Complete Submusclar Breast Implant Placement / Complete Unders / Full Unders
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Breast Implant Placement
Complete Submuscular |
Breast Implant Placement
Complete Submuscular Breast Implant Placement / Full Unders
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Complete Submuscular - The top 2/3 of the breast implant is covered by the pectoralis muscle, and the bottom 1/3 is covered by the fascia. |
Complete Sub-muscular (a.k.a. complete unders,
total sub-muscular, total sub-musculofascial,
and full unders)
When discussing under the muscle placement
with your surgeon, make sure he or she clarifies
either PARTIAL or COMPLETE sub-muscular
placement.
Implants placed completely beneath the muscle
are NOT totally behind the pectoral muscles. The
top 2/3 of the implant is behind the pectoral
muscles and serratus muscles, and the lower 1/3
is behind the fascia, which is the connective
tissue that connects the pectoral, serratus, and
upper rectus abdominal muscles. Having the
implants completely beneath the pectoral muscles
ALONE is not anatomically possible.
Complete sub-muscular placement can be achieved
via the transaxillary, periareolar, or
inframammary fold incision. However, when going
with the transaxillary incision, the muscles and
fascia can be left in tact. They do not have to
be cut or dissected in any way. This is not so
with the periareolar and crease incision. With
these two incisions, the muscle must be
dissected in one way or another, in order to
place the implant behind it. Of course, there is
the method of simply cutting, and afterwards, it
is closed up with sutures, or allowed to heal on
it's own.
Pros
- The implant is fully covered, by the
muscle and fascia, which helps to camouflage
the edges of the implant, as well as ripples
in the implant. While visible rippling is
possible with all three placements, having
complete submuscular placement has the least
risk of visible rippling.
- The fascia serves as support to the lower
pole, whereas with partial sub-muscular
placement, the skin tissues support the weight
of the implant. Complete unders serve as sort
of an "internal bra".
- Lower risk of
capsular contracture.
- Better mammogram readings (vs. over the
muscle implants)
- Lower risk of bottoming out
Cons
- More post-op discomfort.
- Breasts may sit a bit higher at first
until the muscle relaxes (same is true with
partial submuscular placement.)
- Implant distortion when the pectoral muscle is slightly flexed, which is also true with partial submuscular placement.
You can view surgery photos here.