Breast Implant Position – Over or Under the Pectoralis Muscle? Which is right for you?

“The placement of the breast implant is one of the key decisions to discuss with your plastic surgeon. While most patients in my practice have the implant placed under the muscle, there are cases where over the muscle may be beneficial,” says Dr. Paul Wigoda.

Take a moment to look at the diagram below to see the size and location of the muscles that make up your chest wall. You will notice that the pectoralis major muscle is a large fan-shaped muscle that does not cover the lower, outer aspect of your chest wall. Generally in breast augmentation surgery the pectoralis major muscle will be detached from its lower origin along the ribs and the implant will be placed under it leaving only about half the implant covered by the muscle. The bigger the implant, the less of it that is covered by the muscle.

 

The pectoralis minor muscle is much smaller and lies under the outer edge of the pectoralis major. The serratus muscle lies along the sides of your chest wall. The main sensory nerves to your breast come up between the slips of this muscle to enter the back of your breast tissue and from there to the rest of your breast. Generally surgeons place the implants on top of the pectoralis minor and serratus muscles, but below the pectoralis major muscles.

There are pro’s and con’s to having your implants placed over or below the muscle. Here are some things to consider:

Over the Muscle (Subglandular) Breast Implant Placement:

  • Pros: When textured implants are used, the capsular contracture rate is only 5–10%. If you have a moderate amount of breast tissue (a B cup or larger), this can be an excellent choice and produce very natural-looking breasts that age very well. Also, recovery is usually easier than when the implants are placed in a submuscular position.

  • Cons: The use of smooth implants in a subglandular position have an increased rate of capsular contracture compared to other options. Additionally, when textured implants are used in thinner women with small breasts rippling may be visible in the upper and inner areas. It is also easier to see the upper edges of the implants when they are placed over the muscle.

Under the Muscle (Subpectoral) Breast Implant Placement:

  • Pros: Using smooth implants under the pectoralis muscles reduces the capsular contracture rate to less than 10%. In thinner women, the added bulk of the muscle over the upper and inner aspects of the implants will make the edges less visible and the curve of the breast more natural. When textured implants are used, the rippling in the areas under the muscle is usually invisible.

  • Cons: The recovery is typically thought to be more uncomfortable. However, with Dr. Wigoda’s painless breast implant procedure, patients most often have implants placed below the muscle and have little or no pain. It can take several months to see your end results because the implant tends to start out high before it settles into its final position, lower on the chest. When the pectoralis muscle is contracted during exercise or in some daily movements, the muscle may flatten the implants and push them outward. This can change the shape of the breast. However, this does not happen in all patients. Occasionally, an indentation over the implant can be seen along the edge of the muscle but again, this is not typical. When there is a moderate amount of breast tissue that is lax or becomes lax in time, it may sag below the position of the implant that is held in place by the muscle.

Dr. Paul Wigoda’s Fort Lauderdale-based plastic surgery center offers both subglandular and subpectoral procedures and we are happy to help you decide what’s best for you during a free consultation.  Call us at 954.463.7088 to schedule your visit! www.drwigoda.com

Plastic Surgery Experience with Miami Breast Augmentation

So today is my last update on my breast augmentation surgery with Miami plastic surgeon, Dr. Wigoda.  I just wanted to reiterate how happy I am with Dr. Wigoda and his staff.  My breast augmentation surgery went great and I couldn’t be more pleased with my results.  You will see my before and after pictures below.  I went from an A-cup to a C-cup when I had my breast implant surgery last month and I feel 100% on my game!

If you are considering breast augmentation surgery I would defiantly book a consultation with Dr. Wigoda. I felt totally comfortable with the surgery, although I’ll admit; I was a little nervous beforehand.  Dr. Wigoda answered all of my pre-plastic surgery questions and was really caring overall.  I will be checking into the breast implant blog now and then so feel free to ask any questions you have or for more information visit Dr. Wigoda’s web site: www.doctorwigoda.com.

Have a good one!
XOXO
Mishelle

Before/After Miami Breast Augmentation

So I thought my fellow Miami breast augmentation friends would want to see the before and after shots of my breast implants.  I had my augmentation surgery with Fort Lauderdale plastic surgeon, Dr. Wigoda on January 30, 2009 and I look sooo much better!

The way I see it, I’m just like any young woman who wants to look busty.  I feel comfortable (and sexy) wearing low cut shirts and now, I don’t even have to wear a bra and my chest still looks perfect.  What the life!  I really couldn’t ask for more.

Check out the pictures below and also the video where I talk about my motivation for breast implants.

Before Breast Implants                            After Miami Breast Augmentation!!!!

