Breast Implant Placement: Under or Over the Muscle

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

What to Consider When Choosing a Breast Implant Size

Communicating expectations about a wanted implant size is sometimes a difficult thing for patients. Patients need to have realistic expectations, and surgeons need to explain procedures and options to patients clearly. Breast implant sizes don’t just match up with a perceived bra size. As patient and doctor discuss a breast augmentation, they should consider long-term goals for the surgical result. Along with size, Lubbock women need to consider the implant material and shape that they want to be used for their breast augmentation.


Breast Implant Size and Your Body


Size can be one of the toughest topics to navigate when establishing clear expectations for your breast augmentation procedure. We often try talking about breast sizes using bra sizes, but, a cup size can look very different on different body shapes and sizes, and even a standard bra size can vary from bra brand to brand. The effect of implants can look different on different people depending on body shape and existing breast tissue. For example, your chest and shoulder width play a role in selecting the width of your implants, and going from a small A cup to a small D cup can produce very different results than going from a full B cup to a small D cup. So more than selecting a bra from the store shelf or comparing with friends to determine the right size for you, go into our Lubbock office for an in-person consultation to help you understand your options and what may be recommended for your body type.


Consider Breast Augmentation and Lifestyle


It is easy to cruise the internet and take a look around the poolside to select what you think to be the perfect size for your breast augmentation, but it is an entirely different thing living with that new body you imagined for yourself. The goal after a breast augmentation is not to look back and wish that you had either gone for a size larger or a size smaller. And size dissatisfaction post-surgery can be a result of more than just wishing your clothes fit differently. For incredibly active individuals, maintaining that activity with a new and larger chest can be difficult. If sports and exercises are a consistent part of your life, consider an implant that will give you lift and shape and fullness, but not an excessively large breast size.


More than “Bigger Is Better”


Remember that a breast augmentation is more than a competition with size. Correcting an asymmetric chest or adding back some lost fullness can bring you great satisfaction and an increase in self-confidence. Dr. Jane Rowley knows the importance of spending whatever time is needed to understand her patient’s expectations with her breast augmentation. Schedule your consultation today and see what possibilities you have with breast enhancement surgery. Visit for more information.

When Do Breast Implants Start to Feel Natural?

Mommy makeover


Size and shape of your new breast implants matter for your personal satisfaction, but the feel of your breasts is also very important to your overall happiness with your procedure. When getting anything from a little lift or a total reconstruction, there are multiple factors at play determining the end-result feel of your implants. If a very natural feel is your ultimate goal, there are a few things to consider before your surgery. And if you have already had implants, these variables will also give you direction as to when you can expect to feel natural again and what you might do along the way to help your body get there faster.



  • Type of Material


Silicone implants tend to be softer than saline right from the onset. Those who get silicone implants may be more inclined to say things feel “normal” earlier than those with saline implants. Eventually saline can also feel soft, but because of the viscosity of the silicone, they have the potential to feel softer than saline even over an extended amount of time.



  • Sufficient Breast Tissue: Location and Ratio


Individuals who have inadequate natural breast tissue to support the implants need to have the implants placed under chest muscles to provide that coverage. This chest muscle needs to be stretched and thinned out over time to feel supple and soft like breast tissue. This process is not immediate, so the location of your implant can have a great effect on the overall feel of your new breasts when you first arrive home. The more natural breast tissue you have to start with, the more likely you will be able to mask the implant.



  • Patience


You choose the material, shape, and size of the final look that you want. Having healthy and realistic expectations, along with a sufficient dose of patience will go a long way toward ensuring your satisfaction with your surgery at our Lubbock facility.

Whether you are planning a single breast implant procedure or are combining it with a complete mommy makeover, Dr. Rowley will carefully listen to your cosmetic goals, so you are happy with your results. To discuss your implant choice, schedule a consultation today.

Can Smaller Breast Implants Make You Look and Feel More Natural?



After deciding that breast implants are for you, your next decision is settling on the right size. Unlike people looking into liposuction procedures who often have the belief that smaller is better, those seeking breast implants may or may not think that bigger is better. With the introduction of breast implants this was a common view; however, smaller implants are becoming more and more popular. So, why is bigger not always better?


A More Natural Look and Feel

Larger implants tend to draw more attention and are often identifiable as implants. A smaller implant would mean filling out your clothes comfortably and adding definition to shape without calling excessive attention to your chest.


