Submuscular & Subglandular Placement
Generally speaking, submuscular placement will provide a more natural appearing breast following breast augmentation, particularly when a round implant is selected. As the implant size and projection increases, the advantage of a sub muscular implant becomes less obvious. Tear drop shaped implants can be placed in a pre prectoral (subglandular) position and produce a very natural result provided the patient has enough of their own tissue to cover the implant.
Pre pectoral implants are associated with an increased degree of implant visibility and palpability, however with sufficient tissue coverage, particularly with more conservatively sized implants and less projection, or with the use of tear drop shaped implants, a very natural appearance can still be achieved. Patients who are engaged in vigorous upper body exercise programmes are often advised to consider pre pectoral implants since the risk of retropectoral (behind the muscle) implants may be greater. These risks include a change in the position or the orientation of the implant or distortion of the breast with muscle contraction.
Patient should discuss their options with their Specialist Plastic Surgeon to determine which site, shape of implant and projection is likely to produce the outcome they want given their own breast dimensions and soft tissue coverage. For more information contact Australian Society of Plastic Surgeons or Dr Mark Hanikeri; www.markhanikeri.com