Direct to implant, plastic surgeons only want to do prepectoral
Met with 2 plastic surgeons in my area and both said 'under the muscle' implants for reconstruction are a thing of the past and modern doctors only do prepectoral implants now with ADMs (allograft to create the pocket). The reason being that under the muscle implants can cause animation deformity when flexing the muscle. But one of these surgeons was either more honest, or trying to promote his flap surgeries, because he admitted that my skin envelope might not be thick enough to hide the implant! I'm 5'7 and 120 lb, so low BMI. He also said fat transfer doesn't really work well after mastectomy because there is no native tissue left for the fat to 'stick'. But still, no mention of trying the old-fashioned subglandular implants. The pectoralis muscle will conceal at least part of the implant if inserted under the muscle. Now my surgery is booked and I'm in the awkward position of questioning whether the prepectoral implant is the best plan. Also should add that I'm not at all athletic and have probably never even intentionally flexed this pectoral muscle in my life! Has anyone out there gotten prepectoral implants which actually look good? If you had fat transfer afterward, did it work?