BREAST IMPLANTS FOR BODY BUILDERS
It is quite common in my Beverly Hills plastic surgery practice to take care of women who are involved in the fitness and body building industry. These women want to enhance their breasts in order to increase fullness which is often associated with loss of breast tissue and volume after significant weight loss associated with the body building and bikini fitness competitions. These women have significant training regimens and due to the significant amount of both glandular as well as fatty tissue, the lean body mass shows decrease and as a result breast implants are very useful in order to regain their volume. Most saline and silicone implants can be considered for these patients. My wife, Crystal, has been involved with NPC National Level Masters bikini modeling over the last three years, so these are patients that we are well attuned to in helping with their original breast enhancements or their reconstructions or revisions.
What impact will lifting have on breast implants? Could they deflate or pop? We in general in my practice do not allow our patients to workout the pectoralis major muscle or pectoralis minor muscle, as this does lead to increased malposition with the implants moving laterally or off to the side. It can also lead to increased tearing of the capsule which may lead to scar tissue contracture, hardening and disfigurement of the breast. They have rupture of the saline implants through the valves or they may also be associated with significant scar tissue associated with tearing of the capsule.
Where will the implants be placed? This is extraordinarily controversial, placing the implant above subglandular versus submuscular. In the truest of body builders that make a living professionally doing extreme body building with the silicone or saline implants should be placed above the muscle and the subglandular pocket, that they continue to animate in these workouts of the pectoralis major muscle. For the majority of our patients however that are amateur NPC or bikini models, we recommend placing the implants submuscular either saline or silicone in a smooth gel or smooth saline fashion. The incision ligation normally is made through a periareolar incision under the areolar. The implants in terms of shape are always round. We do not use shaped implants of either teardrop or wide-based implants because of the significant rotation or deformities that can occur; only round, in order to prevent any problems with future rotational deformity.
How soon can I get back to my workout? We instruct our patients not to do significant workouts for a minimum of six weeks postoperative in order to prevent scar tissue formation, tearing of the capsule, capsular contracture, bleeding, hematomas, or seroma formation. In general, reconstruction of patients after original breast augmentations that are hardcore bikini, fitness and body builders often requires open capsulectomy, repositioning of the implants towards the midline and instructing the patients once again not to perform chest direct exercises such as bench pressing which can cause again scar tissue, tearing of the capsule, seroma formation, as well as malposition of the implant and rupture.