What is the best breast implants for petite and athletic woman?
Athletic Lifestyle and Breast Augmentation
With the athletic lifestyle you describe, I agree with your doctor that sub glandular positioning of the implants is probably the best option. You can avoid the “golf ball boob” look by choosing a gel implant (to minimize the risk of rippling) of appropriate size to give you a natural shape without too much projection or upper pole fullness.
Sub-muscular positioning would give a softening effect in the upper pole profile to a small extent but would probably not be worth the disadvantages involved with this choice (loss of muscle strength and possibility of breast movement with overlying muscle movement).
There is no “one best way” to do breast augmentation. You and your doctor should discuss ALL options with their relative risks/advantages before finalizing your surgical plan. (Robert C. Bledsoe, Jr., MD, Dallas Plastic Surgeon)
Breast Augmentation for petite and athletic woman
I recommend smooth round high profile silicone breast implants for athletes. As for the placement in a VERY active athletic woman. If placed under the pectoralis major muscle you have 2 main issues.
The first, you will not be able to ‘work out’ for 3 to 6 weeks, bummer. Second, when you do exercise the implant by the action of the pectoral muscle will shoot laterally toward your armpit. Versus above the muscle placement can look a little unnatural but with extreme exercising there should be no lateral displacement.
Second, you will be able to return to activities in half the time. I discuss this in extreme detail with the athletic women wanting implants, this is giving good informed consent. In my personal experience the majority like the above placement. (Darryl J. Blinski, MD, Miami Plastic Surgeon)
The IDEAL Breast Augmentation in a thin athletic woman
While I agree with the use of silicone gel implants for athletes, I respectfully disagree with your surgeon. ALL breast implants ripple with saline filled and textured implants rippling more than smooth or gel filled. For this reason, the vast majority of implants are best placed under the muscle NOT over it. (The “golf ball” or “melon” look is the classical result of poor cover over encapsulated (IE scarred) over the muscle implants).
In my opinion, the best look and natural feeling results would be with appropriately chosen silicone gel implants placed under the muscle. If you wanted larger implants, the inferior and side of the implants may be covered with an Alloderm or Strattice sheet to provide support and hide the rippling from the outside. (Peter A. Aldea, MD, Memphis Plastic Surgeon)
Breast implants in athletic women
I would recommend submuscular placement based on your description of your body frame. Subglandular implants will be very noticeable in you, as you probably don’t have enough body fat to camouflage the edges.
Gel implants are less likely to ripple and I agree with the recommendation to use them. You can work out with submuscular implants, but you may notice some movement when flexing the chest muscles. This will be noticeable only if you work out naked. (Nina S. Naidu, MD, FACS, New York Plastic Surgeon)