Options for breast implant placement?

Breast implant techniques have evolved over the last 30 years to accomodate the growing demands of patients for breast augmentation, and the need to improve surgical results. In general, most patients should undergo a submuscular implant. In terms of saline vs. silicone, the major determinant for a primary... more

I agree with those that say there is no single answer - every patient is different and you have to discuss your specific options with your board certified plastic surgeon. The only incision placement that has very limited benefit is the belly button and it can only be used with saline implants and may void any... more

There's a lot of great information here and I agree with 95% of it. In my San Francisco area practice we've used almost every incision and placed implants in every plane. It depends on the patient. It appears you're addressing two different issues. One is where your implant sits (under the muscle, above the... more

There are already a number of insightful answers to this important question. It has been stated that every patient is different and one technique is not always the right one for every patient. I agree 100%. Only after a comprehensive discussion about your desires and goals and a though exam can your plastic... more

Once the type of breast implant and the incision are determined, your plastic surgeon will discuss the optimal placement of the implants to create the best breast form. Classically these options have been either completely behind the muscle, called the submuscular breast implant position, or in front of the... more

  While the issue of ‘over’ or ‘under’ the pectoralis major muscle receives a great deal of attention, even more important than implant position relative to this muscle is implant position vertically and horizontally on the chest wall.  In many patients, the inframammary fold... more

Implants can be placed either above or below the muscles of the chest.  There are several choices for the site of the incision as well: -In the crease below the breast -In the armpit -In the belly button -Around the edge of the areola The choice of whether the implants should be above or below the muscle... more

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... more

This is something that is discussed at length during a consultation that often lasts between 30 minutes to an hour in my office. It really depends on the patient's anatomy and their preference.

There are essentially 4 routes currently used for breast implant placement. There is Periareolar (around the nipple) Inframammary (in the crease underneath your breast) Transaxillary (through the armpit) Periumbilical or TUBA (in the belly button). In my opinion, only three of the above are valid accesss... more