How do I Decide Whether to Go Under the Muscle or Over? (Photos)

asked 8 months ago by jennieokee
Latest answer by James McMahan, MD
Question viewed 352 times
Tags: under muscle, over muscle, submuscular

Hello. I am hoping to travel to Thailand in December and get a breast augmentation. However I am torn deciding whether to go under muscle or over muscle. I like to exercise and i have heard bad things about exercising with implants under the muscle. I am hoping to go from a full A to a full C / small D cup using cohesive gel mentors. Breast feeding isn't massively important to me, but nipple sensation is. Whilst I do want them to look relatively natural i don't mind them looking full and round

10 answers to How do I Decide Whether to Go Under the Muscle or Over? (Photos)

Implants under the muscle are best

Based on your photographs, you appear to be an excellent candidate for breast augmentation. There are multiple advantages of implants under the muscle and few disadvantages. Advantages include more natural tissue to cover up the implant so you have a better chance of having a more natural look and feel, lower risk of rippling, lower risk of capsular contracture, they get in the way less when getting a mammogram, they tend to sag less in the long run and they cause fewer problems in the... more

James McMahan, MD
Columbus Plastic Surgeon

How do I Decide Whether to Go Under the Muscle or Over? (Photos)

My question is why travel for the operation? From my view you are better submuscular placed implants.

Darryl J. Blinski, MD
Miami Plastic Surgeon

You ned to discuss this with your surgeon

I would suggest that you discuss this with your surgeon. If your surgeon is more comfortable with the sub muscular augmentation,you do not want to push him to change his surgical planning. The long term results of the muscular augmentation is better and you have much less thinning and sagging.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Over vs. Under the muscle implant placement

I believe you will have a nice result with either placement. However, I do recommend submuscular placement when possible to my patients as there is less chance of capsular contracture.

Jeffrey Hartog, MD
Orlando Plastic Surgeon

Placement of breast implants

Thank you for a very well-formed question with sufficient details to help us. My recommendation will be to go in a subglandular plane as you seem to have enough breast tissue cover to mask the edges of the implant. This will have the added advantage of not having to worry about the effect of exercising on the appearance of the implant. I am somewhat surprised at your decision to go to Thailand though....

Anindya Lahiri, MBBS
Birmingham Plastic Surgeon

Breast implant position

Thank you for the question and pictures. There are many more advantages to sub muscular in some breast augmentation than subglandular breast augmentation. An even more important decision is your choice of surgeon which makes your decision to “travel to Thailand" a curious one. I would suggest considering the pros and cons of this decision thoroughly. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast Implant Placement

This may be a somewhat controversial statement, but in my opinion there currently is really only one acceptable position for breast implants in an elective cosmetic surgery patient: behind the pectoralis major muscle (sub-pectoral augmentation). There are a number of very compelling reasons to place implants behind the pec major, and the most compelling one of all is the fact that radiologists report that the mammographic imaging of breasts for the purpose of breast cancer screening tends to... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Under or over the muscle for BA?

Based on your photos I think you will get a great result with either. I would recommend under the muscle since I believe that there is less of a capsule contracture throughout your life, not just in the first year or two after surgery. If done well you shouldn't have any problems with exercise.

Ronald Schuster, MD
Baltimore Plastic Surgeon

Above or below the muscle in breast augmentation

Simply if you have enough breast tissue to cover the implant ( more than 2cm) you can have them placed over the muscle. This should give you the freedom to be active and exercise without worrying about the movement of the implants. Over the muscle is also reported as being less painful. However if you have very little breast tissue < 2cm it is preferable to go under the muscle to allow more coverage of the implant. Either way they are both safe and good options. Photos... more

Dana Khuthaila, MD
New York Plastic Surgeon

www.drkhuthaila.com

Breast augmentation above or below the muscle

Not everyone is a candidate for under the muscle, as it depends on where your own breast tissue lies. In your case, your own breast tissue is in a good position and you could go either above or below the muscle. I feel that the chances of capsular contracture are less if placed below the muscle, and the research bears that out as well.