I generally do not recommend saline implants above the muscle. It may be acceptable if you have enough soft tissue coverage, but the risk of palpable implant edges and rippling of the implant is higher.

There are pro's and con's to any approach and breast augmentation is not a "one size fits all" operation.

I would ask your doctor about the options you have and then decide which approach is best. Good luck!

I typically do not recommend implants to be placed directly under the breast tissue unless a previously placed submuscular implant is causing problems (scar contracture, etc.). Their are surgeons who will place implants under the gland to compensate for dropping/ sagging tissue...I think this results in an elongated (rock-in-sock) appearance that I personally do not care for...But I have heard patients say, when you see 10 different plastic surgeons, you may get 10 different opinions on what needs to be done.

So, see as many surgeons (Board Certified Plastic Surgeons, www.plasticsurgery.org) as you feel comfortable with, review their results, above and below the muscle, and evaluate what results most exemplify your goals and go with that surgeon!

I hope this abbreviated response helps!

Dr. C

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