home Endocrinology Mammoplasty – under the gland or under the muscle? Rating of the best plastic surgeons and clinics Installation of implants under the muscle reviews

Mammoplasty – under the gland or under the muscle? Rating of the best plastic surgeons and clinics Installation of implants under the muscle reviews

To increase the size of the mammary glands, specially selected implants are used, which can be installed in various areas: under the fascia, under the gland itself, in two planes, in the axillary region, and also under the muscle. Each method has its advantages and disadvantages, but the plastic surgeon always selects it based on an individual approach.

As you know, natural breasts always have a smooth, gentle slope that goes down to the nipple area. The main volume is located in the lower zone of the chest, with the nipple area being the most protruding. It is believed that if you install a breast implant under the muscle, the result after surgery will look exactly like this.

Experts also highlight another important advantage of this method - reducing the risk of complications such as capsular contracture. Installing an implant under the muscle makes it possible to improve coverage of the upper slope, while the endoprosthesis installed in this way does not interfere with mammography and ultrasound diagnostics.

It should be remembered that the initial condition of the breast tissue and size must be taken into account by the surgeon when choosing an implant. It is recommended to install it under a muscle or under a gland only in cases of pronounced glandular tissue. If a girl has a breast size of zero, then most likely experts will advise her on another method.

If the patient wants to create a “Hollywood” breast shape, which is characterized by a pronounced upper pole.
If the woman's initial breast size is greater than zero.
If the patient has large pectoral muscles that have not been previously traumatized.
If signs of mastoptosis are observed (the method can be used in combination with a breast lift).
If the patient plans to install round implants. The teardrop shape of endoprostheses is usually not recommended for submuscular placement.

For comparison, it’s worth seeing what the breast looks like if an implant was installed under the muscle (photo with examples of different options):

Methods for installing an implant under the pectoral muscle

The plastic surgeon determines how to install the implant under the muscle, what type of endoprosthesis to use and what size to choose. He is based on the patient’s preferences, her wishes for a new breast shape, and also necessarily takes into account all the anatomical features of her body, the proportions of her figure, so that everything looks harmonious and proportionate after the operation.

This is very important to achieve natural breast enlargement results. If implants are installed under the pectoral muscles, the surgeon should understand which method of their placement will be better in a particular case.

Submuscular location of the implant

This is a method in which the implant is installed under the pectoralis major muscle. In this case, the lower pole is supported by the fascia of the serratus muscle. Many surgeons call the submuscular placement of the implant a way to create a “Hollywood” shape of the mammary glands with the most pronounced and voluminous upper slope. Another distinctive feature of the method is that there is no need to cut the lower part of the muscle.

Subpectoral (or two-plane) implant placement

The method involves only partial placement under the muscle. The upper part of the endoprosthesis is under the muscle, the lower part is above the muscle. This type of implant placement under the pectoral muscle is very popular in the USA. The subpectoral method is believed to provide a more natural breast augmentation result without the risk of implant contouring.

How is the implant placed under the muscle?

Main stages of plastic surgery:

Application of anesthesia and opening of surgical access.
Formation of a pocket under the muscle or partially under the muscle and gland, where the implant will subsequently be located.
Installation of the implant under the muscle or gland in the formed pocket.
Application of surgical sutures.

What does the breast look like if implants are installed under the pectoral muscles?

Experts warn that installing an implant under a muscle or under a gland allows you to get a “Hollywood” breast shape, which is characterized by the following external features:

a pronounced upper slope, due to which it visually appears even more voluminous;
high chest position;
mammary glands are larger than the chest visually;
the possibility of contouring the implant with a submuscular location (it is recommended to place endoprostheses partially under the muscle, then there will be no such effect).

What does the breast look like if the patient had an implant installed under the pectoral muscle (photos with real examples):

Advantages of installing an implant under the muscle

Improving the surface of the upper slope. It becomes more pronounced and voluminous.
Almost complete elimination of the risk of developing capsular contracture, a postoperative complication that is possible after installing an implant using other methods.
Natural breast result with the right choice of implants.
No risk of endoprosthesis sagging, which is sometimes possible with other installation methods.
Inability to palpate the implant: Its edges are invisible from the inner and upper borders.
No problem with mammography: implants do not complicate diagnosis with this arrangement.

Disadvantages of installing an implant under the muscle

Sometimes, after installing an implant under the muscle, the lower breast area may look unnatural when the implant is located above the lower fold of the gland.
The breasts will appear significantly larger than the ribcage if the size of the endoprosthesis is installed too large. If you choose a submuscular implant location, it is recommended to choose smaller sizes.
An implant under the muscle should not be installed if a woman is involved in active sports, since during exercise the endoprosthesis may ripple, which will look unnatural and strange.

