Will going under the muscle with interfere with my workouts?

I am considering breast implants but have some concerns with going over or under the muscle. I am a 32A and very lean. I have had two children with no plans to have any more. My concern is that I worry going under the muscle with interfere with my workouts. I have very dense chest muscles from being very active yet because I am so lean and my breast are small I wonder if there is enough tissue to go over the muscle. What should I be thinking about in my case?

Sort: Date | Helpful
9 answers to “Will going under the muscle with...”

A: Muscle limitation after sub-muscular breast augmentation with implants

Otto Joseph Placik, MD

There is a very crude rule that essentially states that if you can pinch less than an inch of tissue from the upper portion of the breast than you should strongly consider going under the muscle. Another aesthetic measure is that if you can see your ribs along the upper portion of your chest, then again, you... more

A: Breast implants under muscle will cause visible contraction during workouts

Brooke R. Seckel, MD

Many patients have breast implants under the muscle and do not complain about movement during workouts. However you will have very visible movement of the implant during chest exercises and this may be disturbing. Placing the implant under your breast gland is your best option. However, if you have so little... more

A: Think about muscle movement

Christopher L. Hess, MD

One of the problems that can occur when the implant is placed under the muscle and the muscle moves is implant displacement.  What can happen is the implant is relatively stable in its encapsulated pocket.  Because the inferomedial or low sternal part of the muscle is cut the muscle can ride over the... more

A: Breast implants and thin patients

Steven Wallach, MD

Thin patients with minimal breast tissue and not alot of soft tissue coverage are best to have the implants placed under the muscle.  Does it interfere with workouts and strength?  The literature does not support that concept.  Unless you are a professional weight lifter I wouldn't think twice... more

A: You are ideal for a Textured Anatomic implant above the muscle.

Robert T. Buchanan, MD

It was people like you that convinced me to do most of my implants on top of the muscle. Before I moved to my present location, a great deal of the people who desired breast augmentation were also very athletic or used their arms a lot. When the implant is put below the muscle, it moves and flattens every time... more

A: Consider subfascial or split submuscular

Richard Baxter, MD

You have described the tradeoffs well for lean and athletic women. You need coverage but under the muscle poses problems with distortion of the breast with muscle activity and generally unfavorable appearance; overs look fake because there isn't enough "padding" of your own tissue. The subfascial... more

A: Workouts

Robin T.W. Yuan, MD

Breast implant surgery is a procedure of trade-offs. You need to discuss each of your concerns and the pros and cons of each variable of the surgery. There is no right answer. Subpectoral implants do not interfer with workouts but can cause the implants to firm up and distort while contracting the pectoralis... more

A: Tissue coverage is important, and a few words about exercise

Scott Sattler, MD

Without the benefit of seeing your photos- you described yourself as thin and active. I'd say the safest place for your breast implants would be behind your pectoral muscles. For a variety of reasons, implants seem to perform better and last longer in the sub-pectoral position. In addition, your long-term... more

A: You probably need small silicone implants over the muscle.

George J. Beraka, MD

Hi! I can visualize what you look like, and we frequently see women with your situation.  My experience is that it is a mistake to put breast implants under over-developed pectoral muscles. Most women like you do well with small (around 200 cc's), smooth walled, moderate PLUS profile (no rippling)... more

Post your question

Breast implants before & after photos

SPONSORED Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.