American Society of Plastic Surgeons
For Medical Professionals
5 years ago

Breast Lift with Breast Augmentation (Implants)

I am interested in a lift with implants, however, I'm wanting the implants placed over the muscle. I'm very active and do a lot of heavy lifting, and I need a shorter recovery time. I understand there are several requirements that need to be met for an implant to be placed over the muscle, and I'm told I meet those requirements. I'm wondering if there is a surgeon in my area who will do this.

Procedure: Breast Lift
Location: Gardendale, AL

Replies 7

Michael Law
ASPS Surgeon
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I regularly perform breast augmentation surgery for patients who participate in body building, fitness and figure competitions. While many are initially concerned about subpectoral placement and the potential for distortion of the appearance of augmented breasts when the pec major muscles contract, I am absolutely confident that the aesthetic outcome for these patients will be far superior with implants placed in a subpectoral position.

A pre-pectoral (aka submammary) implant in a slender patient, especially one with well-developed muscles, looks just as you imagine it would: like a foreign object, not like a natural-appearing breast.

I understand the need for a rapid recovery as many of my patients are very athletic. Recovery is shorter today than in years past due to pain control during surgery. I urge you to think about the lifetime result.

Trent Douglas
ASPS Surgeon
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Thank you for your question and doing your homework with ASPS member surgeons. The choice of implant locations is best made in partnership with your board-certified plastic surgeon. As you realize, there are a number of factors that go into this decision and working with an experienced surgeon in your area will ultimately lead you to the best and safest results. There are pros and cons to each approach and your final choice should be customized to your individual features, aesthetic goals, and recovery timeline. Best wishes on a great result and speedy recovery.

Mario Carranza-Garcia
ASPS Int. Surgeon

I have always use the supra mus cular pocket because. Is the more natural .

The subfascial plane looks la subglandular ,but do not move the implant

When you exercise and they last in that play foor longer tima than the subglandular

Nelson Castillo

Thank you for sharing your excellent question. For most patients a sub-pectoral placement is a better option to minimize complications and achieve a more natural result. That said some patients are better candidates for above the muscle placement, and this is dependent on the amount of natural breast tissue you have present. Talk to a series of surgeons in consultation to discuss.

Michael Streitmann
ASPS Surgeon

It sounds like you have done a lot of research. The next step is to search for a board certified Plastic and Reconstructive Surgeon in your area. I believe you can do that on this site. The two of you can come up with a plan to best fit your body and needs. Best of luck to you.

Paul Parker
ASPS Surgeon
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Best advice is to obtain a face to face consultation with a board certified plastic surgeon experienced in breast implants, particularly in body builders. They can examine you, then discuss the pros and cons of implant types and pocket location.

Benjamin Van Raalte

Over the muscle implants do have several concerns. They do have higher visibility and potentially higher capsular contracture. They also may have more lateral displacement.

They do avoid the potential flexion deformity with pectoralis muscle contraction. You also will not lose the 10-15% of muscle strength. My 2 major groups that place the implants over the muscle are competitive weightlifter's and those with increased breast ptosis.

I recommend shaped textured cohesive gel implants if a patient wants to place the implants over the muscle. They have less visibility and less contracture in this location. The textured implants though have the slight increase risk of anaplastic large cell lymphoma which ranges depending on the brand of implant from 1 and 3000 to 1 in 200,000 lifetime risk.


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