There are various opinions on whether to place enhancements subglandular or under the pectoralis muscle. In most cases, the site chosen is over the muscle.
It has been industry practice to place breast enhancements subglandular. This position is considered superior because the breast is located naturally over the muscle. The appearance of the breast is therefore more natural after surgery. There is generally less pain after the operation as well as a lower risk of bleeding.
The reasoning behind placing the enhancements behind the pectoralis muscle is usually that in instances of capsular contracture, where the breasts become hard, the effect is masked by this position. Visually the augmented breast looks more natural in small breasted woman and the ripple or wrinkling effects are less noticeable. In the event of you requiring a mammogram, the results are more accurate. This type of procedure is also less time consuming resulting in shorter operations.
The majority of breast augmentation surgeries place the breast enhancements subglandular. This procedure is usually undertaken to enlarge breasts to make for a better proportioned body. In cases where breast-feeding has resulted in breasts that have lost their shape, an enhancement can be used to restore the size and shape of the breast. If the breasts differ in proportion, an enhancement can be the solution to a more balanced and natural look. The decision to undertake a breast augmentation is a very personal and potentially life changing procedure. It is best that you discuss the location and type of enhancement with your physician fully before making a final choice.
The type of enhancement together with the eventual positioning of the enhancement are important considerations. The two most common enhancements are saline filled and silicone gel-filled. These come in a variety of sizes dependent on your requirements or wishes. The enhancements are available as either smooth or textured. The benefits of textured enhancements being that they adhere more firmly to the breast tissue and resist rotation. This could result in wrinkling or distortion. You would then need to consult your physician to schedule additional procedures to rectify the faults. You should bear in mind that a breast enhancement is not a lifelong option. You will in all likelihood have to have additional operations to either extract or replace enhancements later in life.
The decision to place breast enhancements subglandular is one of many that you will have to make. Be sure to consult your physician about your options and don’t be afraid to ask for a second or third opinion if you are unhappy with any aspect of the surgery.
Ricardo de Silva is with PlasticSurgeonPractices.com - information on string breast implants.
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