This is already beyond good and evil. A provincial woman, who herself has not undergone breast enlargement surgery, sells cheap silicone sisto to suckers in the hope that two farrier surgeons will supply her with the same thing, but at a discount.

Disregarding all standards of decency, this scum with stupid aplomb declares something that makes even the cynical me’s hair stand on end.

For example, that all physical restrictions are removed one and a half to two months after the operation. After this time, you can do chest presses, push-ups, and otherwise load the pectoral muscles. As a killer, he gives an argument: if this were not so, not a single fitness professional would do breasts.

Fitnessists indeed often resort to breast augmentation surgery, but, as a rule, they place implants under the mammary gland, and not deeper - under the muscle. Implants installed under the muscle “wear” more reliably, with them the breasts look beautiful and natural and are pleasant to the touch. Implants installed under the mammary gland:

a) very noticeable visually,

b) palpable,

c) “walk” under the skin when you move.

But in a push-up coat and a sports bra they look more or less tolerable.

These photographs clearly show what breasts with implants installed under the glands look like:

Pay attention to how the implant installed under the gland “walks” on the lady in the red bra.

On the other hand, this method of installing implants actually completely removes restrictions on physical activity. Since the pectoral muscles do not put pressure on the implants, they can be pumped. If the implant is under the muscle, and you pump it, the muscle begins to compress the implant. Breasts harden. There may even be a rupture.

I repeat again: when I asked my surgeon whether I could put pressure on my breasts, he replied: “Well... My wife doesn’t touch my breasts.” His wife is all about fitness no less than me. Initially, the doctor, knowing my workload, suggested installing an implant under the gland, but honestly warned: it would be ugly. I chose beauty, sacrificing physical fitness.

Finally, understand: this will not happen without sacrifices. Don't be fooled by the cynics.

My victims:

1) You can’t train your chest. At all. Never.

2) After the operation, my face aged by 5 years, or even 10. This is not a trip to a beauty salon, this is an operation under anesthesia, which ages, and whatnot. I had to restore my face, but fortunately I have every opportunity to do so. Do you have them? If you have saved up a ton for surgery, keep in mind that you will need at least a third of this amount to restore your face.

Here is a very honest photo illustrating how my face wrinkled and sagged after the operation:

And here's what it looked like a few days before the operation:

Now here it is:

I had to invest heavily to solve the problem. And these were not masks at home and massages from a cosmetologist “in the area.” This is actually a third of the cost of the operation. And this is in America.

3) Sensitivity seems to be restored, but not what it was before. Maybe it will come back completely, maybe not. Don't forget: they cut you to the quick there. No one knows what remains there and what will happen.

Well, I won’t even talk about the fact that sleeping on your side is uncomfortable, and on your stomach is impossible: compared to what I experienced, these are trifles. I will say one thing: when you lie on your stomach, you can really feel the implants. This is a very unusual and uncomfortable sensation.

And most importantly: if you are an ugly person with short legs, a terrible fuck or a fat ass, no silicone tits - don’t let “made in the USA” decorate you. And “made in Russia” will also cripple you.

Well, one last thing! Turn on your brains for at least half a minute, damn it, and think: if you have a foreign body in your chest, does it affect breastfeeding? If the incision goes through the nipple, does this affect breastfeeding? Yes, it does. How does it influence? Bad influence. Ovulyashki, do not believe those who say otherwise. I am an ideological childfree, a terrible egocentric, and I don’t want to waste my precious life serving another creature. If I left myself even the slightest chance of childbearing, I would not get implants.

Questions?

UPD. I take away an important question from the comments: “And if the pectoral muscles weaken, will the boobs sag?” I give the answer: “They will weaken in any case, and correction will be required. Implants are not installed once and for life. Do not believe those who say otherwise.” /lj-cut>

One of the main factors determining the quality and durability of the result of the most popular plastic surgery today (breast augmentation) is correct choice of anatomical layer for the silicone implant being installed.

Of course, a large number of factors are first determined to decide which of the four options is optimal.

What indicators does this choice primarily depend on:

position of the mammary glands on the chest wall. It can be congenitally high, medium and low;
the presence or absence of acquired mastoptosis (prolapse of the mammary glands), its degree;
characteristics of the skin and subcutaneous tissue: thickness, elasticity, presence or absence of stretch marks;
severity (thickness, area, elasticity, anatomical features) of the pectoralis major muscles;
presence of deformation of the sternum and ribs.

