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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

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