Breast Augmentation Post-Opp Follow up

Hi Everyone –

Check out the video below with information from my breast implants follow up visit!  It has been a week since my breast augmentation surgery and I had an appointment with Fort Lauderdale plastic surgeon, Dr. Wigoda today.  He examined me and removed my stitches, which took about fifteen minutes.  Then we talked about the next steps of my breast augmentation recovery.  Nothing major, just that now, I am allowed to sleep on my side instead of only on my back (one step closer to the way I normally sleep).

As you will see in the video below – I am wearing a sports bra and have been instructed to do so (or go bra-less) for the next few months.  According to Dr. Wigoda, wearing the sports bra is a precaution after the surgery, to make sure that everything heals properly.

What can I say, I love my breasts and I’m looking forward to filling out all my new tops and dresses!

Check in next week to see the before and after photos!
Mishelle

Fort Lauderdale Breast Augmentation: Patient Followup

Well here I am, five days after my breast augmentation surgery and I am feeling fantastic! Dr. Wigoda and his staff did an amazing job and I want to thank them all for their great work. The breast implant surgery was easier than I ever expected and I almost feel silly for the concerns about the appearance of breast implants that I had last week.

Immediately after the surgery I was tired from the anesthesia and couldn’t feel much but after a few hours I was able to walk around and eat like normal.  My breasts were sore, but I had no significant pain at all!  Overall, Dr. Wigoda has been really caring about my surgery – he knew how nervous I was. He even came to visit me on Saturday to make sure everything was healing properly and that the stitches were in place. So far, I could not be more pleased with my results.  If you or anyone you know in the Miami or Fort Lauderdale area is looking for a breast augmentation surgeon, Dr. Wigoda is definitely the way to go!

Finally, I’m sure you’re all wondering – well, how do they look?  And I must say, they are perfect.  Although my breasts are still wrapped in bandages, and I am not allowed to sleep on my stomach or side – it was worth it!

I will keep you posted.

Mishelle

Breast Augmentation Surgery in Miami

So today is the day for my breast augmentation surgery!  I woke up this morning feeling prepared and excited.  I’ve put on some comfortable clothes and am ready to head out the door to meet with Dr. Wigoda and his staff. First I will meet with the doctor at his Fort Lauderdale plastic surgery location, and then speak with the anesthesiologist for any final questions before the breast implant procedure.

I am so excited; I can hardly wait!  I want to share with you all the details of my breast augmentation procedure but I’m not a plastic surgeon – sooo, check out the video of Dr. Wigoda below, speaking about my breast implant surgery options.

Enjoy your weekend!
I will follow up next with on the “whole new me!”
Mishelle

Fort Lauderdale Breast Augmentation Patient Concerns

Hello,

I hope you all enjoyed your weekend.  The breast augmentation date is approaching faster-than-ever and I wanted to share with you a few of my concerns.  This Friday, I am having my breasts done by Fort Lauderdale plastic surgeon, Dr. Wigoda and with his guidance; I’ve decided to go from an A-cup to a C-cup.

As I mentioned last week, my initial concern was about the future of my body and whether or not I’d be able to breast-feed after my breast implants (since I’m only 23, I’m not yet too concerned about babies, but I know I will be down the line!). Dr. Wigoda assured me that everything would function as normal after the surgery.

The other concern I had prior to my breast augmentation consultation was that my breasts might look fake or too “stacked,” up in the air. I discussed this with Dr. Wigoda, he was actually nice enough to talk to me over the phone, and explained that because we are putting the breast implants behind my breast muscle, the procedure would result in natural looking breast augmentation.

I will check in with you later in the week for another update before the surgery.
Mishelle

Choosing a Breast Augmentation Surgeon in Miami

Happy Friday everyone!

I wanted to share with you my decision to have Dr. Wigoda perform my breast augmentation surgery.  I met with him earlier this week for my plastic surgery consultation and I am ready to move forward with Dr. Wigoda as my breast augmentation surgeon. We’ve scheduled the surgery for next Friday, January 30, 2009 and I couldn’t be more excited.

During the consultation I really felt comfortable with Dr. Wigoda. He answered all my questions and he actually cared about everything I was worried about.  I was concerned about being able to breast-feed in the future and I really felt comfortable discussing all my hesitations with him. Dr. Wigoda didn’t just give me the medical answer that you’d expect from a Fort Lauderdale plastic surgeon; he really took the time to go deep into detail with each of my questions and concerns.

Today I am feeling a little nervous about the surgery, but I know I am in great hands!  I will follow up with you all next week.

TGIF!
Mishelle