Under the gland

Under the fascia

In 2 planes

Under the muscle

So, what are the main points that the surgeon and the patient should take into account when they decide to install an implant under the muscle during breast augmentation:

This method can be used in all cases where the patient has intact pectoralis major muscles;
This method cannot be used in the presence of ptosis (drooping) of the breast, unless this problem is solved surgically (endolifting or breast lift);
Both the surgeon and the patient should know from the outset that a good long-term result is always achievable, but the rehabilitation period in some cases can be extended, sometimes twice as long. That is, if after other options the desired result comes in 1 month, then here in 2. And for this you will need to do a special exercise 8 minutes a day;
When choosing implants, there is no point in using anatomical teardrop-shaped implants (except in special cases). Otherwise, the very shape of the implants will hinder rapid rehabilitation;
It is absolutely NOT possible to use fixed implants (macro-textured or polyurethane). This may cause some problems.

Over 20 years of installing an implant under the muscle in more than 1000 patients, in all cases a good long-lasting result was obtained. All patients who had previously had experience wearing implants under the gland or in two planes noted that after surgery using a full myofascial pocket they began to feel more protected. Most patients no longer feel the implants as something separate, constantly reminding them of themselves. Look

Breast augmentation surgeries are by far the most popular and sought-after surgical interventions in aesthetic surgery. Installing an implant helps solve many problems: increase the size, tighten the skin, correct the shape and make a woman’s breasts much more attractive. Plastic surgeons have to modify thousands of women's breasts, but few people know that the doctor prepares for each such operation individually. The choice of implant installation method depends on many factors that must be taken into account in each individual case. Quite often, surgeons prefer the method of installing an implant under the muscle. Read about the features of this breast augmentation technique on estet-portla.com.

Features of installing a breast implant under the muscle

Placing an implant under the muscle is called the submuscular implant placement technique.

It is possible to achieve maximum aesthetic effect with minimal complications by partially placing the implant under the muscle - approximately 2/3.

A complete submuscular placement of the implant results in an unnatural appearance of the breast in the lower part due to the placement of the implant above the lower fold of the gland. In addition, the volume and height of the operated breast are poorly expressed due to the density of the pectoral muscle. Full installation of an implant under the muscle is especially not recommended for women who are actively involved in sports.

Installing an implant under the muscle:

basic methods of installing breast implants during mammoplasty;
benefits of installing a breast implant under the muscle;
what the surgeon needs to consider when installing an implant under the muscle.

Basic methods of installing breast implants during mammoplasty

At the stage of preparation for mammoplasty, the surgeon must determine a large number of factors that decide which implant installation option is optimal. There are three main methods for installing breast implants:

subglandular location of the implant: can be used if the mammary gland is sufficiently dense and pronounced in volume, when it is sufficient to uniformly cover the entire implant;
full muscular coverage of the implant implies the formation of a single coating, which allows not to destroy the pectoralis major muscle and preserves all lines of fascia, including the axillary one;
installation of an implant under the muscle and under the gland: also used for those patients whose mammary gland is quite well defined, otherwise the result of the operation threatens to be short-lived.

Benefits of having a breast implant placed under the muscle

The main advantages of installing a breast implant under the muscle include:

natural appearance of the upper chest, due to the fact that the pectoral muscle hides the upper edge of the implant;
minimal risk of capsular contracture, which spoils the appearance of the operated breast and causes pain in the patient;
minimal risk of “waves” and “ripples” on the breast skin after implant installation;
almost complete impossibility of palpating the implant after its installation;
the ability to take clear images of the breast when performing mammography.

What the surgeon needs to consider when installing an implant under the muscle

There are some important points that a plastic surgeon must take into account when performing mammoplasty with the installation of a breast implant under the muscle:

the technique can be used in cases where the patient has intact pectoralis major muscles;
the method does not eliminate mastoptosis, and therefore is recommended for patients only in combination with a breast lift;
installing an implant under the muscle implies a longer rehabilitation period than with other methods of mammoplasty;
The use of anatomical drop-shaped implants for installation under the muscle is not recommended;
The use of polyurethane or acrotextured fixation implants is strictly prohibited.

Installing an implant under the muscle is an effective method of breast enlargement and improving its shape and appearance.

Careful and strictly individual selection of mammoplasty techniques will allow you to achieve maximum results with which the patient will be satisfied.

We welcome to our website readers who are interested in mammoplasty, the advantages of implanting a prosthesis under various structures in the breast area (muscle, gland, fascia), and the implants that are preferably used for this type of operation. Today we will talk about what mammoplasty under the arm is, the advantages and disadvantages of the procedure.

