Options for breast implant placement?

Breast implants can be placed in several different locations ranging from submuscular, partially subpectoral, subfascial or subglandular. Total submuscular placement implies complete muscle coverage. This is not feasible with cosmetic breast augmentation since the pectoralis (chest) muscle inserts on the ribs... 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

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

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

I am a very strong proponent of placing implants ABOVE the muscle. Because part of the pectoralis muscle is usually cut in order to fit the implants, this causes some of the muscle to atrophy (die). Under the muscle has many other disadvantages such as severe post-operative pain, but there are no... more

Patients have many potential options in the selection of the proper breast implant for their own optimal result. Of course, working with an excellent and experienced plastic surgeon is essential and your surgeon should carefully explore what kind of size increase and upper pole profile look you feel would be... more

There are 3 traditional approaches for breast augmentation: Under arm (transaxillary) At the junction of the pigmented skin of the areola and breast skin (periareolar) Under the breast at the fold (inframammary) Implant placement through an incision in the belly button has been described, but I am not a fan... more

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

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

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