Implant placement?

[gingersnap]

Partial unders.

[pinkmocha]

I have unders

[JRABBIT]

I have complete unders & loving them!

[sprite]

I have sub-fascial placement.

[poczulig]

I have complete unders

[jowannah]

Originally Posted by jessicarabbitt26

I am getting overs..do they tend to look larger than the unders??

depends on entirely how much tisue you have to start with of urse with unders you loose bit of size, i nt from a b/c to an f with 450cc vhps with overs xxx

[jowannah]

Originally Posted by cec

i don't get this complete unders business b/c when i asked my PS's nurse whether they were doing complete or partial unders, she told me there's no such thing as complete unders!!! it's all very confusing to me.

the only thing i'm sure of is that i've got partial unders b/c i can feel the implant on the bottom and the sides.

there is such thias full unders but its raremost girls have partial unders xx

[jowannah]

found this and now i am confused what do think?

Full Sub-muscular (complete unders): Not really full muscular placement, per se, this placement also involves the act of separating the pectoralis majora (or major) from the pectoralis minora (or minor) and chest wall as well as separating the fascia (or thick muscle covering) from the muscle itself of the rectus abdominus and also the use of the serratus muscle fascia. However, for ease of wording and for terminology recognition we will refer to it as full sub-muscular placement.

"The pectoralis majora muscles are either of the muscles that connect the ventral walls of the chest with the bones of the upper arm and shoulder of which in humans there are two on each side. This muscle arises from the clavicle, the sternum, the cartilages of most or all of the ribs, and the aponeurosis of the external oblique muscle and is inserted by a strong flat tendon into the posterior bicipital ridge of the humerus -- called also pectoralis major" (Merriam-Webster; Medical)

"The rectus abdominus muscles are the long flat muscles on either side of the linea alba extending along the whole length of the anterior (front) of the abdomen, arising from the pubic crest and symphysis, inserted into the cartilages of the 5th, 6th and 7th ribs." (Merriam-Webster; Medical)

"The serratus muscle is a thin muscular sheet of the thorax that arises from the first 8 or 9 ribs and from the intercostal muscles." (Merriam-Webster; Medical)

"The Muscle Fascia is a sheet of connective tissue covering or binding together body structures" or "a thick, white covering that envelopes the muscles." (Merriam-Webster; Medical)

The implant is placed under all of these for complete coverage and partial support. The increased coverage reportedly allows virtually no rippling and a complete support of the implant. However fascia can stretch out. Although with larger implants, one cannot expect full coverage. This procedure is not as common as the other placements but is quickly catching on. With this placement, the chance of capsular contracture is reportedly much lower and the breast takes on a more natural slope on the top as well as no visible rippling on the sides and breast lobe, or lower pole (underneath, bottom portion of the breast), that may otherwise be present in sub-pectoral only placement. There is a learning curve to the full sub-muscular placement and surgeons must learn yet another technique in the ever-changing world of breast augmentation.

Also, with full sub-muscular placement the breasts may appear high and tight and even somewhat square looking for some time but, patience is a virtue -- patients with this placement report that it is worth it in the long run.

There is some controversy surrounding the idea that the full sub-muscular placement is possible with the trans-axillary (underarm) approach without any cutting of the pectoralis major. With the peri-areolar (nipple) incision it has been said that this placement is possible with cutting of the pectoralis major, which does heal in time. However it has been brought to my attention that a few well-known surgeons do NOT cut the muscle and that it can be accessed through the areolae without any cutting of the pectoralis major by blunt dissection with a special tool which one of them invented. But considering that I do not know of too many surgeons, in general, who offer this placement, I cannot say for sure if another does or does not cut the pectoralis. To be sure, please ask at your consultation. And remember as I have stressed before different surgeons will have different opinions and methods.

Care must also be made so as not to snip the the Cooper's ligaments (*remember: Cooper's Droopers) with the trans-axillary approach so make sure your doctor does mention this risk to you at your consultation if you are choosing this technique placement. Although this is rare with this endoscopic axillary technique, it can happen.

Also bottoming out is reportedly *non-existent* with the "full muscular" coverage. With the rectus abdominus fascia and serratus muscle fascia covering and supporting the lower half of the implant, it is best described as an internal bra. But you must remember, the implant is slightly supported, not your breast tissue and skin, so please wear a bra to impede sagging. As with sub-pectoral only, women with full sub-muscular placement report that swimming is quite an odd experience to get accustomed to post-operatively.

