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Blepharoplasty Lady

Pros and Cons of Breast Pocket Placement

February 25, 2018

Breast Augmentation involves the creation of a breast pocket that the implant is placed in. Implant placement with respect to the chest muscle (pectoralis major) impacts on the shape and position of the breast.

The breast pocket can be made in one of two places: under the breast itself (sub-glandular or sub-mammary), or under the chest muscle (sub-muscular or sub-pectoral). There are advantages and disadvantages to both approaches.

The advantages of an implant placement below the chest muscle:

  • More natural look
  • Less visible implant in the upper breast
  • Lower risk of Capsular Contracture
  • Lower risk of implant bottoming out
  • Less visible implant rippling/wrinkling
  • Mammograms are easier to read

The disadvantages of an implant placement below the chest muscle:

  • More discomfort during post-surgical recovery (this is minimal and should not be used as a determining factor in which approach is used)
  • Longer time for breasts to settle down into their optimal position and shape
  • Implant and breast movement during physical activity (when flexing chest muscles)

The advantages of an implant placement above the chest muscle:

  • Less discomfort during post-surgical recovery
  • Quicker post-surgical recovery
  • Final (optimal) size and shape seen earlier
  • More bubbly, rounded (or push-up) look

The disadvantages of an implant placement above the chest muscle:

  • Higher risk of Capsular Contracture
  • Higher risk of implant bottoming out
  • Implant more visible
  • Implant easier to feel
  • implant rippling/wrinkling more visible in the upper breast
  • Mammograms are harder to read (further information is given here)

 

Posted by Jenn Horowitz

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