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Ask a Plastic Surgeon / Breast Augmentation-Lift-Reduction
Question 63
Question: I have been trying to learn more about the transumbilical procedure for breast augmentation and have read that one of the drawbacks to it is that the implants are limited to subglandular placement and not under the muscle, which may make them more conspicuous. In fact, one surgeon on this site added the caveat that, "to obtain a very natural result you have to have certain criteria and therefore not everyone is a candidate." What are these additional certain criteria?
From: LM, WV 10/12/2008
Response: There are some plastic surgeons who are able to get adequate results using the transumbilical approach to breast augmentation. As you mentioned, it is difficult to get the implant beneath the muscle, so it is usually placed under the breast tissue. Therefore, if the patient has a substantial amount of breast tissue already, the results will look natural. If there is minimal breast tissue, the shape of the implant will be quite evident, since there is little between the skin and implant to camouflage it. In these situations, and many others, the preferred placement is under the muscle.
Submitted by: Paul Gardner, MD, Bonita Springs, FL Web site for Dr. Gardner, MD
Posts by Dr. Gardner at "Ask A Platic Surgeon"
Breast Surgery Questions--Archive
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