Submuscular Breast Implant Surgery

For women seeking enhanced breast aesthetics or reconstruction post-mastectomy, submuscular breast implant surgery offers a sophisticated solution. This procedure positions the implants beneath the pectoral muscle, providing a more natural appearance and minimizing the risk of capsular contracture. Ideal for those with minimal natural breast tissue, it ensures superior aesthetic results while maintaining functionality for breast imaging. At Pristyn Care, our highly skilled plastic surgeons are dedicated to delivering exceptional care, tailored to your unique needs. Contact us today to discover more or to schedule your consultation and embark on your journey towards a confident, rejuvenated self.

For women seeking enhanced breast aesthetics or reconstruction post-mastectomy, submuscular breast implant surgery ... Read More

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What Is Submuscular Breast Implant Surgery?

Submuscular breast implant surgery is a procedure wherein breast implants are positioned beneath the pectoral muscles, offering a more natural appearance compared to subglandular placement. A plastic surgeon typically carries out this technique and is often chosen for its aesthetic benefits, such as a more natural breast contour and reduced visibility of the implant edges.

Additionally, submuscular placement can decrease the risk of complications like capsular contracture and does not compromise mammographic examinations. Ideal for women with minimal natural breast tissue or reconstructive purposes after mastectomy, this surgery aims to enhance both the size and shape of the breasts.

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What Are The Types Of Submuscular Breast Implant Surgery?

Submuscular breast implant surgery can vary depending on how much of the implant is covered by the pectoral muscles. Here are the main types:

Partial Submuscular Placement (Dual Plane): In this most common type, the upper part of the implant is covered by the pectoral muscle, while the lower part remains behind the breast tissue. This technique combines the benefits of both submuscular and subglandular placements, offering a more natural slope of the upper breast with good implant support.
Complete Submuscular Placement: This method involves placing the implant entirely beneath the pectoral and associated chest muscles (like the serratus and rectus abdominis). This is less common due to the more complex surgery and recovery process but may be recommended for patients with very thin breast tissue or those seeking reconstructive surgery.

Diagnosis Before Submuscular Breast Implant Surgery

Before undergoing submuscular breast implant surgery, a thorough diagnostic process is essential to ensure the suitability of the procedure for the patient. Here’s how the diagnosis is generally approached:

Initial Consultation: The plastic surgeon reviews the patient’s medical history, discusses aesthetic goals, and evaluates the natural breast anatomy to determine the best surgical plan.
Physical Examination: An examination of the breast tissue, skin quality, and body proportions is performed to aid in choosing the appropriate implant type and placement technique.
Imaging Tests: High-resolution imaging tests such as mammography or MRI might be recommended to view the underlying breast structures clearly and to screen for any pre-existing conditions that could affect the surgery.

Psychological Evaluation: Some surgeons might also discuss the psychological aspects of breast augmentation, ensuring patients have realistic expectations and understand the potential impact on their body image and self-esteem.

What Is The Procedure For Submuscular Breast Implant Surgery?

Submuscular breast implant surgery is a detailed surgical process that requires precision and careful planning. This procedure, aimed at placing the implants under the muscle, provides a more natural look and reduces the visibility of implants. Below is a step-by-step guide to what one can expect during the surgery:

Consultation and Planning: Initial consultations involve discussing the patient’s goals, selecting the type and size of the implant, and planning the surgical approach.
Pre-operative Preparations: Patients may be required to undergo various preoperative tests, such as blood work and mammograms. They are advised to avoid medications that can increase bleeding, like aspirin, and to stop smoking to facilitate better healing.
Anaesthesia: The procedure is typically performed under general anaesthesia to ensure the patient is comfortable and pain-free throughout the operation.
Making the Incision: The surgeon makes an incision, commonly either under the breast in the fold, around the areola, or in the armpit, to create a pocket for the implant.
Inserting the Implant: The implant is carefully placed in a pocket under the pectoral muscle. The placement under the muscle can be either partial (dual-plane) or complete, depending on the desired outcome and patient anatomy.
Closing the Incisions: Once the implants are correctly positioned, the incisions are closed with sutures and possibly taped for better healing.
Immediate Post-operative Care: Post-surgery, the area is bandaged, and drainage tubes may be inserted to remove excess fluid. Pain management and antibiotics are administered to manage discomfort and prevent infection.
Follow-up and Recovery: Patients typically return home the same day but will require several follow-up visits to monitor their recovery. Activities are limited for several weeks to allow the muscles and tissue to heal.

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Who Is The Right Candidate For Submuscular Breast Implant Surgery?

