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Pretty Woman

In breast augmentation surgery, implants are placed either in a “pocket” formed behind (subpectoral/submuscular) or directly in front (prepectoral/submammary) of the large chest wall muscle known as the pectoralis major muscle. While both of these locations can provide nice results, positioning breast implants behind the muscle generally provides superior, more natural-looking outcomes including long term.

In the submammary position, the overlying skin typically stretches and thins out over time due to the weight of breast implants, with larger implants having a greater negative impact. This can lead to problems such as contour irregularities, greater palpability of the implant (ability to feel the actual implant) and a greater chance of noticeable rippling on the skin. Additionally, implants placed in front of the pectoral muscle often create the extremely round, fake-looking, “bolted on” appearance that most women wish to avoid.

In contrast, the subpectoral position provides better short- and long-term support for the implant, increased tissue coverage overlying it which provides a more natural feel and appearance, and a smoother, more gradual interface between the implant and chest wall. As a result, the breasts tend to both look and feel more natural. Additional benefits of submuscular implant placement include a reduced risk of capsular contracture, a diminished risk of visible rippling of the overlying skin and improved accuracy in the interpretation of mammograms.

Ultimately, specific implant placement will depend on each individual’s unique needs and goals. However, and because of the reasons enumerated above, I strongly advocate placing implants behind the pectoralis major muscle and do so for virtually all of my patients.

Dr. Steven H. Turkeltaub, Board Certified Plastic Surgeon

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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

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