Under muscle Breast Augmentation for tight pectorals?

Tight or not the implants can go under the pectoralis msucles.  These are usually cut to accomodate the implants along the inferomedial aspect.  But, they might move funny especially in a weight trainer. You may want to consider above the msucle if you have enought soft tissue to cover them.

In general, body builders and fitness trainers opt for implants over the muscle (subgalndular). When you contract the muscle a lot, it distorts the implants. Placing the implants under the muscle also requires cutting and dissecting muscle that may alter your normal anatomy when you pose. If you have a... more

The placement of an implant partially submuscular (under the pec major) has the benefit of better mammograms than above the muscle, less edginess of the implant, less implant palpability, less capsular contracture, and a more natural long term look. Depending on how your surgeon handles the muscle, there can... more

Jennifer, Submuscular augmentation was started years ago for two main reasons. Intuitively the implant belongs under the gland of the breast and in the best of worlds the implant and breast tissue flow together and feel as one, soft and natural. The problems encountered are capsular contracture, and visibilty... more

RedGirl122, It is okay to have your implants above the muscle. If they are put under the muscle, the muscle needs to be cut in order to accommodate the implant. However, if you are an athlete, then you may prefer to the have the implant placed above the muscle. Just find a plastic surgeon who is comfortable... more

The reason most Plastic Surgeons recommend sub-pectoral (beneath the muscle) placement of the implants is: 1 - Long term, there is less incidence of capsular contracture 2 - Better for mammograms 3- More natural slope to the upper pole of the breast, especially long term 4- Less chance of feeling the implant... more

First, there is no standard way to do breast augmentation. Under the muscle vs. over the muscle have pros and cons. I prefer under the muscle due to lower capsular contracture rate, the extra padding, and the stronger support (minimizes sagging) of under the muscle vs. over the muscle placement.  On the... more

Hi! I would share your concerns regarding submuscular implant placement. Typically, it is not a problem, however with pectoral contraction there is indeed a chance for banding and potential unattractive characteristics. If otherwise possible, above the muscle could be the best choice. Various implant options... more

Your situation is actually common but one that requires special consideration. Traditionally, under the muscle is recommended for better coverage of the implant and more natural contours. However, athletes such as yourself are usually advised to have them over the muscle, because of the tightness of the muscle... more

Hi there, Because of your very active lifestyle, I would agree with my colleagues that you are probably best served by implant placement on top of your pectoralis.