I'm Considering Getting Breast Augmentation, is It Better to Get Submuscular? Doctor Answers, Tips
Breast Augmentation: Q&A
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I'm Considering Getting Breast Augmentation, is It Better to Get Submuscular?

i'm an A cup and would like to go to a nice full C, is it a better option to get submuscular for better looking and placement results?

25 Doctor Answers | Asked by allanah
+2

Submuscular pocket position

This question is a matter of opinion amongst both surgeons and patients and I do not think that there is a definitive consensus. But, I personally think that the subpectoral or dual plane position is both more natural appearing and has fewer complications than the subglandular or subfascial positioning. There is evidence in the literature that supports the notion that capsular contracture rates are lower when the implant is placed under the muscle. I also feel that both the short term and... more
+2

Submuscular vs. subglandular breast implants

Breast implants in general, especially saline breast implants, do not blend in well at their edges with surrounding tissue. For a more natural look it is best to place implants whose base diameter is slightly less than that of the overlying breast tissue. However A or AA cup patients have so little breast tissue there may be no breast base width to measure. The best option then is to place the implants under the pectoralis chest muscle in order to cover the edges with more tissue. The muscle... more
+2

Placement

There is no question that the submuscular (partial, total, or dual plane) is superior to the subglandular position. It gives better coverage. In terms of natural feel, you should consider silicone instead of saline.

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+2

Sub-muscular breast augmentation

In my practice I perform the majority of my procedures in a dual plane were the superior portion of the implant is covered by the muscle and the inferior portion is covered by the breast tissue. I feel it give a natural appearance, reduces the chance of having a capsular contraction and increases the amount of tissue that is visible when undergoing a mammogram. In patients that are very athletic (mostly body builders) I would place the implants in a sub-mammary... more
+1

Breast Implant Types And Placement

Hello, As you may already know, you could have a saline or a silicone breast implant positioned: Submuscular/Subpectoral with different positioning in that category as dual plane, partial or total. Subfascial/Subglandular. Usually, if the patient is looking for the most natural look with the least possible risks of capsular contracture the submuscular silicone implants are often considered. However, to determine the positioning and the nature of the... more
+1

Over or under the muscle for breast augmentation?

You are going to get many different answers for this open ended question. It often times is a matter of preference. Each technique can have advantages in the right patient. For example, if you are thin, then over the muscle can ripple and you can feel the implant more....so under the muscle would likely be better. For others, over the muscle is very good. To discuss specific options and to tell what is best for you, see two or more board-certified plastic surgeons in... more
+1

Submuscular

Submuscular (under the muscle) is preferable. This allows for the patient’s own tissue to better cover the implant, thus helping prevent rippling and show-through of the implant’s edge. Also, placement under the muscle allows for clearer mammograms and more natural aging of the breasts.
+1

Submuscular breast implant placement

Hi! Thank you for your question. Typically, I recommend a submuscular placement for patients who are looking for a more natural appearance. They also tend to be the best when it comes to mammograms. However, it is best to fully discuss your options and expectations during a consultation with a board certified plastic surgeon. Good luck! Dr. Sam Speron
+1

I'm Considering Getting Breast Augmentation, is It Better to Get Submuscular?

Most of us place first time implants in a sub-muscular pocket for many reasons. It conceals the implant well and reduces rippling, capsular contracture rates are lower than above the muscle. From what you describe you are small and having implants beneath the muscle would be my choice for you.
+1

Breast Augmentation

The most significant advantage of placing an implant under the muscle is to provide additional soft tissue coverage that most prospective breast augmentation implants need. When a woman presents with significant breast tissue and decent skin tone, she may be a candidate for subglandular placement of the implant. While it is important to place an implant under the pectoralis muscle when needed, some of downsides are that it is a more painful recovery in the short run and often times they can... more
+1

Placement of breast implants

As you can tell from all the answers, there is no one answer as to which is best. I feel that for the majority of my patients placement in the subglandular position gives a more natural appearance and feel. This is a decision that you and your surgeon should make together as what is right for one person may not be the best choice for another and your board certified plastic surgeon is in the best position to advise you. Good luck.
+1

A "A" cup usually demands positioning the implant under the muscle.

