17 months ago
There are three excellent options for implant placement, depending on the individual patient anatomy, and there is a fourth option that I don't consider useful.
Option #1 is the subpectoral placement where the implant is placed deep into the pectoralis major muscle. This is the ideal placement when a woman is flat chested and needs more volume and more projection in her breasts.
Option #2 is the subglandular placement, and here the implant is placed above the muscle and under the breast tissue itself. This is the best option when a patient has sufficient breast tissue and fat to adequately cover the implant, and also needs to have mild or moderate sagging corrected.
Option #3 is the dual-plane implant placement, which is a newer technique with important benefits for the right patient. In the dual-plane technique, the top of the implant is covered by the pectoral muscle and the bottom of the implant is under the breast tissue. The dual-plane approach is useful for women who do have some sagging that needs to be corrected, but also are extremely thin and have little fat and breast tissue to cover the implant.
The fourth option, which I do not find useful, is called the subfascial placement. With this technique, the implant is inserted on top of the muscle itself but under the muscle fascia or muscle lining. This technique is difficult and provides very little additional cover for the implant and is therefore not worthwhile, in my opinion.
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