Your Medium is My Large

Bigger or smaller aren’t always the same in comparison with others because each body type merits an individual approach in determining what looks good and what doesn’t. Dr. Rowley will carefully give you the attention you need at your evaluation appointment to discuss size and all of the facets associated with that conversation,  including shape. Finding a tailored fit for your body is incredibly important because something that looks good and natural on one person can look excessive and unnatural on another.


Too Much of a Good Thing

Getting breast implants does more than impact your appearance, it also impacts your lifestyle and ability to move. When weight is removed through liposuction, people often find that movement and exercise are much easier. Breast implants, however, add weight to your body and change your balance. Aerobic activities can be a bit tricky with larger breasts, and active individuals may find that while their new, larger breasts look great in a dress, they don’t feel great on the treadmill.


There Is No “big” or “small,” There Is Only “Just Right”

Ultimately, you need to get the breasts implants that you want. Most people who have a healthy self-image and realistic expectations of this procedure find that they are incredibly happy with their results. Women who get larger implants at the recommendation of a friend often find themselves eventually unhappy and returning for additional procedures to reduce the size of the implants. So do what makes you happy and love your body, because you’re beautiful!

Dr. Jane Rowley is your board certified Lubbock surgeon that will discuss your personal aesthetic goals with you. Schedule your consultation today.

Is there an Ideal Breast Size?

Breast reduction


Women in Lubbock see the world through individual preferences and tastes. What one person thinks is perfect doesn’t accurately reflect the likes and dislikes of the next person. When you are discussing the ideal breast size, even though people have their opinions, consider a study published in Plastic and Reconstructive Surgery®  that found most people prefer breasts with 45% of their fullness above the nipple line and 55% below the line. Participants also said they like a more natural, teardrop shape.


What Affects Your Breast Size and Shape?


  • Genetics is the biggest factor in determining your breast size and shape. Genes from both your parents influence your breasts’ hormone levels, tissue density, shape, and skin tone.


  • The aging process happens whether we like it or not. You can’t fight the ticking of the clock or the effect of gravity over time. The Cooper ligaments in your breasts are bands of tissue that hold your breast structure and tissue in place. These aren’t true ligaments that are connected to bone so over time they can become stretched like overworked rubber bands. This stretching will eventually cause breasts to have a saggy or droopy appearance.


  • Weight can affect your breasts. A portion of your breast tissue is fat. You can understand why your breasts will expand when your waistline does. If your breast composition has large amounts of fat, your breasts sag when you lose significant amounts of weight.


Some life choices have a greater influence on our breasts’ appearance than others. Pregnancy and breastfeeding have a much more significant effect on our bust than exercise does. And a healthier lifestyle supports your skin elasticity,  muscle tone, and weight consistency.


How Can You Make Changes if Your Breasts aren’t Your Ideal Size?

You may not feel like you have much control over the natural size or shape of your breasts. Ultimately the perfect breast size is the one you feel the most comfortable and confident with.


In Lubbock, women who want to have greater control over their appearance visit Dr. Jane Rowley. She has over 20 years experience with breast plastic surgery options . Patients can consult with her about the benefits of a breast reduction, lift, or implants. Your breast size is a personal choice. For the most caring and experienced plastic surgery in Lubbock, patients come to Rowley Plastic Surgery. Visit ( to learn more about your aesthetic options.  

Will People Know My Breasts Aren’t Natural?

Plastic Surgery Lubbock

There are a variety of factors that play a role in determining the final look and feel of your augmented breasts. Before getting any type of plastic surgery, doctors recommend you do your research, and have an in-depth, one-on-one consultation with a qualified surgeon to help you understand all of the factors that will contribute to the final outcome of your breast augmentation surgery. It’s important to understand the various surgical techniques, implant placements, and implant types and how each contributes to helping you achieve the most natural look and feel.

Surgical Techniques

There are multiple locations for incisions through which the implants may be placed.

Inframammary – At the base of the breast, just below the crease

Periareolar – On the lower border of the areola (the dark area around your nipple)

Transaxillary – Through the armpit

Transumbilical – Through the navel

Implant Placements:

The most natural results for breast augmentation is when the implant is placed beneath existing breast tissue and fat, or the pectoral muscle. Some women may not have the existing breast tissue for this type of placement.

Submuscular – beneath the pectoral muscle

Subglandular or submammary – in front of the pectoral muscle, immediately behind the breast tissue

Implant Types:

The amount of natural tissue in your breast will impact your final results and could change your approach for your plastic surgery. Lubbock surgeons will help you evaluate the amount of natural tissue you have to work with, and in cases where there is less native tissue or fat, they may recommend silicone over saline implants to reduce the risk of rippling. Options for implants include silicone gel-filled, saline-filled, form-stable, ultra-cohesive silicone gel-filled (known informally as “gummy bear”).

