Breast augmentation is a life-changing cosmetic procedure that empowers individuals to enhance their breast size and shape, boosting their self-confidence and achieving their desired aesthetic goals. One of the critical decisions in breast augmentation is choosing the right implant placement, and among the options available, subglandular implant placement stands out as a popular choice. In this blog post, we will provide a detailed overview of the subglandular implant placement technique, exploring its benefits, the surgical process, and important considerations to help you make an informed decision about this approach.

What is Subglandular Implant Placement?

Subglandular implant placement, also known as “above the muscle” placement, involves positioning the breast implant beneath the breast glandular tissue and above the pectoral muscle. The implant sits directly beneath the breast tissue providing volume and shape to achieve the desired breast augmentation results.

Advantages of Subglandular Implant Placement

Subglandular implant placement offers several advantages, making it a preferred choice for certain patients:

• Faster Recovery: Since the pectoral muscle remains untouched during surgery, the recovery period for subglandular placement is often quicker and less painful compared to submuscular placement.
• Natural-Looking Cleavage: Subglandular placement may create a more pronounced cleavage and upper breast fullness, which can be appealing to patients seeking enhanced cleavage.
• Suitable for Patients with Adequate Breast Tissue: Subglandular placement can be advantageous for patients with sufficient natural breast tissue, as the existing breast tissue provides additional coverage for the implant.
• Minimal Distortion during Muscle Contraction: Subglandular placement is associated with less distortion of breast shape during activities that involve the contraction of the pectoral muscles.

Considerations for Subglandular Implant Placement

While subglandular implant placement offers significant benefits, there are important considerations to keep in mind:

• Visible Rippling or Wrinkling: Subglandular placement may result in more visible rippling or wrinkling of the implant, particularly in patients with thin breast tissue or those choosing saline implants.
• Implant Edges May Be More Noticeable: In some cases, the edges of the implant may be more palpable or visible with subglandular placement, depending on the patient’s natural breast tissue and skin thickness.
• Potential for Capsular Contracture: Capsular contracture is a condition where scar tissue forms around the implant, potentially causing discomfort or breast distortion. While the risk of capsular contracture exists with any placement option, some studies suggest it may be slightly higher with subglandular placement.
• Breast Cancer Detection: Subglandular implants may not interfere with breast cancer detection through mammography as much as submuscular implants, but it is essential to inform the mammography technologist about your implants to ensure proper imaging.

The Subglandular Implant Placement Procedure

The surgical process for breast augmentation with subglandular implant placement generally follows these key steps:

• Preparation and Anesthesia: Prior to the surgery, you will have a comprehensive consultation with your plastic surgeon to discuss your aesthetic goals, medical history, and expectations. During the procedure, anesthesia will be administered to ensure your comfort and a pain-free experience.
• Incision Placement: The surgeon will create an incision in the chosen location, such as the inframammary fold, periareolar border, or transaxillary area.
• Creation of the Implant Pocket: After the incision is made, the surgeon will create a pocket directly behind the breast glandular tissue to accommodate the implant.
• Implant Insertion and Positioning: The chosen breast implant will be inserted into the pocket and carefully positioned to achieve the desired symmetry and aesthetic outcome, considering the patient’s unique anatomy and goals.
• Closure: The incisions will be meticulously closed with sutures or surgical adhesive. Dressings will be applied to support the healing process and protect the incisions.

Recovery and Aftercare

Following the subglandular implant placement breast augmentation procedure, patients can expect some initial swelling, discomfort, and bruising. Your surgeon will provide detailed post-operative instructions, including guidance on pain management, wound care, and activity restrictions during the recovery period.

Attending all follow-up appointments with your plastic surgeon is essential to monitor the healing progress and address any concerns or questions you may have.

Is Subglandular Implant Placement Right for You?

The suitability of subglandular implant placement depends on various factors, including your aesthetic goals, breast anatomy, and the expertise of your plastic surgeon. It is essential to consult with a board-certified plastic surgeon experienced in breast augmentation to determine the most appropriate implant placement for your specific case.

During your consultation, your surgeon will conduct a thorough assessment of your individual needs and discuss the benefits and potential considerations of subglandular implant placement, as well as other placement options that may be suitable for you.

Conclusion

Subglandular implant placement in breast augmentation offers several advantages, including faster recovery and the potential for enhanced cleavage. However, it is crucial to weigh the considerations, such as visible rippling and potential for capsular contracture, when making your decision.

Choosing the right implant placement is a critical step in achieving your desired breast augmentation results. Working closely with your plastic surgeon, openly communicating your aesthetic goals, and considering your unique anatomy will help you make an informed decision to enhance your natural beauty and embrace newfound self-confidence.

Disclaimer: The information provided in this blog post is for general informational purposes only and should not be considered as medical advice. For personalized guidance and recommendations, consult with a board-certified plastic surgeon experienced in breast augmentation.