Breast Implant Placement: Under or Over the Muscle

breast implants

 

Breast augmentation in one of the leading requested plastic surgery procedures. Women want to increase their breast size or add volume and fullness to their breasts’ appearance. Breast implants can also correct asymmetry with breasts and help enhance their shapeliness. Choosing to have breast implants doesn’t come with a one-size-fits-all surgery. Patients in Lubbock need to make several decisions concerning their implants and spend plenty of time discussing their choices with their doctors. Things to consider about your implants include:

  • Size
  • Material
  • Shape
  • Placement

With so much to think about, having a board certified surgeon willing to spend the time needed to help you make the right choices for your body is imperative to your having the best possible outcome with your surgery. You probably have already thought about your size options. You may even have considered silicone vs. saline. But have you given thought to where your implant will be placed?

In general, implants placed above the muscle tend to have a more natural look and feel; however, this is not the right placement for every body type, and a natural look and feel can also be obtained for implants below the muscle. Particularly petite women with limited natural breast tissue find that placement under the muscle is necessary. Ultimately, you and your doctor should carefully review all of the pros and cons surrounding this placement in the context of your body to determine the best choice for you.

 

Breast Implants Under Breast Tissue

 

Implants placed below the breast tissue but above the chest muscle are called subglandular or subfascial.

Benefits of above muscle implants:

  • Typically less invasive than below the muscle breast implants
  • Quicker recovery because the muscle stays intact
  • No distortion from flexing muscles
  • No size limitation due to limited space under the muscle
  • Breast implants can be spaced closer together allowing for more cleavage

Disadvantages of above the muscle:

  • More likely to have visible rippling of the implant
  • Less support for the implant putting it at risk of dropping over time
  • More likely to cause stretch marks and blemishes
  • More difficult to mammogram
  • Higher risk of looking “fake”

 

Breast Implants Under Your Muscle

 

Placement under the muscle is often referred to as subpectoral.

Benefits of under the muscle:

  • Less risk of folds or ripples in the implant becoming visible
  • More tissue covering and protecting the breast implants
  • Less risk of firmness or capsular contracture

Disadvantages of under the muscle:

  • Longer recovery times
  • Typically more painful recovery
  • Interference with some physical activities like push ups or weight lifting
  • Visible flexing of the muscle over the breast implants, which can look unnatural
  • Higher-positioned implants can look unnatural

 

There is no right or wrong placement of your breast implant. Talk with your Lubbock doctor to review all of your options and to discuss the right fit for your body type and your personal goals. At Rowley Plastic Surgery, you will find a caring staff and expert breast augmentation surgeon. Dr. Jane Rowley carefully guides her patients with information to make the best decision for their plastic surgery experience. Learn more about procedures and staff at Rowley Plastic Surgery at www.rowleyplasticsurgery.com

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