FB Pixel Skip to main content

Far more often than not, it is not such a great idea to have one’s breast implants placed above the muscle (submammary) for a breast augmentation.

Perhaps, at the time, it might have seemed to be the thing to do – either to the surgeon or the patient.

Or maybe, because it is an easier procedure for the surgeon to perform or more comfortable for a patient to recuperate from, it was recommended.

Regardless, the results in too many situations can be far less than ideal. That is, unless you like the look that you see in the photos below. Then, you may be quite happy with this approach.

That is why this particular woman sought a consultation with me – to address this embarrassing deformity that was also associated with firm, uncomfortable breasts.

There are so many reasons why it’s not such a good idea to have breast implants for a breast augmentation placed in front of the muscle whereas there are but a few in support of this location.

Women with generally good skin tone and a moderate amount of breast tissue who only want a small enlargement can do well with relatively small, cohesive silicone gel implants placed in a submammary pocket. These same type of implants above the muscle can also provide advantages for women who are involved in competitive body building. Finally, those women who already have implants in this position, are not having issues and are just seeking an implant exchange using silicone that are, at most, not much larger than what they have already, may be reasonable candidates.

Of course, there are other exceptions like:

1. The bolted on look is quite appealing to you as is the additional attention that you would receive.
2. Skin waviness and rippling provides a more dynamic contour which is something most other women with implants don’t have. Here’s your chance to be different!
3. You like your breast long – not perky.

Rarely will I ever recommend placing breast implants above the muscle for a primary breast augmentation (primary means a first time breast augmentation). In fact, based on the overwhelming aesthetic, medical and long term superiority of breast implants situated in a submuscular pocket (behind the muscle), virtually all the breast enlargements that I perform are with cohesive silicone gel breast implants placed behind the muscle.

For more information on breast implants or breast enlargement surgery or to schedule your consultation, please contact my office at (480) 451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

Request an Appointment

A Message Regarding Coronavirus/COVID-19

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.