Implant size, texture, shape, and profile also affect the final look and feel. Post-procedure massages can impact the implants as well. Ultimately, each of these options need to be evaluated carefully with your doctor to ensure you select the right combination for your body type and your goals. Whether getting a breast reduction or augmentation or any other Plastic surgery, Lubbock plastic surgeon, Jane Rowley, can discuss your options so you achieve the best results for you.

Do Men Like Breast Implants?

Breast augmentation


We sometimes do things to please other people. We want the people around us to be happy. I remember dating a guy in high school that liked my long hair and told me never to cut it. The relationship ended, I realized I really wanted my hair shorter. I had a great afternoon at the salon getting a new hairstyle, and decided that day that when something really mattered to me I didn’t want someone else dictating what I did with any part of my body.


Personal Decisions

If you are considering plastic surgery, Lubbock offers a board certified surgeon that can discuss with you exactly what your personal goals are for the aesthetics of your body. Obviously, cosmetic surgery is a much more life altering change than a haircut; which is all the more reason to know what you want in a plastic surgery procedure. Plastic surgery should be something you choose to do for yourself, and not let someone else dictate the results.


What do Men Think?

When researching whether or not men like breast augmentations, the results are all over the board. In many studies where men were asked about size, approximately 32.7% of men like a medium breast size, 24.4% liked women with larger breasts, 19.1% liked very large breasts, 15.5% prefered small breasts, and 8.3% of men chose very small breasts.


When it comes to the actual implant, some men prefer a more natural feeling implant. Many men will say they really don’t care about size as long as their partner is happy. In a more indepth survey, the real question wasn’t whether or not men liked women with large breasts, but what men did like in their partner. Men liked a woman that personally felt she was sexy, and acted confident.


If breast augmentation is something you are considering, decide the result you are hoping for and clearly communicate this to your doctor. You can discuss your decisions with your partner, but know the final choices with your surgery are yours to make.


Augmentation Choices

In Lubbock, plastic surgery can be a great experience with Dr. Rowley. During your patient consultation, she will explain your breast augmentation choices with breast implant sizes, materials, and shapes. The goal is that you are happy with the results of your surgery, and the look of your body. Ultimately, we try to please the men in our lives with a good meal and daily kindness. We welcome the input of others in many aspects of life. When it comes to your breasts, whether you choose large or small, fake or real, it’s about what you feel comfortable with. Decisions about our bodies are ultimately ours to make.

Understanding Your Breast Implant Options

Plastic surgery Lubbock


With all the talk of diets and weight loss, you would think that getting a tummy tuck is the most requested cosmetic plastic surgery procedure. But, it isn’t. The most requested procedure is breast augmentation. Women are concerned about lack of breast tissue, breast symmetry, or want to return to pre-pregnancy breast volume. When deciding to have a breast augmentation procedure, you should know the different breast implant options available for your plastic surgery. Lubbock is a great place to explore your options with Dr. Rowley, a board certified surgeon with the experience to find exactly what will fit your personal goals.


Saline Implants

These implants are similar to a water balloon filled with sterile salt water. They provide a firm, uniform shape, and if they leak, you have no need to worry about adverse effects on your body. Saline implants can tend to wrinkle, and some people believe they do not have a natural breast tissue feeling.


Silicone Implants

A silicone gel filled implant feels more like your natural breast tissue, and come more naturally tear dropped shaped or round. These implants are generally pre-filled before your plastic surgery. Lubbock patients need to know the risk of possible punctures of the implant during surgery, and also be aware of the need for periodic MRI’s or ultrasounds to check for leaks in the future.


The Ideal Implant

If you like the more natural feel of a silicone implant, but also want the peace of mind of a saline implant, then a structured implant may be the option you are looking for. This option features an inner shell surrounding an inner chamber which holds the inner saline filler. Then an outer shell surrounds the outer chamber that holds an outer saline filler. This structure gives ideal implants a more natural feeling as movement of the saline is more controlled, and eliminates concerns of a rupture that come with a silicone implant.


With Dr. Rowley and the option of the Ideal Implant, the place you want to be for a breast augmentation consultation is in Lubbock. Plastic surgery is a personal choice with so many personal options. Know your options and discover what is the perfect implant for your breast augmentation.