I have seen a number of body builder / fitness lifestyle patients for breast augmentation. They are often concerned about implant placement and implant type. I advised placing the implants under the muscle with proper releases of breast attachments. There is a risk of animation (movement with pectoralis muscle contraction), but there is a relatively greater risk of poor superior soft tissue coverage and capsular contracture in the above muscle position. Patients with some breast tissue do well with a standard silicone implant, but those with little coverage may do better with a firmer cohesive round implant or form stable shaped implant. For details on the patients below, see the new category in the photo example section.
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Mark D. Wigod, MD, FACS, providing Cosmetic and Reconstructive Plastic Surgery to Boise, Meridian, Treasure Valley and Southeastern Idaho.
