With Breast Augmentation, above or below the muscle? Cosmetic Surgery Bradenton FL

Another very common question I get is, should I go above the muscle or below the muscle? And all over the internet, you'll see breast augmentation above the muscle, below the muscle. Which is better; which isn't. There are a couple of things about that. There's some things with, with scarring and potential complications. There's also some things about esthetics that need to be discussed when that question comes up. The thing about going above the muscle is you will immediately see a much more natural appearance to the breast because there's no irregular contours that can be associated, especially if you're a weight lifter or if you flex your muscles if it's above the muscle. However, going above the muscle does, unfortunately, carry a slightly higher risk of what's called capsular contraction. Capsular contraction is just basically some scar tissue that forms around our implant. It's perfectly normal. Everyone has it. Anyone that has an implant has a capsule. It's just, if you can imagine, just, just a slight, very, very thin film that forms around the implant when it's inside our body. There are slightly higher rates of thicker capsules in above-the-muscle implants. Now, below-the-muscle implants, which, by the way is the usual way that I place implants unless a patient specifically asks me to go above, I find that by going below the muscle, that it allows me to maintain still the same symmetry and beauty that you'd see with any implant placed, but it gives a little bit of added extra protection to the implant. Insomuch that if you're very, very thin, that you won't be able to see the outline of the implant if it's placed under the muscle most of the time. But also, that little bit of added protection actually leads to a slightly lower capsular contraction rate and capsule being the scar that forms around the implant, itself. So, because of that, I personally feel that it's a superior way to place an implant in terms of long-term prognosis, is under the muscle. I like to do that and if my patients don't object to that, that's usually the way that I place the implants.


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