February 2009

Which breast implant placement gives a more natural appearance?

When getting breast implants, will it look more natural to place the implants under or over the muscle?

Breast implants can be placed above or below the (pectoralis) muscle. Placing the implant over the muscle may result in less pain and faster recovery. However, placing the implant under the muscle looks and feels more natural (because there is more tissue covering the implant), may lead to less incidence of capsular contracture (hardening of scar tissue around the implant), and offers less interference with mammograms. I also believe that it offers better long- term support when placed under the muscle. There is further distinction between placing the implant partially or fully under the muscle – the advantages of which can be discussed in consultation as they are relevant to your personal breast shape and ultimate goals.

Breast Implants and Breast Lift After Pregnancy?

How long after pregnancy should I wait before I can get breast implants and undergo breast lift?

Some patients only need an implant to fill out the breast following pregnancy while others will require an implant with a breast lift. This will depend on how much excess skin you have and the position of your nipple following pregnancy changes. It is best to wait 3-6 months after pregnancy or, if you breast feed, 3-6 months after breast feeding. Keep in mind that you will need help for a few weeks if you have surgery when your children are still small because the procedure will limit your activity levels and your ability to lift a certain amount of weight. Most of my patients are looking to have their breasts restored to the pre-pregnancy shape and size without looking like they are “done”. I specialize in natural results with the restoration of fullness that pregnancy takes away. After pregnancy, the breast tissue atrophies – leaving a flat appearance at the top of the breast, and sometimes leaving the nipple in an unnaturally low position.

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