There are two placement options for breast implants. During your breast augmentation surgery, you can have your breast implants placed either over the muscle (called subglandular placement) or under the muscle (submuscular). Submuscular placement is recommended for a number of reasons: it can reduce your risk of capsular contracture, and reduce the chance that the implant will be able to be seen or felt after your surgery. From a cosmetic standpoint, it is especially recommended if you don't have a lot of natural breast tissue, but want to get saline breast implants. One concern some women have about submuscular implant placement is whether they will look or feel unnatural when you perform arm exercises or flex. When breast implants are placed under the pectoral muscle, they do interact with the chest muscles, but significant distortion is uncommon. One study looked at photographs of submuscular breast augmentation patients who were flexing. About 85% had minimal or no distortion when evaluated by a trained plastic surgeon. About 10% had moderate distortion, and only 5% had severe distortion. When patients were asked about their level of distortion, the figures were about the same. Of patients responding to a questionnaire, 82% said they had mild to no distortion, 10% said they had moderate distortion and 7% said they had severe distortion. Most commonly, patients reported distortion being visible when weight lifting (24% of respondents) or exercising (19%). However, only 1% of respondents said they would not recommend submuscular placement of breast implants. Breast distortion as a result of muscle action is another thing you have to keep in mind when considering breast implant placement. It is important to balance this and other drawbacks against the many benefits of submuscular placement in order to make the decision about which breast implant placement is right for you. Dr. David A. Bottger will discuss this decision during your personal breast augmentation consultation. To schedule your consultation, please call or email us today.
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One of the concerns many young women have about getting breast implants is whether it will impact their ability to breastfeed, and whether pregnancy and breastfeeding will impact their results. While every woman is different, former "Girl Next Door" and current "Dancing with the Stars" contender Kendra Wilkinson shows that breast implants will not stop you from breastfeeding, and can still look great after pregnancy. Kendra Wilkinson, who had breast implants prior to becoming a Playboy model and one of Hough Hefner's girlfriends, had a baby boy just five months into her marriage with former Philadelphia Eagles player Hank Baskett. She was very excited, and equally excited about the opportunity to breastfeed, but nervous that she would not be able to with her breast implants. However, she was able to breastfeed successfully for three months, about as long as she wanted. When she was breastfeeding, she was unhappy that her breasts were too large, a problem that many women have during breastfeeding. She was also concerned that her breasts would not look as good after pregnancy and breastfeeding. However, as you can see during her appearances on "Dancing with the Stars," her breast augmentation results still look great. Her appearance has never been criticized, only her ability to convey "elegance" and be "lady-like." Although she is currently last on the show's leader board, she and partner Louis van Amstel are hoping to make up some points with a saucy foxtrot that can play to her strengths. If you have questions or concerns about how breast implants may impact your pregnancy or breastfeeding, please contact Philadelphia plastic surgeon Dr. David Bottger today to schedule a consultation.
In most cases breast reduction surgery does not require complete removal of the nipple areolar complex. Usually in the standard vertical and inferior pedicle techniques the nipple is left attached to an underlying pedicle of breast tissue and shifted to a more superior position without detaching it. In a small subset of extremely large reductions the pedicle lengths are too long to provide adequate blood supply to the nipple areolar complex and a free nipple graft technique is required. This procedure involves a complete removal of the nipple areolar complex and a reattachment to the reduced breast mound at the appropriate level. This allows maximal reduction in these patients while maintaining the integrity of the nipple and areolar skin. The main drawbacks of this technique is that the sensation of the nipple is lost, the nipple may lose its projection and become flatter, and in patients of color the areolar pigment can be affected.