Spratt that second article is good!!

Mother- I had a rough recon. Not because it was sub-pec but because my right side had too much tissue taken during mastectomy. I never had issues with tightness and deformity that others describe so I felt the added layer of natural protection to implant and ease of examining breasts was on my side. Quite frankly my PS will do either, but at beginning was pushing sub pec. I didn’t think further.

My PS wasn’t a fan of all the Alloderm that’s involved in pre-pec reconstruction, not sure why she was all uppity on that. I’m going to ask her that today, as I have a long time with her to wrap my head around this.

I think I am planning on over the pec muscle - has anyone had this with the non-textured implants? I seem to find women that are happy with it, but they have the textured implants, which seem to hold shape much better. I fear the pre-pec with the saline implant will make me feel like I have floppy water balloons on my chest...am I right?

@Lexica...I had a prepec, and my PS only uses smooth implants. I have smooth rounds made out of silicone. My choice to use silicone, but I get the impression that the vast majority of his implant patients make the same choice now. No "sloshiness" but I do have minor rippling (but not enough for me to undergo fat grafting.)

thanks, ladies. this makes me feel better. rah2464 - are yours painful?

Hi ladies,

I chose the pre-pec but right now only have my spacers. I have surgery planned for June for my perms which will be silicone. I thankfully have a PS that mainly does pre-pec and did a wonderful job. Sadly at this time i have the funky look where you call clearly tell where my implants are and the edges feel very weird. They are filled with saline but I don't get the sloshy feeling.

One aspect i do like about the pre-pec is the slight sag. To me they don't look real yet... waiting for the perms with fat grating, but no women's breasts are always perky and without sag, so it helps me at least feel like they are more normal.

I chose to have my nipples removed as the chance of the nipples possibly having issues where they don't get enough blood flow and have to be removed anyway did not sit well with me.

I wish all you ladies faced with this decision the best of luck. I agree with the ladies that have suggested another opinion. This is your body and your choice, you shouldn't be pushed to choose what you might not want.

Hi Motheroftwo36

I choose over the muscle and I'm extremely happy with the results so far. My plastic surgeon recommended it and said it will produce the most natural looking result. I was able to do nipple sparring with no issues.

I still have expanders in, but even with expanders the placement looks really good. Since my the muscle was not cut into, I didn't have any issues with range of motion once my drains were out. I had almost not pain after surgery. I took Tylenol after surgery mostly bc of the drains. At four weeks, I'm cleared to work out doing everything except planks and pushups. I can restart those in two weeks (six weeks post surgery).

I have to do radiation, so I won't be getting my actual implants until 7-8 months from now. I will be going with silicone. My surgeon, like Rah2464 's was also against saline for over the muscle.

This might also be helpful when going over the differences - https://www.paigeprevivor.com/over-vs-under-the-muscle/2019/1/11/choosing-over-or-under-the-muscle

Thought I would chime in...I have sub pec with lots of fat grafting, incrementally, over several surgeries. My results are amazing, actually. My PS and I discussed pre vs sub and told me that he would best make the call during the surgery. After 2.5 years....he has never lead me wrong

I don't think you have to be put under for lipo and fat grafting. I'm having a Nipple-Sparing Bilateral Mastectomy with Prepectoral Implants on August 19th, and I will have to do lipo/fat grafting as the second phase of my reconstruction. I will be a C Cup. What size are you?