Over the Muscle (Subglandular) Pros and Cons
This technique tends to be more common among women with a good amount of native breast tissue, which provides natural coverage for the implant. Subglandular placement usually produces a more pronounced rounded look, which can be appealing to some women but not others.
Disadvantages of Having a Breast Implant Over The Muscle
There is less breast tissue evident on mammograms. It is also more difficult to view when viewed through a mammogram. So your breast tissue might be described as dense in the case that you have a large amount of the tissues (and less fat).
However, in order to be considered a good candidate for above-the-muscle placement, you must have an adequate amount of breast tissue and/or excess skin to effectively cover the implant. Without enough soft tissue coverage, the implants may be very apparent, and the risk of visible rippling can increase significantly.
Here are a few guidelines: If you have a small amount of breast tissue: It is more likely you will want to go behind the muscle. If the breads implant is in front of the muscle, you won't have enough breast tissue to cover the implant. That means that the roundness of the implant will be more visible.
As a result of the support provided by the pectoralis muscle when implants are place underneath it, there is less of a tendency for the implant and the breast to sag over time. These breasts tend to be more gravity resistant than either natural breasts or those with implants placed on top of the muscle's surface.
Over the Muscle Placement
This approach is usually recommended for women with a fair amount of natural breast tissue, as the tissue provides coverage and support for the implants. Adequate implant coverage is crucial to achieving a result that looks naturally enhanced, instead of artificially inflated.
The truth is, whether implants are placed over or under the muscle, it will have very little to do with sagging.
Capsular contracture can happen regardless of the type of breast implant that is placed in your breast.
"Depending on the technique used, recovery can be three weeks (with subglandular augmentation, my preference) or three months (with submuscular technique, which is much more painful and involves cutting your pectoralis major muscles and stretching them over an implant)," explains Karen Horton, MD, a board-certified ...
Over-the-muscle (subglandular) breast implant placement
In other words, your existing breast tissue will cover the implant. This creates a natural-looking result for women with adequate natural breast tissue.
Arm Limitations
As a result of this trauma to the muscle, ti takes several weeks for this internal wound to heal. It is easy to tear out these stitches early on, so it is vital that no strenuous arm activity be performed for several weeks; this includes putting your arms over your head for the first three weeks.
Breast implant illness (BII) is a collection of symptoms that may be related to breast implants. Though the exact cause isn't known, BII may be related to autoimmune or inflammatory responses. Common symptoms include fatigue, joint pain, brain fog and rash.
There is a chance that the breast size of female bodybuilders will fluctuate to some degree based on the frequency in which they compete. This is precisely the reason why breast implants are so common among female bodybuilders.
On average, today's implants are designed to last more than a decade, with the chance of rupture increasing by one percent each year. So, the older your implants are, the greater your risk of rupture or other complications. In many cases, breast implants can remain in good shape for 20 years or more.
When the breast implant is placed above the muscle, the recovery is usually a lot easier and less painful. However, with under the muscle breast implants, you will normally have a longer recovery time, and for several days you may experience quite a bit of discomfort.
Patients who are prone to developing thick scar tissue or have a family history of autoimmune disease may be at a heightened risk of capsular contracture.
If you've had radiation therapy at any time in the past — and particularly if you had it after your initial breast reconstruction surgery — it can greatly increase your risk of developing capsular contracture.
After your skin stretches over time, Dr. Armijo can safely place a larger implant during a follow-up procedure. The type of implant used can lower risks as well. Research has shown that using textured surface gel implants (rather than smooth) reduces the likelihood of capsular contracture.
Massage: Gently massaging the breasts while they heal from breast augmentation surgery may help to prevent capsular contracture by encouraging the breast tissue to remain pliable.
Breast implants don't last a lifetime. The American Society of Plastic Surgeons recommends that people with breast implants have them removed or replaced every 10 to 15 years. However, your plastic surgeon may not recommend that you have them removed if you haven't had any complications.
There has been many studies done on capsular contracture. The factor with the most evidence is submuscular placement of the breast implant (under the muscle), which showed approximately 4% incidence of capsular contracture, compared to 14-20% incidence in subglandular (above the muscle) placement.
With this, your muscles should begin to relax, allowing your implants to gradually settle and soften. The entire drop and fluff process can take three to six months to complete, however, so don't worry if your implants still feel tight or look a bit high even after most of the swelling has dissipated.
Can Implants Placed Under the Muscle Be Moved to Over the Muscle? The simple answer is yes the implants can be moved over the muscle. The most common reason to move the implants above the muscle is in active patients that develop an “animation” deformity.
You should begin massaging your breasts one week after your surgery to promote healthy and beautiful results. You do, however, want to wait until after your incisions have healed to be sure that you do not open the incisions, as this can lead to infection.