[Jess]

Originally Posted by jowannah

found this and now i am confused what do think?

Full Sub-muscular (complete unders): Not really full muscular placement, per se, this placement also involves the act of separating the pectoralis majora (or major) from the pectoralis minora (or minor) and chest wall as well as separating the fascia (or thick muscle covering) from the muscle itself of the rectus abdominus and also the use of the serratus muscle fascia. However, for ease of wording and for terminology recognition we will refer to it as full sub-muscular placement.

"The pectoralis majora muscles are either of the muscles that connect the ventral walls of the chest with the bones of the upper arm and shoulder of which in humans there are two on each side. This muscle arises from the clavicle, the sternum, the cartilages of most or all of the ribs, and the aponeurosis of the external oblique muscle and is inserted by a strong flat tendon into the posterior bicipital ridge of the humerus -- called also pectoralis major" (Merriam-Webster; Medical)

"The rectus abdominus muscles are the long flat muscles on either side of the linea alba extending along the whole length of the anterior (front) of the abdomen, arising from the pubic crest and symphysis, inserted into the cartilages of the 5th, 6th and 7th ribs." (Merriam-Webster; Medical)

"The serratus muscle is a thin muscular sheet of the thorax that arises from the first 8 or 9 ribs and from the intercostal muscles." (Merriam-Webster; Medical)

"The Muscle Fascia is a sheet of connective tissue covering or binding together body structures" or "a thick, white covering that envelopes the muscles." (Merriam-Webster; Medical)

The implant is placed under all of these for complete coverage and partial support. The increased coverage reportedly allows virtually no rippling and a complete support of the implant. However fascia can stretch out. Although with larger implants, one cannot expect full coverage. This procedure is not as common as the other placements but is quickly catching on. With this placement, the chance of capsular contracture is reportedly much lower and the breast takes on a more natural slope on the top as well as no visible rippling on the sides and breast lobe, or lower pole (underneath, bottom portion of the breast), that may otherwise be present in sub-pectoral only placement. There is a learning curve to the full sub-muscular placement and surgeons must learn yet another technique in the ever-changing world of breast augmentation.

Also, with full sub-muscular placement the breasts may appear high and tight and even somewhat square looking for some time but, patience is a virtue -- patients with this placement report that it is worth it in the long run.

There is some controversy surrounding the idea that the full sub-muscular placement is possible with the trans-axillary (underarm) approach without any cutting of the pectoralis major. With the peri-areolar (nipple) incision it has been said that this placement is possible with cutting of the pectoralis major, which does heal in time. However it has been brought to my attention that a few well-known surgeons do NOT cut the muscle and that it can be accessed through the areolae without any cutting of the pectoralis major by blunt dissection with a special tool which one of them invented. But considering that I do not know of too many surgeons, in general, who offer this placement, I cannot say for sure if another does or does not cut the pectoralis. To be sure, please ask at your consultation. And remember as I have stressed before different surgeons will have different opinions and methods.

Care must also be made so as not to snip the the Cooper's ligaments (*remember: Cooper's Droopers) with the trans-axillary approach so make sure your doctor does mention this risk to you at your consultation if you are choosing this technique placement. Although this is rare with this endoscopic axillary technique, it can happen.

Also bottoming out is reportedly *non-existent* with the "full muscular" coverage. With the rectus abdominus fascia and serratus muscle fascia covering and supporting the lower half of the implant, it is best described as an internal bra. But you must remember, the implant is slightly supported, not your breast tissue and skin, so please wear a bra to impede sagging. As with sub-pectoral only, women with full sub-muscular placement report that swimming is quite an odd experience to get accustomed to post-operatively.

Interesting. I have partial unders and can feel the implant under my breast and on the outsides, although you cant *see* any visable rippling or see the implant shape. I believe my PS only does overs and partials.

[Jess]

Originally Posted by jowannah

there is such thias full unders but its raremost girls have partial unders xx

If you look at this poll, most gals have complete unders, then overs and then partials. I wonder if some have partials but dont know it??

[SpaceAngel]

I am going to get unders..i hope the pain isnt really badd!

[Pattibee]

I would like complete unders, if there is a such thing.

[fitnessgrl]

Mine will be unders

[TamTam72]

I will be getting overs

Tam x

[kolie]

I have complete unders(I think). You all have me confused with this partial stuff. I guess I will double check at my next appt.

[Zoe Ibiza]

I'm having partial unders.I think its all my PS does.

[jasyjewel]

I am getting unders.. that's all my PS does