Answers
"What are the advantages/disadvantages of where a breast implant is placed (ie: behind or in front of the muscle wall)? I am looking to preserve as much muscular function as possible. As well, I am aiming for the most natural shape possible. If I can, how do I look for a surgeon that will give me the stylistic results I desire?"
— Answered by Rod J. Rohrich, MD
Dallas, TX
In my opinion, it is highly desirable in most patients to place the saline implant behind the muscle as it looks and feels more natural and has less chance of becoming hard (developing a contracture) over time. This technique also preserves the pectoralis muscle. Seek out a board-certified plastic surgeon, preferably one who is a member of the American Society for Aesthetic Plastic Surgery. You can expect to receive complete information about the procedure, postoperative care and potential risks. According to the ASAPS Bylaws, all ASAPS members must perform this type of surgery only in an accredited outpatient facility, so you have reassurance about the quality of care you will receive. Confirm that your surgeon has privileges to perform your breast augmentation in a hospital setting, as well. Ask to see patient photographs and results, but remember that every patient is different.
