BREAST IMPLANT PLACEMENT

Dr. Zuckerman can place the breast implant in three slightly different positions during breast augmentation surgery: submuscular (pictured), subglandular, and dual-plane.

Dr. Zuckerman uses one of three main incision placements for breast augmentation surgery: periareolar (around the nipple), transaxiliary, and inframammary fold incision.


There are three relatively common placements of the breast implants relative to the breast anatomy that are used in breast augmentation. Dr. Zuckerman often performs the submuscular placement, but the choice depends on the patient’s anatomy and preferences. In each case, the breast implant is placed in a very similar area, and the differences are due to positioning of the implant versus the pectoralis major muscle. Dr. Zuckerman will make a placement recommendation to you based on your goals and initial level of breast tissue, but he does perform all three. You will discuss with him at your initial consultation and finalize the decision together.



Submuscular Breast Implant Placement

Dr. Zuckerman makes the pocket for the breast implant completely underneath the pectoralis major muscle. It is the most common placement he does, and it is also the most common placement for breast augmentation nationally. It is a simple placement, with a relatively bloodless dissection plane upon implant placement. This placement puts good tissue over the implant, and there is some thought among plastic surgeons that it creates less propensity for capsular contracture.

Subglandular Breast Implant Placement

Dr. Zuckerman makes the breast implant pocket underneath the breast gland but on top of the pectoralis major muscle. This placement has fallen out of favor somewhat, but it is a matter of preference for the surgeon. If the patient has a very muscular chest wall such that when flexing, the implant may move significantly, Dr. Zuckerman might recommend avoiding the submuscular placement and to use sublandular. To some extent, this is also true for those with very little starting breast issue. This is the original implant placement location and was favored in the 1980’s.

Dual-Plane Breast Implant Placement

Dr. Zuckerman makes the breast implant pocket under the pectoralis major muscle, similar to a submuscular placement, and then free up the interface between breast gland and the muscle so that the breast implant slides. In this placement, the breast implant contacts the bottom part of the breast gland, which hinges the breast mound & tissue to give a little bit more of a lift out of your augmentation. There are three variations of this technique depending on how much of the interface vertically is freed up, and which variation to choose depends on how much lift you would like to achieve. However, this placement cannot be used in place of a mastopexy.

If you are interested in combining a breast augmentation and breast lift / mastopexy, please read the guide to Breast Lift / Mastopexy as well.


BACK TO BREAST AUGMENTATION
Dr. Zuckerman speaks with a cosmetic surgery patient.

OTHER LINKS


ABOUT DR. ZUCKERMANYOUR VISITTESTIMONIALS

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row, recognizing him as one of the best plastic surgeons in New York.

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row.


Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.

Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.


Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.

Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.


A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office undergoing cosmetic Botox and Juvederm treatments.

A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office, undergoing cosmetic Botox and Juvederm treatments.


Dr. Zuckerman was interviewed on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.

Dr. Zuckerman opined on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.


Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.

Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.


Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.

Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.


For ReadersDigest.com, Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.

Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.


Copyright 2017 Joshua D. Zuckerman, MD, FACS, P.C. All rights reserved.