Subglandular or Subpectoral (Under The Muscle) Implants?
Subglandular implants are preferred by many surgeons because they are easier to place. However, they have a major disadvantage - they are too heavy to be supported by the skin alone. Thus, in a few years the skin loosens and lengthens, breasts sag. What could be done then? Bigger implants or scary mastopexy? And after that - ptosis again. Patients, especially young women, should think about the disadvantages of subglandular breast augmentation!
NB!! Only the pectoral muscle can hold the heaviness of the implants!!!
When placed under the muscle, the implants do not drop, because the muscle holds them in place. Due to the larger "pocket", the result is natural. The bust is soft to touch and takes the natural body movement.
In our clinic, we predominantly do subpectoral breast augmentation. We use saline implants, which consist of an absolutely harmless water-salt solution. These implants, especially when placed in a wide “pocket” below the pectoral muscle, are softer than silicone cohesive gel implants. As patients say, they move quite naturally - "as though alive".
The operation lasts about 40 minutes. The shape of the breast remains permanent. The saline implants do not require replacement. Patients can safely travel by airplane, but should protect the breasts from injury, unnatural pressure etc.
It is not necessary to wear a bra, but if used, busks should be removed. This is because they can hurt the breast tissue and change the form of the new infra-mammary fold.
There are several approaches for breast augmentation. However patients complain that in most of them marks remain visible, especially in supine position and with arms up. The most harmless and least noticeable (in terms of scars) is the periareolar approach (around the lower half of the areola). It is the most atraumatic access and bloodless surgery, going through the avascular plane. There is no significant pain or unnecessary loss of time. Patients are not limited socially and may appear in their social environment on the next day.
Rare complications, which you should be aware of, are the following - bleeding around the area of the implant, infection, disturbances of sensation and touch around the nipples, rejection of an implant, some degree of irregularity on the surface of an implant.
Breast Augmentation and Ptosis
In several cases of breasts ptosis, the closed Scarless Serdev Suture® Breast Lift could be used to lift the breasts to the level suitable for subpectoral augmentation. The procedure is performed only through needle punctures and therefore leave no scars.
Another important application of this lift is in cases of ptosis after subpectoral breast augmentation (after giving birth and lactation, aging process etc.). Thus, most problems can be solved without scarring.
The method is also used for repositioning of breast implants in cases of symmastia and false positon.
Repositioning of Breast Implants in Symmastia and False Position
This Serdev Suture® method presents a new possibility for repositioning breast implants in cases of false position and symmastia after problematic breast augmentation.
The procedure is performed through skin punctures only, in order to suture and fix the stable fascias above and below the implant. A new and proper lower and medial line of the augmented breasts is created, thus correcting the position of the implants.
Wearing of elastic garments or a bra could be necessary for some weeks after surgery.