reduction). This was so helpful and reassuring. Everyone is obsessed with unders and it makes me feel so concerned with not doing unders. Thanks again you look beautiful
UPDATED FROM AV2101
1 year post

1.5 Year Update!

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Hi everyone, I'm happy to say that I'm so happy with my boobs a year and a half later! They are the perfect size for my frame, they're very soft and a boyfriend could not tell I had implants. SO satisfied and I'm happy I chose to go smaller (I had 375 unders removed and replaced with these 255 overs). I know everyone is always worried about going too small, but there is something to be said about a natural looking BA that keeps your frame looking elegant and proportionate.

Replies (20)

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October 20, 2015
you look great! I've had overs for 20 yrs and no issues. My original moderate profile 220cc were like natural boobs. I made a mistake and got bigger 325cc high profile implants the second time round and they are too big and firm. What profile did you pic!
October 22, 2015
I completely agree! I went from high profile 375s which were a huge mistake. They stayed firm and felt stuck under my chest muscle. I switched to moderate profile 255 overs and they are like natural breasts that can squish and squeeze into anything and any shape. Everyone always thinks bigger is better but unless you're working with a good deal of breast tissue, anything more than 300 or 350 will feel unnatural. Some people like the unnatural look, but it just doesn't feel good. They're like tight water balloons and all the men I was with commented the same. So it was all around unhappiness for everyone with my old ones.
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October 22, 2015
That is exactly how I feel! Like I've got to firm silicone lumps stuck to my chest! I was convinced to go high profile but I loved my old moderate profiles. I want to also go 250cc.
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October 21, 2015
Thanks so much for this post. I'm about to have revisionary surgery and have been very interested in over the muscle placement. I'm not as thin as you, but fairly thin with not a great deal of breast tissue. I lift weights and under the muscle hasn't responded well/doesn't look good with my more muscular chest. Thanks so much for sharing!! Do you mind telling about how much your procedure ran? I'm scheduled for surgery in Bangkok next week but am still considering US options if in my budget.
October 22, 2015
Yes under their muscle looks bad and feels uncomfortable when you flex. I spent in the $9500 range but remember I had the old ones taken out too. Good luck and I hope you make the best decision for you! In the US you can also finance through Care Credit which is easy and many times no interest for a year or two.
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October 23, 2015
Thanks so very much!! Really appreciate your sharing. Your breasts look fantastic btw. Would be thrilled to have a similar outcome.
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October 25, 2015
Suzleigh I had my old implants replaced in Bangkok, also over the muscle and just be aware the consult is very brief (10mins) and the surgeon insisted on high profile despite my protests about wanting moderate or moderate plus. To top it off they had run out of 2 popular implant sizes so I went 50cc bigger than what I wanted. I really regret that and now am waiting until i pay off this loan to have them replaced with smaller ones locally. Plus there is zero aftercare or even an email to see how you're going.
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October 27, 2015
So you're that unhappy with an extra 50cc that you're going to have them replaced? Do they ripple? What's your biggest concern or disappointment?
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October 28, 2015
They don't ripple, but high profile feel un natural to me. I will keep these for a few more years but in the future i would like 250cc moderate profile. In hindsight I think the 275 I wanted would have been too big. I started as a AA now I'm squishing into s D cup
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October 28, 2015
Ah I see. Thanks so much for your reply.
October 28, 2015
I added a few more pics of my 255 moderate profile overs (Mentor smooth round) so you have an idea of what they look like relative to my body frame. I started with almost no breast tissue. Zero rippling and natural feel. Mentors are supposedly the least cohesive, meaning least firm of all the implant manufacturers.
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October 21, 2015
CONGRATULATIONS ! Ive explanted, awaiting reimplantation in 3-6 months. Hopeful you don't mind me asking: werent you afraid of rippling's more obtrusive appearance with overs?
October 22, 2015
Yes, but I'll tell you where my mind was at. I was SO unhappy and embarrassed with my firm unders that didn't even move when I walked, that I told my surgeon I didn't care if they would be more visible over the muscle, more palpable, more rippling, etc. I just wanted something that resembled and felt like real breasts. So I took a chance, and got lucky with the most amazing, natural breasts that I never imagined I'd have. The reason I have zero rippling with almost no breast tissue to cover them, is because they are only 255s. The bigger they are, the more rippling you will have. I also only have moderate profile instead of high profile. I don't even have rippling when I bend over. I think this would not have turned out so successfully if I had gone 300ccs or more. Good luck! I'd be interested to hear what you end up choosing. Wishing you the best result.
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October 22, 2015
Congratulation on making the best choice possible!
October 24, 2015
I think rippling is more in those with little breast tissue and also with saline implants. The silicone doesn't seem to do that as bad. But I guess that's where you have to listen to what your doc says about the placement.
October 23, 2015
A real success story.
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October 27, 2015
Although I went much larger to fill out natural breast tissue, I wouldn't trade my overs! They are the most natural way to go in my opinion :-). You look great!
October 28, 2015
Thanks, they are the best way to go aren't they. The difference in feel is like night and day and I am so happy with them.