When one does not have enough breast tissue to adequately camouflage the presence of an implant then placing the implant under the muscle is vital for coverage. Otherwise, you risk the appearance of rippling creating an unnatural looking breast. Since you are an A cup you will probably need such a submuscular placement.
+1

Every tool has its use.

Hello, Sub-muscular versus sub-fascial breast augmentation should be considered tools in breast enlargement surgery. That is, each tool has its indication where it would be used best and in certain cases either could be used successfully. Each patient has certain indications that may make them a better candidate for one versus the other. Saline implants in general should be placed under the muscle and very thin patients getting larger implants should also consider... more
+1

Overs vs Unders

Placement location of breast implants is critical when determining the final outcome of breast augmentation. Should the implants be placed under the pectoralis muscle or on top of the muscle? We as surgeons prefer the implants to be under the muscle and in my practice 80% of all implants are placed under the muscle. Here are the reasons why: Lower incidence of capsular contracture (hardening of the implant) Easier to perform and read mammograms Less... more
+1

Submusclular implants

Without a doubt I would recommend going underneath muscle. I think this gives a more natural appearance because it provides more tissue coverage over the implant. Another benefit is that the chances of capsular contracture are decreased with this approach. I hope this helps. Kindest regards, Neil J. Zemmel
+1

Implants under the muscle....

I typically perform breast augmentation placing the implants under the muscle...it gives a much more natural appearance and studies have shown there is less chance of capsular contracture.
+1

Breast Augmentation - Submuscular or Subglandular?

That's a great question, and there are likely to be several different opinions. The decision where to place the implant depends on the woman's goals, size and shape of her breast, and how lean she is. In the majority of women I recommend submuscular (dual plane technique) which gives a very natural appearance and has the lowest rate of capsular contracture long term.
+1

Which is better for breast augmentation: Subglandular or submuscular?

While bothe sublandular and subpectoral placement of breast implants are acceptable, the most common approach and the one I utilize in my office over 90% of the time is the subpectoral approach. This allows for more coverage of the implant resulting in a more natural feel and sometrimes a more natural look. There is evidence in the literature to suggest thtat the subpectoral approach may also lower the imcidence of capsule formation ( hardness). The only time that I perform the... more
+1

Which Pocket To Put My Breast Implant Into?

Thank you very much for this interesting question. After having done literally thousands of breast augmentations, I have formed some strong opinions about which pockets to put breast implants into. I strongly believe the subpectoral pocket is far superior to the suprapectoral (subglandular) pocket. Listed below are why I believe most, if not all patients, should use the SUBPECTORAL POCKET: 1. Breast implants stay softer (less chance of a... more
+1

Is Submuscular Placement of the Prosthesis Better?

I have chosen the submuscular placement of the prosthesis in 80% of my Augmentation patients. My reasons are: A more natural appearance, specifically a more naturually appearing cleavage. A better concealment of the implant I feel it is easier to locate any breast masses that may develope in the future A possible lower occurence of scarring around the implant Many radiologists feel that it is easier to perform a mammogram if the implant is submuscular. more
+1

Submuscular Implants Usually Superior To Subglandular

I place almost all breast implants below the muscle as I feel the results are much better (more natural, lower rate capsular contracture). I think this is especially important in women with small pre-op breasts. Silicone implants will also provide superior results.
+1

Implant placement

Different surgeons have different opinions/preferences based on their training and practice experience. I prefer the dual-plane technique where the upper 2/3rd of the implant is under the muscle. I find that the dual place technique helps to facilitate a more natural "tear-drop" shaped breast augmentation results. Hope this helps. Dr. Basu Houston, TX
+1

Submuscular vs subglandular implants

When a patient does not have alot of breast tissue( which it sounds like is yoru case) then under the muscle adds another layer of soft tissuve coverage.
+1

Submuscular vs. Subglandular Breast Implant Position?

Thank you for the question. Although patients who have breast implants placed in the sub muscular ( or dual plane) position may experience more discomfort during recovery, I still think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look ... more
+1

Implant pocket

Thank you for the question. In general, submuscular pocket has several advantages, it reduced the risk of capsular contracture and less rippling. the looks depends on several factos, including the size of the implant, the breast shape before augmentation and presence of ptosis. I prefer submuscular augmentation for all my patients. You need to see a board certified plastic surgeon for a consultation. during the consultation all your questions should be addressed. You need to... more
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