Choosing the right breast augmentation technique is a deeply personal decision. Placement of the implants—either under the muscle (submuscular) or on top of the muscle (subglandular)—significantly impacts the final result and recovery process. This guide delves into the specifics of placing breast implants under the muscle, addressing common questions and concerns.
What are the benefits of placing breast implants under the muscle?
Placing breast implants under the pectoralis major muscle offers several advantages. The muscle acts as a natural cushion, potentially reducing the visibility of implant rippling or wrinkling, a common concern for many women. This “natural” look is often preferred, leading to higher patient satisfaction. Furthermore, submuscular placement can provide better support and shape, especially for women with naturally less breast tissue. Finally, some surgeons believe that placing the implant under the muscle offers better protection against capsular contracture, a complication characterized by the hardening of the scar tissue around the implant.
What are the risks and disadvantages of submuscular breast implant placement?
While submuscular placement offers advantages, it's not without potential downsides. The surgery is generally more invasive, requiring a larger incision and potentially resulting in a longer recovery period. Expect more post-operative pain, swelling, and bruising compared to subglandular placement. Because the muscle is moved to create the pocket for the implant, there's a higher risk of muscle damage or weakness. The recovery time can be extended, delaying a return to normal activities.
How long does recovery take after submuscular breast implant surgery?
The recovery time varies from patient to patient but generally takes longer than subglandular placement. You should expect several weeks of discomfort, with significant swelling and bruising. Most women can resume light activities within a few weeks, but strenuous exercise and heavy lifting should be avoided for several months. Complete healing can take several months. Your surgeon will provide specific instructions based on your individual case.
Is submuscular placement more painful than subglandular placement?
Yes, generally speaking, submuscular placement is considered more painful initially. The surgery is more invasive, requiring more manipulation of tissues. Post-operative pain medication is typically prescribed to manage this discomfort. However, the level of pain is subjective and can vary depending on individual pain tolerance and the surgeon's technique.
How long do breast implants under the muscle last?
Breast implants, regardless of placement, are not meant to last a lifetime. They typically last 10-15 years, although some may last longer depending on factors like individual body chemistry, activity levels, and the type of implant. Regular follow-up appointments with your surgeon are essential to monitor the implants and address any potential issues.
What is the best placement for breast implants: under or over the muscle?
There is no single "best" placement for breast implants; the ideal location depends entirely on individual factors such as breast tissue volume, desired outcome, and body type. A thorough consultation with a board-certified plastic surgeon is essential to discuss your specific needs and determine the best placement for your circumstances. Your surgeon will consider your anatomy, lifestyle, and expectations to make the most informed recommendation. They will explain the advantages and disadvantages of each method and help you make an informed decision.
Are there different types of breast implants that work better under the muscle?
The type of implant (silicone or saline) doesn't inherently determine which placement is best. However, the implant’s shape and texture can be considered when deciding on placement. Your surgeon will recommend the implant type and placement that best suits your individual anatomy and goals.
This information is for educational purposes only and should not be considered medical advice. Always consult with a qualified plastic surgeon before making any decisions about breast augmentation. They can provide personalized guidance based on your specific needs and health history.