Identifying the right candidate for submuscular breast implant surgery is crucial for achieving optimal results and patient satisfaction. Here are the key eligibility criteria:

Age and Health: Candidates should be physically healthy, have fully developed breasts, and be over 18 years of age, usually 22 for silicone implants per regulatory guidelines.
Non-smokers: Smoking can impair healing, so non-smokers or those who can quit smoking several weeks before and after the surgery are ideal candidates.
Realistic Expectations: Understanding the potential outcomes and limitations of breast augmentation surgery is vital.
Aesthetic Goals: Those seeking improvement, not perfection, in the appearance of their breasts, and who have realistic goals about the effects of the surgery, are good candidates.
Medical Need: Women undergoing reconstruction following mastectomy or those with significantly uneven breasts are also candidates for this surgery.

What Are The Benefits Of Submuscular Breast Implant Surgery?

Submuscular breast implant surgery offers several aesthetic and medical benefits:

Natural Appearance: Implants placed under the muscle create a more natural slope of the breast, as the muscle helps to smooth the implant edge, making it less visible and palpable.
Reduced Risk of Capsular Contracture: This placement can decrease the risk of capsular contracture, a condition where hard scar tissue forms around the implant, as the muscle acts as a barrier between the implant and the breast tissue.
Improved Mammographic Imaging: The placement of implants under the muscle allows for more effective mammogram screenings, as the implant does not obscure as much of the breast tissue.
Long-term Results: Submuscular placement can potentially lead to longer-lasting results with less sagging over time due to better support from the chest muscles.
Psychological Benefits: Enhanced self-esteem and body image are significant benefits reported by many patients following breast augmentation surgery.

How To Prepare For Submuscular Breast Implant Surgery?

Preparing for submuscular breast implant surgery involves several crucial steps to ensure a successful procedure and optimal recovery. Proper preparation can significantly affect the outcome and patient satisfaction. Here are the essential steps to prepare:

Medical Evaluation: Undergo a thorough medical check-up to ensure you are fit for surgery. This might include blood tests, mammograms, or other imaging as advised by your surgeon.
Medication Review: Discuss your current medications with your surgeon. You may need to adjust or discontinue certain medications, such as blood thinners or supplements that could increase bleeding risk.
Smoking and Alcohol: It’s vital to stop smoking and limit alcohol consumption weeks before the surgery, as these can impair healing and increase complication risks.
Nutrition: Eat a balanced diet rich in vitamins and minerals to boost your immune system and promote healing. Consider increasing protein intake to aid tissue repair.
Arrange for Assistance: Organise for someone to drive you to and from the surgery and help you during the initial days of your recovery at home.
Prepare Your Home: Create a comfortable recovery area, stock up on essentials, and prepare meals in advance or plan for easy-to-prepare foods.
Mental Preparation: Mental readiness is as important as physical preparation. Have realistic expectations and plan for rest and limited activity post-surgery.

What Are The Recovery Tips and Precautions To Follow After Submuscular Breast Implant Surgery?

Recovery after submuscular breast implant surgery is a critical phase where careful management can ensure the best outcomes and minimise risks of complications. Here are essential recovery tips and precautions:

Follow Post-operative Instructions: Adhere strictly to all guidelines provided by your surgeon, including care of incisions, medications to take, and when to return for a follow-up.
Rest and Sleep: Ensure ample rest and sleep with your upper body elevated to reduce swelling and discomfort.
Pain Management: Take prescribed pain medications as directed to manage discomfort. Avoid over-the-counter medications without your surgeon’s approval.
Wear Supportive Garments: Use the surgical bra or compression garment your surgeon recommends to support your breasts and reduce swelling.
Activity Restrictions: Avoid strenuous activities, heavy lifting, and extensive upper body movements for the first few weeks to prevent strain on your incisions and muscles.
Hydration and Nutrition: Stay hydrated and maintain a nutritious diet rich in vitamins to aid healing.
Watch for Signs of Complications: Be vigilant for any signs of infection, unusual discharge, severe pain, or changes in breast appearance, and contact your surgeon if any arise.

Potential Risks Or Complications Associated With Submuscular Breast Implant Surgery

While submuscular breast implant surgery is generally safe, it carries potential risks and complications, as does any surgical procedure. Awareness of these risks can help in making informed decisions and recognizing early signs of complications:

Capsular Contracture: This occurs when the scar tissue that forms around the implant tightens and hardens, potentially causing pain and distorting the breast’s appearance.
Implant Displacement: The implant might shift from its original position, leading to asymmetry or other aesthetic issues.
Infection: Although rare, an infection can develop around the implant or at the incision site, requiring antibiotics or additional surgery.
Changes in Sensation: Nerve damage during surgery can lead to increased or decreased nipple sensation.
Breast Pain: Some patients may experience ongoing pain in the breasts following the procedure.
Scarring: Although scars are typically well-hidden and fade over time, poor healing can result in more visible scarring.
Implant Rupture or Leakage: While modern implants are highly durable, there is a risk of rupture or leakage, which would necessitate further surgery.

