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Click on the video to learn more about the placement of the implant under or over the muscle.
IMPLANT PLACEMENT
Implants can be placed over the muscle or under the muscle. If it is placed over the muscle, it is called a subglandular placement. This is because the only tissue covering the implant will be the woman’s breast gland. The other option is to place the implant under the muscle (submuscular). The muscle referred to in this case is a muscle called the pectoralis muscle. It is the main muscle of the chest and is located directly beneath the breast gland. These options are shown in the diagram on this page.
The most common placement is submuscular. In order for the implant to fit under the muscle, and for the appearance to be aesthetically pleasing, some muscle fibers must be detached from the inferior (“bottom”) of the breast and from the corner of the middle portion of the muscle (“inferior-medial”). The remaining attachments of the muscle are strong enough to allow full function of the muscle.
Once the muscle fibers are detached to allow the implant to fit under it, the muscle will move upward slightly. You can see this in the diagram. The bottom of the muscle is no longer located at the bottom of the breast. Instead, the bottom of the muscle is located near the middle or lower 1/3 of the implant. Thus, the upper portion of the implant is covered by the muscle and the lower half or 1/3 of the implant will not be covered by muscle. The lower part of the implant will be covered by breast tissue and gland only. This is why a submuscular placement is also called a “dual plane.” It’s a “dual” plane because two kinds of tissue are covering it.
Placing the implant under the muscle has several advantages. The muscle provides more coverage and cushion over the implant. This creates smoother contours, a more natural look, and prevents rippling or edges from being seen. Another advantage is that a submuscular placement has been shown to decrease the risk of capsular contracture. During your consultation, Dr. Diaz will discuss all of the options and will help you decide which placement will be best for you.
About Dr. John Diaz
Dr. John Diaz is an Ivy League graduate from Cornell University. He received a scholarship to attend the prestigious Albert Einstein College of Medicine in New York. Dr. Diaz graduated medical school with the highest honors and for this he received the Alpha Omega Alpha Award, which is given to only the top 10% of medical students in the country.
He completed his training in Plastic and Reconstructive Surgery in N.Y.C. where he had the privilege of working alongside some of the most famous plastic surgeons in the world. Dr. Diaz is a published author of articles on plastic surgery. He received a degree with Distinction in Plastic Surgery Research for his work.
He has received awards from the New York Regional Society of Plastic Surgery, Montefiore Medical Center and the Albert Einstein College of Medicine. Dr. Diaz is a medical staff member of the renowned Cedars Sinai Medical Center in Los Angeles, CA and has a private practice in Beverly Hills. He is the Past President of the Los Angeles Society of Plastic Surgeons and has presented lectures on plastic surgery throughout the United States.
He has been featured as a plastic surgery expert on a variety of television programs including CNN, Dr. Drew’s Lifechangers, and HLN, to name a few.
Dr. John Diaz is a board certified plastic surgeon in Beverly Hills, CA
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LA Magazine just recognized Dr. John Diaz as one of the best plastic surgeons in Beverly Hills and Los Angeles. He has also published a book entitled Comprehensive Guide to Breast Augmentation.
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