Florence Mussat, M.D.
680 N Lake Shore Dr. #1030 Chicago, IL 60611 (312) 751-9000

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Category: Breast Implant Illness

Where Will Your Breast Implants Be Placed?

When a woman undergoes breast augmentation surgery, probably the last thing on her mind is that a second surgery, called breast revision surgery, may be needed in the future.

Breast implants are not intended to last a lifetime. Over time, impants can be subject to rupture, rippling, deflation, asymmetry, sagging, or capsular contracture caused by the formation of a hard and dense tissue capsule.

Breast revision surgery is also frequently performed when a woman is not happy with some aspect of how her breasts look or feel. She may want to replace her current breast implants with a different size or style or to simply have her natural breasts back.

Understanding Your Options for Breast Implants

The decision about where you would like your breast implants to be placed during your revision breast surgery will be made in consultation with your plastic surgeon, board-certified plastic surgeon, Dr. Florence Mussat, in Chicago, IL. She would be happy to help you make this decision and to plan for the procedure itself.

Influencing Factors on Breast Implant Placement

There are several factors to keep in mind when deciding on the position of your breast implants:

  • the desired shape and size of your breasts and thus the implants
  • your body size
  • expected recovery time and post-operative discomfort and pain
  • your lifestyle
  • your goals and expectations

Where Can Breast Implants Be Placed?

Breasts implants can be placed:

  • over the muscle, but under the breast tissue
  • under the muscle

Since there are advantages and disadvantages to each placement, Dr. Mussat will help you decide which placement method is best for you. There are several factors which will help determine the optimal implant placement:

  • Your body type
  • Your current health
  • The actual size of the implants
  • Saline vs. silicone implants
  • Your individual goals and desires

All these factors help you understand the pros and cons of the different breast implant placement options.

Subglandular Placement

Also known as “over-the-muscle” placement, the subglandular placement technique positions the implant between the chest muscle and the existing breast tissue. With this positioning, the implant lies behind the glands of the breasts, thus providing the patient the ability to breast-feed in the future.

Advantages: Patients can expect less movement of the implants during physical activity and less discomfort immediately following surgery.

Disadvantages: The appearance of the breasts may seem more artificial, and during mammograms, the readings may be less accurate.

Submuscular Placement

The other breast implant placement option is known as submuscular or under-the-muscle placement. The technique includes partially placement of the implant under the pectoralis major chest muscle in a “dual plane” placement.

Advantages: Patients experience more accurate mammograms. In addition, submuscular placement tends to produce a more natural result.

Disadvantages: Some patients experience slightly more discomfort after surgery, with a longer postsurgical recovery.

Women with very large or strong chest muscles will be best suited for the over-the-muscle positioning of their implants. The reason is that, with larger chest muscles, there will be a tendency for distortion of the breasts as the chest muscles are flexed. In this case, subglandular placement may be advised.

Keeping in mind all the advantages and disadvantages of the possible placement of your implants, you are well equipped to meet with Dr. Mussat to discuss what is best for your particular situation.

Why Choose Dr. Florence Mussat for Your Breast Revision?

Dr. Florence Mussat is a Board-Certified Plastic and Reconstructive surgeon in Downtown Chicago and has a passion for Cosmetic and Reconstructive Surgery.

With her help, you can soon be on your way to achieving the bustline you’ve always wanted. Schedule a personal consultation or by calling (312) 751-9000 today!

The Risk of Breast Implants: Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL)

When making any significant choice in life, it’s important to weigh the risks and rewards of your decision and find the safest path forward. This is especially true for women considering breast augmentation: Though silicone breast implants are safe for many patients, these devices have a history of causing adverse reactions in some individuals. Now, emerging evidence suggests that one type of silicone breast implant can cause a rare form of Anaplastic Large Cell Lymphoma known as BIA-ALCL.

What is BIA-ALCL?

BIA-ALCL is a very rare and highly treatable form of non-Hodgkin’s lymphoma. BIA-ALCL is a not a type of breast cancer; instead, it’s a cancer that develops in the cells of the immune system.

Unlike many other forms of lymphoma, BIA-ALCL is not highly invasive. It usually develops in cells surrounding the patient’s implants (inside the capsule of scar tissue that forms around each implant) and it’s slow to spread to surrounding lymph nodes. However, like all cancers, BIA-ALCL does have the potential to spread throughout the body and produce serious illness. For this reason, it’s important to educate yourself about preventing, detecting, and treating BIA-ALCL if you’re considering breast augmentation.

How Prevalent is BIA-ALCL?

The vast majority of breast augmentation patients will never develop BIA-ALCL; to date, only just over 600 cases have been identified worldwide (out of the over 10 million women who have had breast augmentation). Your risk of developing this cancer is approximately 1 in 30,000.

Which Types of Implants are Associated with BIA-ALCL?

So far, only textured silicone gel implants have been associated with BIA-ALCL. Researchers believe that the textured surface of these implants may lead to bacterial overgrowth around the implant, increasing the patient’s risk of complications like BIA-ALCL.

Can BIA-ALCL be Prevented?

Right now, scientists aren’t sure how to completely prevent BIA-ALCL, but most cases can be avoided by choosing smooth silicone implants rather than textured implants. Saline implants also do not appear to be associated with any risk of this illness.

If you already have textured implants, the best way to protect yourself is to be aware of the early warning signs of BIA-ALCL. See your doctor or plastic surgeon as soon as you notice any unusual symptoms, including breast pain or skin irritation, swelling, breast asymmetry, lumps, or breast hardness.

How is BIA-ALCL Treated?

Most cases of BIA-ALCL are completely curable if caught early, but successful treatment requires a specialized form of breast implant removal surgery. To ensure that cancer cells remain contained and do not spread, surgeons must remove the patient’s implants “en bloc.” That is, they must remove the implants and the capsule of scar tissue around them at the same time, without cutting into the capsule. En bloc breast implant removal can prevent and cure BIA-ALCL for many patients, but in some cases, additional treatments may be necessary. Your doctor will let you know if you need to take any other steps to completely get rid of your illness.

                If you’ve decided that the risk of BIA-ALCL outweighs the benefits of having breast implants, Dr. Florence Mussat can help. She’s one of the only female plastic surgeons in Chicago to offer en bloc breast implant removal, and she has extensive experience treating patients with various forms of breast implant illness. To learn more about how you can safeguard your health while also maintaining your appearance, contact Dr. Mussat to arrange a consultation.