August 29, 2011

Breast implant placement (overs and unders)

Right choose of breast implant placement

If you are one of the best candidates for breast augmentation, it necessary to discuss with your surgeon the different types of breast implant placements.    It is practical and wise to be informing the disadvantages and advantages of both placements.  You can discuss it with your surgeon who will aid and help you out with your desired augmentation surgery.    He will suggests and help you in making your final decision that will suit you based on your body frame, height and skin tone.    And also he will consider your lifestyle.    The surgical practitioner will let you understand and different alternatives and suggestions in with regards with the implant placement.

The muscles that are underneath the breast tissue are the so-called pectoralis major.   This is shaped like a fan that is connected at the higher arm bone, the ribs and the breast bone.

The breast augmentation using under the muscles is providing the natural look and feel to the broaden breast.  In the mammogram, the under muscle placement gives clearer result as compared to the over the muscle placement.    Under the muscle method are less noticeable and the rippling is eliminated.  In case of the capsular contracture, it will be reduced as the implant will be vulnerable to the ductal germs because it will not pass through the tissue of the breast.  One of the disadvantages of this method is, it is has a frail support of the tissues of the skin and may cause the descending movement of the implant.

While the placement over the muscles can promote a quick recovery with minimal pain and less discomforts to the patient after the surgical procedure.   The procedure of this implant is that the tissue on the muscle is left alone and the skin and fat are cut to situate the implant.    Patients with less tissue on the breast, the over the muscle placement have a great chance of some noticeable rippling.   To minimize these rippling, usage of silicone and gel are advisable.    Surgeons preferred over the muscle placement for women with sagging of the breast or with large tissue on the breast.  But others believed that this placement may cause more sagging for the skin stretches over time and the best remedy is a bust lift to fix the problem.   The use of over the muscle on breast surgery may cause the interference with the mammography as it will be difficult to access with the completion of the whole image.

Whichever the patient and the surgeon will choose for the right placement with the breast augmentation, it is still the same common risks and complication would be expecting.  The following are the possibilities:

  • Pulmonary embolism.    This means blocking the pulmonary artery of blood clot
  • Keloid scars
  • Capsular contracture
  • Expulsion of the implant
  • Serom
  • Hematoma
  • Burst and penetration of the implant
  • Shrinkage of the implant
  • Sensitiveness of the nipples
  • Breast asymmetry
  • Calcification
  • Tiny thrombotic vessels
  • Extreme pain
  • Fluid discharge
  • Bruising
  • Swelling