Information please :)

Hi guys, I am researching getting a BA and have some questions if you all could be obliged…
What is the best placement (over or under) and why?
How long is the recovery and how painful is it? – I have two small kids I need to take care of but my husband will be able to take a week of leave or so.
Where is the incision made and does it scar?
Silicone or saline and why?
round or teardrop?
Your input helps! Thanks so much in advance 🙂

Placement depends on the breast tissue available. People with bigger breasts naturally tend to be able to have overs and people without much breast tissue tend to have unders or partials.
Overs recovery I’ve been told a week off work will suffice
Unders recovery I’ve been told is 2 weeks off work if possible
Incision (mainly) is in the crease under the boob.
Silicone is what mya tend to offer I believe – it lasts longer I think.
Teardrop gives more volume at the bottom and looks very natural. If you want volume at the top go for round x

Thank you so much, every bit of information helps. What about profiles? Any advice on what to opt for there?

A lot of the time you are told which profile you can have by the surgeon as it depends on your frame, I had to have high profile as they are narrower than mods and I’ve got a small frame.

Hey chick you really don’t get a choice on placements there are 3 of them and your sugroen will tell you which one is the best the placement for you X

There are unders / parts / overs
The photos at left show implant placement over the muscle in the sub-glandular position, completely in contact with the breast tissue. 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. For the above reasons I seldom recommend implants over the muscle anymore.

Photos at left show partial submuscular implant coverage with implants placed under the muscle via either an areola (nipple) incision or an inframammary crease incision, thus disrupting the muscle support fascia at the lower pole of the implant to allow it to enter the space under the muscle. With this approach the implants are mostly behind the breast. This approach has the Advantages of mostly separating the implants from the muscle, facilitating unobstructed mammography, a more natural look with a soft transition from the flat of the upper chest wall to the round shape of the implant, much less visibility and feel of the implant edges, usually no rippling (except textured implants), and low risk of capsule contracture, as long as the implants have not been contaminated by ductal germs while being passed through the breast tissues. Disadvantages include a bit more discomfort early post-op, technique a bit more difficult than over the muscle, and the loss of the lower pole support fascia which leave the implants supported by the same weak skin tissues as implants over the muscle, leading to later downward bottoming-out of the implants in a few patients as is frequently seen in implants over the muscle.

Complete implant muscle coverage is shown at left with intact muscle fascia supporting the lower pole of the implant. 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. This is my preferred technique for the majority of patients.

Thanks Courtney that was very informative 🙂 I am leaning towards unders, even though the recovery might be tougher. I am just worried it takes me a long time to recover as I have two small kids and my husband won’t be able to take forever off from work. We don’t have any family around either as we are military and here for 4 years.

Hey sweetie i had uplift and implants with under the muscle your sugroen will tell you wear need your implants placing xx

Recovery is different for everyone but my personal experience (I had unders): I couldn’t really move for the first 2 days. Lifting my body up from a lying position was impossible (as it uses chest muscles) and it really hurt to walk. I also couldn’t lift anything – e.g. A drink to my mouth, pulling my pants down to go to the loo lol!! So I needed my boyfriend to look after me constantly for 2-3 days (putting my hair up, helping me out clothes on, helping me drink etc). After day 3 it moving got easier but was still very achy and painful. I’d say I wasn’t properly able to do stuff for myself for around 1 week and even now I’m still achey every now and then (3 weeks post op). You’ll need quite a bit of help; no lifting anything heavier than a kettle for 6 weeks, no lifting your arms above your head for 6 weeks etc. Hope that helps xx

It’s one of them chick everybody is different even girls with overs some have loads of pain but it eases up come your 2nd week

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