Under the muscle is more natural, but size is a more important factor

Michael A. Bogdan, MD answers: Which breast implant placement gives a more natural appearance?

When getting breast implants, what gives a more natural appearance, going under or over the muscle?


Michael A. Bogdan, MD
4 months ago

The pec muscle looks like a triangle with borders along the sternum and clavicle.  When an implant is under the muscle, the muscle helps maintain the slope to the upper portion of the breast.  Natural breasts  have more of a slope above, and curvature below the nipple.  That being said, if you choose large implants (or too large), no matter where you place them, they will look fake.  Reasonable sized implants can be make to look natural, and the muscle helps. 

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