- Surgeries, Breasts, Videos
Silicone implant: in front or behind the muscle? What's the difference and how to choose
- April 19, 2023
- By Fernando Amato
Silicone implant placement: in front or behind the muscle? Discover the difference and make the right choice for you
Breast implant. Breast implant placement is a highly sought-after surgical procedure for women who wish to increase breast size and shape. However, a common question among patients is the difference between placing the implant in front of or behind the muscle.
Plastic surgeon Dr. Fernando Amato, from Instituto Amato, explains that placement behind the muscle augments the muscle, while placement behind the gland augments the gland. Furthermore, an implant behind the muscle remains more static, while an implant behind the gland has a more natural movement.
Dr. Amato emphasizes: choosing the technique must consider the patient's needs and desires, as well as the complications associated with each option.
Placement behind the muscle can result in complications such as “double bubble” (when the breast sags and the implant sits in a different position, forming two distinct contours on each breast) and “cascading” (when the breast and skin are very lax and sag in a cascade shape).
On the other hand, placement behind the gland can result in complications such as “rippling,” which is the visibility of implant folds in very thin patients, in addition to potentially presenting similar complications to submuscular placement when capsular contracture occurs (when the implant becomes firm and sits high due to the capsule).
Choosing an experienced doctor, communicating with the surgeon, and understanding options are essential for a successful procedure.
In summary, the patient should choose the technique for breast implant placement according to their needs and desires, taking into account potential complications and the expected outcome. Clear and open communication with the plastic surgeon is fundamental for choosing the best technique and for the success of the procedure.
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