subject: Breast Implant Placement: Choosing The Right Placement Position [print this page] The size and type of breast implants will not be the only choices you have to consider before undergoing a breast augmentation procedure. Implant positioning is another important factor that can have a significant impact on the look and feel of your new boobs.
Before consulting a plastic surgeon, consider the benefits and risks of the following options in order to help you and your surgeon reach an informed decision together. There are four main types of breast implant placements used by plastic surgeons today. Here is an overview of the available options.
1. Sub-glandular pocket placement is considered the most aesthetically pleasing by many and is very popular among many patients. The pocket is created underneath the breast tissue and above the pectoral muscle. Because the device lies closer to the surface, it mimics the natural slope of a bust.
Although this location looks more natural than other available options, there is a higher risk of visible rippling below the surface of the skin as well as capsular contracture. Women who have very thin skin or who have suffered from other incidences of capsular contracture should consult with a skilled surgeon before considering this option.
2. Sub-pectoral is the most common positioning technique. The pocket is created beneath the pectoral muscle. Once the device is placed, the upper part lies beneath the muscle while the lower end is in a sub glandular position. This dual plane effect allows for greater device coverage, discouraging the potential for visible implant rippling or wrinkling, as well as providing a more natural appearance.
3. The subfascial placement is similar to sub-glandular, except that the pocket is made deeper, lying just below the thick fascia tissue that covers the pectoral muscle. Some believe that this position discourage the movement of implants and visible wrinkling.
4. Sub-muscular pockets are created completely below the pectoral muscle with no dual plane. This technique is generally used when other options are not possible. A woman, whose breast implant is placed this way may not have enough natural breast tissue to fully cover the device, may want to achieve a very large size with little tissue or thin skin, or may be undergoing reconstructive breast surgery. Some women find the devices feel firmer and move less naturally with this type of positioning.
Your plastic surgeon can help you choose the best way to place the chest implant according to your individual situation and aesthetic goals. The placement of devices can also be changed at a later time with a revision surgery. This can be more painful and generally has a longer recovery period than the primary surgery, but if you are greatly displeased with the outcome, it is a viable option.
The way the implants are placed will also affect the texture, type, and shape of device that can be used, as well as the incision method. Be sure to discuss how your choice of placement will affect the other options available to you. A board-certified plastic surgeon can help guide you through the process and achieve the look that you desire.
by: Abigail Aaronson
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