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  • Plastic Surgeon Dallas Dr. Vasdev Rai


Breast Augmentation Questions

Dr. Rai - Cosmetic Surgical Center - Dallas, TX

What is an ideal breast size?

Ultimately, only you can answer this question for yourself. Dr. Rai can help you visualize how different breast implant sizes will look on your figure, and discuss the pros and cons of going larger versus striving for the most natural and proportionate look.
Generally, younger breast augmentation patients choose to have larger sizes compared to older patients. Also, west coast patients tend to request larger breast implants compared to patients on the east coast. Your ideal breast size is one that compliments your individual image.

What is the difference between breast implants placed in front of your chest muscle (subglandular) and breast implants placed behind it (submuscular)?

Each breast implant placement method has unique advantages and disadvantages, which can be summarized as follows:

  • Suglandular placement – Cleavage is sharper and more defined. Implants and natural breast behave as a unit in long term. There is no tendency to have a double bubble effect. Operation is less painful and recovery is quicker. Implant outline and ripples are more palpable.
  • Submuscular implants – Cleavage tends to be blunted because of muscle attachments to breast bones. Natural breasts can sag and settle below the implants and thus give a double bubble effect to breasts. Because of tightness felt in muscles there is more discomfort in early post operative period. Implants are covered by muscles and outline is less palpable.

How does Dr Rai determine whether to place the breast implant in front of the muscle (subglandular) or behind it (submuscular)?

Dr Rai uses the following criteria for making his breast implant placement recommendation:

  • Patients who have enough of their own breast tissue to provide adequate coverage for the breast implant can choose to have the breast implant placed in front or behind of the muscle.
  • Patients who lack breast tissue in front of the muscle should have the breast implants placed behind their muscle to avoid breast implant palpability.
  • Patients who have sagging in their breasts and do not want to have a breast lift should have their breast implants placed in front of their muscles.
  • For patients who desire to have TUBA ( Transumbilical Breast Augmentation ), Dr Rai recommends a subglandular placement of the breast implants.

What is a “double bubble” effect?

If breast implants are placed behind the muscles in a patient with sagging breasts, a “double bubble” effect can occur. This is caused because the implants are held higher by the muscles compared to the natural breasts, which have sagged below the muscle. The same thing will happen if the patient develops breast sagging after augmentation.

Since the double bubble effect is caused by a disharmony between the level of the breast implant and that of the patient’s own breast, it can be corrected by either lifting the patient’s own sagging breasts or by changing the position of the breast implants from a submuscular to a subglandular location.

More Questions About Breast Augmentation

If you live in the Dallas area of Texas and have further questions about breast augmentation, please contact The Cosmetic Surgical Center today or call us at 972-392-3511 (or toll-free 1-800-558-7355) to schedule your initial consultation with board-certified plastic surgeon Dr. Rai.