Breast augmentation is one of the most popular cosmetic procedures performed today. Many women choose to get breast implants to increase their breast size and achieve a more proportional figure. When getting breast implants, one of the decisions that must be made is whether to place the implants above or below the chest muscle.
Gummy bear implants, also known as form-stable implants, are a type of cohesive gel implant that has the consistency of gummy bears or gumdrops. These implants are firmer than traditional silicone gel implants and are able to hold their shape even when the implant shell is broken. Some women prefer gummy bear implants because they offer a more natural look and feel than other types of implants. But can gummy bear implants be placed under the muscle?
An Overview of Breast Implant Placement
Breast implants can be placed either above or below the pectoral muscle. Here is an overview of each placement option:
Subglandular Placement (Above the Muscle)
– Implants are placed between the breast tissue and the skin, on top of the pectoral muscle
– Often provides more significant cleavage and lift to the breasts
– Less surgery and recovery time since the muscle does not need to be lifted
– More visible and palpable implant edges
– Increased risk of capsular contracture
Submuscular Placement (Below the Muscle)
– Implants are placed underneath the pectoral muscle
– Muscle covers the upper part of the implant, while the lower part remains under the breast gland
– Looks and feels more natural
– Decreased risk of capsular contracture
– Slightly longer recovery time after surgery
– Can provide added support to the implant
Can Gummy Bear Implants Be Placed Below the Muscle?
The short answer is yes! Gummy bear implants can safely be placed either above or below the chest muscle. However, most surgeons prefer submuscular placement for gummy bear implants for the following reasons:
Better Support and Positioning
Since gummy bear implants are firmer, the muscle helps keep the implant in the proper position over time. Without the muscle covering the upper part of the implant, firmer gummy bear implants may be at risk of shifting or rotating.
More Natural Look and Feel
Because gummy bear implants retain their shape, there is a risk of visible rippling or implant edges with subglandular placement. Putting gummy bear implants under the muscle provides an extra layer of tissue coverage so they look and feel more natural.
Decreased Risk of Complications
Multiple studies have shown that submuscular placement decreases the risk of capsular contracture and implant rupture compared to subglandular placement. Because gummy bear implants maintain their shape even when ruptured, it is important to reduce complications.
Are There Any Disadvantages to Submuscular Placement?
While most surgeons recommend submuscular placement for gummy bear implants, there are a few potential disadvantages:
– Slightly longer, more complex surgery
– Longer recovery time due to muscle involvement
– Mild decrease in upper pole fullness of the breasts
– Increased risk of animation deformity (distortion when flexing chest muscles)
However, most patients feel the advantages of submuscular placement outweigh these risks when choosing gummy bear implants. Proper surgical technique can also help minimize risks like animation deformity.
Surgical Procedure for Submuscular Implant Placement
If gummy bear implants are placed under the muscle, the surgery takes a bit longer than subglandular placement. Here is an overview of the process:
Making the Initial Incision
The surgery starts with an incision, usually around the areola or in the armpit/inframammary fold. Through this incision, a pocket will be created for the implants.
Creating the Implant Pocket
Using surgical tools, the surgeon carefully lifts the pectoral muscle and creates a pocket either partially or completely underneath it. Often the lower half of the implant remains underneath the breast tissue only.
Inserting and Positioning the Implants
Once the pocket is ready, gummy bear implants are inserted and properly positioned. The surgeon ensures symmetry and that the implants do not rotate once in place.
Closing the Incisions
Finally, dissolvable sutures are used to close the incisions. Surgical tape or bandages may cover the incisions while they initially heal.
Recovery After Submuscular Breast Augmentation
Recovery is a bit slower after submuscular placement due to the muscle involvement. Here’s what to expect:
– Swelling and soreness around the breasts for 2-3 weeks
– Wearing a surgical bra for support as initial healing occurs
– Avoiding strenuous exercise and upper body movements for 3-4 weeks
– Taking care not to bump or trauma the breasts to allow proper healing
– Using pain medication as prescribed to manage discomfort
– Most patients can return to normal activity within 4-6 weeks
Following all postoperative care instructions can help minimize swelling and ensure your gummy bear implants settle into the best possible position.
Results After Gummy Bear Implant Placement
When properly placed underneath the muscle, gummy bear implants can provide beautiful, natural-looking results:
– Breasts appear smooth and proportionate without visible implant edges
– Cleavage and shape is enhanced without looking artificial
– Implants provide upper pole fullness for a youthful contour
– Gummy bear implants maintain their shape over the long term
– Capsular contracture and complication risks are minimized
– Patients report high satisfaction with their improved breast size and shape
Choosing an experienced, board-certified plastic surgeon is key to getting optimal, long-lasting results from your gummy bear breast implants. Be sure to communicate your goals clearly so you get the outcome you desire.
Frequently Asked Questions
Can I have gummy bear implants placed above the muscle?
It is possible to place gummy bear implants above the muscle, but this is not recommended by most surgeons. Submuscular placement is preferred to get the best results from these firmer implants.
How long is recovery with submuscular placement?
Recovery typically takes 4-6 weeks until you can resume normal activity. Swelling may persist for 2-3 months. Avoid heavy lifting or exercise for at least 4 weeks.
Do gummy bear implants look and feel natural under the muscle?
Properly placed gummy bear implants look and feel very soft and natural. The muscle helps disguise the implant edges.
Will animation deformity be noticeable?
Some mild animation may occur but this can be minimized by precise pocket dissection and good post-op care.
How long do gummy bear implants last?
Gummy bear implants are durable and can last up to 15-20 years with proper placement. Some data shows even lower rupture rates compared to other implant types.
Conclusion
Gummy bear breast implants are a great option for women seeking a modest increase in breast size along with a natural shape and feel. While they can be placed above the muscle, most plastic surgeons recommend submuscular placement to get the best outcomes from these cohesive gel implants. Placing gummy bear implants under the pectoral muscle provides added coverage and support, creating beautiful results with a reduced risk of complications like capsular contracture. Following all postoperative care instructions during recovery is key to getting the highest satisfaction from your gummy bear breast augmentation.