How Your Workouts Can Influence Breast Implant Placement
Dr. Smith explains why he asks about upper-body training during a breast augmentation consultation, and how strong pectoralis muscles can affect the discussion about implant placement.
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Key takeaways
- Your fitness routine is part of the implant-placement discussion.
- The video explains how the pectoralis muscle can move or change the shape of an implant placed beneath it.
- Dr. Smith describes why over-muscle placement may enter the conversation for patients with well-developed pectoralis muscles.
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Video transcript
Transcript from the source video’s English caption track. Auto-generated captions may contain transcription errors.
0:00 Why do I ask you about your fitness routine during a breast augmentation consultation? One of the big decisions when we're planning a breast augmentation is which plane do we put the implant in? Does it go over the pectoralis muscle? Does it go under the pectoralis muscle? There are arguments that could go either way. But, if my patient is someone who rigorously works out her upper body and has very strong, well-developed pectoralis muscles,
0:25 that's a great argument to put the implant over the muscle. Because if you put an implant under a very strong pectoralis muscle, whenever that muscle fires, you're one, going to be at risk of what's called an animation deformity. The pectoralis squeezes the implant and it gives the breast a very unnatural shape. And two, over time, the pectoralis muscle, which kind of inserts diagonally on the chest wall, is going to push your implant down and out to the
0:52 side, which can lead to lateral implant malposition, and it could also lead to inferior malposition or bottoming out.