"overs" and "unders"

[yoopergirl]

I was just wondering if there is a big difference between the two? . I'm not sure if I want the extra pain of my muscle being sliced for a slight improvement. Is the healing a little easier with "overs".

[JewelerJMD]

Hey! Since no one has replied to your post, I will! as far as Overs go: The result of implants over the muscle provides a round augmented look in many patients, but many women prefer the round and somewhat less natural look. In the "over" approach the implants are inside the breast. Advantages are ease of the surgery, which can be accomplished by almost any surgeon, avoidance of mastopexy in mild ptosis (although it usually makes the ptosis worse later), less post-op discomfort, since only skin and fat are cut. This approach allows insertion of oversize implants, which is again what some women want. Disadvantages are marked interference with mammograms (about 40% obstruction - see reference below), clear visibility and feel of implant edges, visible and palpable rippling of the skin over the implants, especially with any textured implants, higher rate of capsule contracture, high rate of later implant downward migration or "bottoming-out", and difficulty correcting later posts problems when they occur.

Unders: This support fascia is the extension of the muscle envelope from the pectoralis muscles to the abdominal rectus muscles, and the finger shaped serratus anterior muscles to the sides, and is a stout collagen sheet which stretches slowly after implant placement, but provides reliable long-term internal bra-like support to prevent "bottoming-out". With this approach the implants are totally behind the breast. Complete muscle coverage of the implant, without cutting through the muscles, can only be achieved by Trans-Axillary approach, entering the space under the muscle where it lies closest to the skin in the anterior axillary fold. The Advantages of this approach are ease of placement, natural breast shape no implant visibility, no rippling of the implant surface (except textured implants in thin women), lower capsule contracture risk, since the breasts are completely separated from the implant, and no ducts with germs are damaged while placing the implants, low mammography interference, good internal support, and no scars on the breast. Disadvantages are the difficulty mastering the procedure, thus it is not available from all surgeons, muscle discomfort post-op, and implants which tend early to be a bit full superiorly, until the support fascia stretches.

BTW, I got all of that info from http://www.advanced-art.com/Breast-Aug-Over-Under.htm

I personally have Overs and I love them.. I did have quite a bit of breast tissue starting out so that's why my PS said it would be fine for me to go over the muscle.. it just all depends. HTH!

[Moosaysthcow]

i have overs but thats what my PS recoommended so i went with it.. i just wanted boobs..LOL and yes the recovery was a piece of cake!