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One alternative that has been suggested to prevent capsular contracture is the textured implant which, even if placed above the muscle, is also supposed to reduce the rate of capsular contracture. I've been helping them as he just had major surgery. He trained "Dezy" and entered barrel races. Strict criteria on use. If the woman is already past puberty when she starts treatment, the resulting breast development can range from satisfactory to very disappointing - although even in the later case it should be remembered that modern bra's, "push-ups" see a typical advert, right and breast enhancers can still do wonders appearance wise and that breast augmentation should not be an automatic choice given the costs and risks always associated with any surgery. If you feel the need to explore this I suggest you start by contacting a therapist. Disadvantages include a bit more discomfort early post-op, technique a bit more difficult than over the muscle, and the loss of the lower pole support fascia which leave the implants supported by the same weak skin tissues as implants over the muscle, leading to later downward bottoming-out of the implants in a few patients as is frequently seen in implants over the muscle.
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