Hello, I have consulted with two doctors regarding breast augmentation. Each of them recommended different techniques. One suggested subpectoral or subfacial placement, while the other suggested subglandular placement. I have done extensive research on the various placement options and have learned about the pros and cons of each. However, I would like a recommendation based on my height (5'6") and weight (130 lbs), as well as my active lifestyle that includes running and weightlifting. Thank you for your guidance!
The fascia is a thin layer of connective tissue that covers the muscle. Subfascial placement involves lifting the fascia off the muscle, creating a space between the implant and the breast tissue. This technique is similar to subglandular placement but with an added layer of support. However, it does not provide significant additional coverage, and most patients benefit from the extra coverage provided by placing the implant under the muscle. The split muscle/subfascial technique is a compromise between these two methods. It positions the upper part of the implant under the muscle while leaving the lower part of the muscle behind the implant, rather than detaching it as done in the dual plane subpectoral method. This approach is advantageous for bodybuilders and athletes as it provides coverage where needed while preserving muscle function and minimizing animation deformity.
Placing the implant beneath the chest muscle offers several advantages, including a reduced risk of capsular contracture, improved implant coverage, and better mammogram results in the future. Many patients who engage in vigorous exercise appreciate the additional support provided by the muscle.
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