Choosing to undergo breast augmentation is an important decision that requires a great deal of research. While it may feel that the only decision is whether you’d like to have the operation or not, there are many other considerations to make before undergoing the procedure. One of the most important questions is: Should your breast implants go above or below the muscle?
Placement of the breast implant can impact how natural your new breasts look and feel. As a general rule of thumb, when the implant is placed in front of the muscle it’s more likely that the patient can see or feel the implant, which undermines any efforts to make the breast implants look natural. Rippling is also much more common when the breast implant is placed in the front of the muscle, rather than behind it, unless you have a lot of breast coverage to hide the implant better.
Another drawback to implants placed in front of the muscle is an increased risk of capsular contracture, when your body produces scar around the implant and that scar contracts around the implant, causing it to capsulate. This can can make the implant feel hard and distort its shape. This contracture can also often cause pain in the individual.
One way to prevent capsular contraction is to place the implant behind the muscle as the instance of capsular contraction is lower. However, if you do place the implant in front of the muscle it’s recommended that you use a textured-surfaced implant, as texturing appears to decrease the instance of capsular contraction with implants in front of the muscle. Implant manufacturer Sientra even offers a two-year warranty for their implants against capsular contracture in first-time breast augmentation patients with implant either in front of or behind the muscle. Lastly, the use two specific drugs, Accolate or Singulair, which are normally used by those with asthma, can also help prevent capsular contraction.
Frederic H. Corbin, MD is a distinguished board-certified plastic surgeon practicing in two locations: Beverly Hills and Brea, CA (also serving the Orange Country area). For over 25 years, Dr. Corbin has been providing patients with the knowledge and guidance they need to choose the best implants to fit their needs.
For more information on what type of breast implants you should opt for, schedule a consultation with Dr. Corbin at one of his two locations in Beverly Hills and Brea (serving all of Orange County). To learn more about breast implants just fill out the form in the top right corner or call (310)284-8384 for our Beverly Hills office or (714)671-3033 for our Orange County office.