Overs to address problem with sagging?

Chevy · 08-15-2009, 10:11 PM

I was going thru the before & after pics and came across this one dr that choose to go over the muscle with the implants to address the sagging? What is the reasoning behind this? Why doesn't that actually make them sag more? Here's the link http://www.justbreastimplants.com/ga...tos_set134.htm

Thanks for your time!

Jennifer

badgerbabe287 · 08-15-2009, 10:18 PM

My ps also said that he wanted to place them over them muscle bc i have slight sagging. I never thought i did (never had kids) but I guess i do so he said going over the muscle would help. I also would like to know the answer to this. I would think going under the muscle would help with sagging but what do i know?

drdonrevis · 08-17-2009, 04:32 PM

Good afternoon,

My approach is different than the physician referred to, and I think it has the most to do with what works best in each surgeon's hands. I often tell patients that if they ask three plastic surgeons a question they are likely to get three different answers.

I strongly support the submuscular placement- it improves the quality of mammograms, it has a more natural look and feel, and the risk of capsular contracture is lower.

The patient in question has minimal ptosis (droopiness) and an implant alone is the solution. I would not hesitate to place it under the muscle for her.

Hope this helps!
Don Revis, MD
www.SouthFloridaPlasticSurgery.com

08-15-2009, 10:11 PM	#1
Chevy Join Date: Aug 2009 Location: baton rouge, louisiana Posts: 26 Thanks: 8 Thanked 5 Times in 5 Posts	Overs to address problem with sagging? I was going thru the before & after pics and came across this one dr that choose to go over the muscle with the implants to address the sagging? What is the reasoning behind this? Why doesn't that actually make them sag more? Here's the link http://www.justbreastimplants.com/ga...tos_set134.htm Thanks for your time! Jennifer

08-17-2009, 04:32 PM	#3
drdonrevis Certified by the ABPS Join Date: Dec 2007 Location: fort lauderdale florida Posts: 401 Thanks: 0 Thanked 185 Times in 143 Posts	Overs vs. Unders Good afternoon, My approach is different than the physician referred to, and I think it has the most to do with what works best in each surgeon's hands. I often tell patients that if they ask three plastic surgeons a question they are likely to get three different answers. I strongly support the submuscular placement- it improves the quality of mammograms, it has a more natural look and feel, and the risk of capsular contracture is lower. The patient in question has minimal ptosis (droopiness) and an implant alone is the solution. I would not hesitate to place it under the muscle for her. Hope this helps! Don Revis, MD www.SouthFloridaPlasticSurgery.com

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08-15-2009, 10:18 PM	#2
badgerbabe287 Join Date: Jul 2009 Location: Milwaukee, WI Posts: 56 Thanks: 15 Thanked 14 Times in 11 Posts	My ps also said that he wanted to place them over them muscle bc i have slight sagging. I never thought i did (never had kids) but I guess i do so he said going over the muscle would help. I also would like to know the answer to this. I would think going under the muscle would help with sagging but what do i know?