What Is The Cost Of Submuscular Breast Implant Surgery In India?

The cost of submuscular breast implant surgery in India can vary widely based on several factors. Generally, the price range for this procedure can be anywhere from ₹95,000 to ₹4,00,000. This substantial variance in cost is influenced by multiple components that potential patients need to consider before proceeding with the surgery:

Location and Facility: The geographical location of the clinic and the type of facility where the surgery is performed significantly influence the cost. High-end hospitals in metropolitan cities like Mumbai or Delhi may charge more compared to smaller cities or towns.
Surgeon’s Expertise: The surgeon’s qualifications, experience, and reputation can also affect the price. Highly reputed surgeons typically charge more due to their expertise and demand.
Type of Implants: The cost varies depending on the type of implants used. Silicone implants are generally more expensive than saline implants. Additionally, specialised implants like cohesive gel or “gummy bear” implants might increase the cost further.
Anaesthesia and Operating Room Fees: The fees for anaesthesia and the use of the operating room can significantly contribute to the total cost. Longer surgery times may lead to higher costs.
Post-Surgical Garments and Medications: Post-operative care essentials such as compression garments and prescribed medications also add to the overall expenses.
Additional Treatments: In some cases, additional treatments or procedures, such as a breast lift, may be necessary alongside the implant, which would increase the total cost.

Is Submuscular Breast Implant Surgery Covered Under Insurance?

In India, submuscular breast implant surgery is generally considered a cosmetic procedure and is typically not covered under standard health insurance policies. However, there are exceptions where this surgery might be eligible for insurance coverage:

Reconstructive Surgery: If the breast implant surgery is part of breast reconstruction after a mastectomy or due to a congenital deformity, insurance policies might cover it. Many health insurance plans consider reconstructive surgery as necessary medical treatment following cancer surgery.
Medical Necessity: In rare cases, if a doctor deems the surgery medically necessary for reasons other than cosmetic enhancement, such as severe asymmetry caused by congenital defects or significant trauma, insurance might partially cover the cost.

Patients considering submuscular breast implant surgery should consult with their insurance providers to understand the specific terms and coverage options. Additionally, discussing the financial aspects with the surgeon during the initial consultation can provide a clearer picture of the expected expenses.

FAQs

Q1. How should I prepare for submuscular breast implant surgery?

Preparation involves a medical check-up, adjusting medications, quitting smoking, and optimising nutrition. Also, arrange for help during recovery and prepare your recovery space at home.

Q2. What are the recovery tips after submuscular breast implant surgery?

Post-surgery, follow your surgeon’s instructions, rest well, manage pain, wear recommended garments, avoid strenuous activities, stay hydrated, and monitor for any signs of complications.

Q3. What factors affect the cost of submuscular breast implant surgery in India?

Cost factors include surgeon’s expertise, implant type, facility location, anaesthesia, and additional treatments like breast lifts which might be necessary.

Q4. Is submuscular breast implant surgery covered under insurance in India?

Usually not covered unless it’s reconstructive post-mastectomy. Some exceptions include severe congenital defects or significant trauma, where partial coverage might apply.

Q5. Can I exercise after submuscular breast implant surgery?

Avoid strenuous activities for at least 4-6 weeks post-surgery. Gradually reintroduce light exercises as recommended by your surgeon to avoid impacting the healing process.

Q6. How long do breast implants last under the muscle?

While implants are not lifetime devices, submuscular placement often provides longer-lasting results. On average, implants might need replacement or revision after 10 to 15 years.

Q7. Does submuscular placement ensure a completely natural look?

Submuscular placement tends to provide a more natural appearance compared to subglandular placement, especially in women with less natural breast tissue, although individual results can vary.

Q8. What anaesthesia is used during submuscular breast implant surgery?

The procedure typically requires general anaesthesia to ensure that patients remain comfortable and pain-free throughout the surgery.

Q9. Are there age restrictions for submuscular breast implant surgery?

Candidates must be at least 18 years old for saline implants and 22 years old for silicone implants, ensuring full breast development.

Q10. How does weight change affect submuscular implants?

Significant weight fluctuations can alter the appearance of breast implants, potentially leading to sagging or asymmetry, and might require revision surgery.

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