Breast Augmentation Surgery and Breast Implant Choices
Breast Implant Placement
Subglandular technique, also known as above the muscle placement places the implant between the breast tissue and the chest muscle. This method has increased in popularity as it is less pain fun for the patient, has fewer complications and with the newer implants, some of the concerns previously expressed are now less significant.
Subfascial technique involves elevating the layer covering the outer surface of the chest muscle and placing the breast implants in the space created
Submuscular technique, also known as under the muscle placement, means placement of the implant below the pectoralis major chest muscle. This was an extremely popular method of implant insertion, however, it has reduced in popularity as many feel the risk of complications is higher and the recovery can be slower.
Dual plane technique involves both the submuscular and subglandular techniques. The upper part of the breast implant is submuscular meaning it is placed in a pocket underneath the chest muscle, while the lower part of the implant is covered by only the breast tissue. This method of insertion has become very popular. This method is not offered in many discount clinics as it takes longer to perform than a simple submuscular insertion.
Why Choose the Above the Muscle Placement for Breast Implants
This procedure can often be less painful than other methods. The recovery can also be quicker as the muscle is not interfered with. Any of the complications such as ‘double bubble’ and implant displacement occur less. The treatment for ‘double bubble’ is often considered replacing the implant above the muscle. Some surgeons consider this less destructive to the muscle as the muscle may wither and lose strength in some cases. With the use of the polyurethane sticky implants, some advantages in correcting floppiness or ptosis are seen as well.
Why Choose the Dual Plane Placement for Breast Implants
The dual plane procedure in our opinion has overtaken the sub muscular procedure. It has the benefits of below the muscle with less of the concerns. In a very slim or petite patient with no breast tissue at all, this is the preferred position.
Problems such as ‘double bubble’ and bottoming out are less seen with this procedure as the muscle does not exert as much pressure on the implant. Also, the problem of wide cleavage is reduced.
There are three grades of the dual plane placement with grade three being most effective in the floppier breast. Opinions vary on the above and it is wise to be fully informed so that the best choice is made to fit your specific circumstances.
Dr Glenn Murray
Cosmetic Doctor and Medical Director
Dr Glenn Murray completed his Bachelor of Medicine and Bachelor of Surgery at the University of Western Australia. He continued his training; undertaking both cosmetic medicine and cosmetic surgery training. Dr Glenn Murray has trained with some of the best Cosmetic and Plastic Surgeons in the US and around the world. He is the past president of the cosmetic society and has attended many advanced breast workshops throughout his career. Dr Murray has a special interest in repairing botched oversees surgery and more information on this can we found here.
Dr Murray, our Medical Director, at Absolute Cosmetic Medicine is committed to providing exceptional care to every patient. His full resume can be seen here.