Opinions among plastic surgeons regarding the preferred method of installation are mixed:

Some of them consider the best option to install them under the muscle, when the tissue covers almost the entire prosthesis, with the exception of its lower edge;
other surgeons prefer a mixed method of implanting the prosthesis: partly under the muscle, partly under the gland;
Still others consider the submammary (subglandular) location of the endoinsert to be optimal.

But implants are installed under the fascia extremely rarely. And few surgeons choose this method of endoprosthetics.

Which method to use, whether it is better to install an implant under a muscle, combined or under a gland, will depend on a whole set of factors.

Submuscular implantation of a breast prosthesis: main nuances for small breasts

The choice of implantation method and location of the prosthesis is dictated not only by the surgical school or the personal preferences of the doctor. To a greater extent, it is justified by the anatomical features of the patient:

the size of her own breasts;
amount of tissue (muscle, glandular, fat);
the distance between the submammary fold and the nipple.

There are two theoretical possibilities for installing a submammary prosthesis:

cutting the pectoralis major muscle;
and without cutting it.

With small breasts, it is almost impossible to do without dissection. The femoral gland is attached in the region of the ribs slightly higher than the subglandular fold. This means that if a fairly large implant is placed in a pocket of a naturally small breast without cutting the muscle, then under muscle force it will eventually move upward, and the nipple will “look” down. Agree - this is not very beautiful.

Therefore, surgeons more often resort to dissecting the femoral bone. This is especially necessary for hypomastia. In this case they have to:

dissect the femoral bone, which lengthens the rehabilitation period;
increase the nipple-submammary fold distance, which, according to natural data, is very small.

The latter is achieved by forming a new inframammary fold. Lower than it was intended by nature. This allows you to avoid “jumping of the prosthesis” and lowering of the nipple. But during healing, the muscles, even when cut, “jump” (i.e., contract).

Therefore, there remains a part at the bottom of the implant that is not covered by muscles.

Over time, this area may become more exposed, and patients or their partners will be able to feel the prosthesis under the subcutaneous fat. The smaller the prosthesis, the more it is covered with muscles, and the more natural the breast will be when palpated.

Nevertheless, even small ones can be carried out using this method. And the results, at least visually, are very good. Judging by the pictures before and after the procedure. Although you shouldn’t believe that the surgeon will be able to “hide” the entire implant under the muscle.

This operation is good for women with developed and intact pectoral muscles and medium-sized busts. It is used when glandular tissue has involuted due to postpartum or age-related atrophy.

Submuscular mammoplasty: advantages and disadvantages

The main advantages of this placement of the endoprosthesis are:

good filling of the upper part of the chest, its beautiful natural shape;
tight “fixation” of the implant with muscle, which minimizes the risk of its displacement, ripples, formation of “waves”, and, consequently, the risk of re-intervention;
implants can only be felt in patients with hypomastia and only in the lower part of the bust;
endoinserts do not overlap the mammary gland and allow it to be clearly visualized during examination.

The disadvantages include:

insufficient filling of the lower chest;
weak expression of bust height due to the density of muscle tissue;
inability to correct sagging breasts, needs to be combined (with a lift);
longer recovery period;
It is highly undesirable to install ;
It is not recommended to implant acrotextured prostheses and a polyurethane version of end inserts under the muscle.

When choosing a method, it is important to combine the surgeon’s skills in performing a particular correction method, his preferences and the patient’s anatomy. Then the result with any method will be stunning.

Recovery period after implantation of a prosthesis under the muscle

(of any type) the process is quite lengthy, and requires the woman to strictly follow the surgeon’s recommendations. In total, your tissues will regenerate for about a year. But this does not mean that during this entire period you will be bedridden and look like a mummy.

During the normal course of the operation, you may only need bed rest for the first day, and then you will go home to recover. Although the “savings regime” will need to be observed in the first month. There is no point in describing the recovery period by day. But we will highlight the main stages:

early postoperative period (until the patient recovers from anesthesia);
period of suture removal (this process normally takes place on the 5th or 7th day);
after 20-25 days you will say goodbye to swelling;
after 60 days, the pockets for your implants will be fully formed, and you will be able to evaluate the preliminary results of your and the doctor’s efforts;
after 90 days you will be able to enjoy the final version of your bust;
after 183 days you will already be leading your usual lifestyle, all feelings of discomfort will leave you and you will begin to forget that your breasts have additional foreign inserts;
after 365 days, complete recovery will occur, and you can think about procreation, if this topic is relevant to you, the sea breeze and a full-fledged sports rhythm of life.