How to Decide Wheather to Have the Implant Under the Muscle or on Top?

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9 Doctor Answers | Asked by jr528 in ga

Doctor Answers (9)
Community Comments (0)

Implant position

I usually place implants under the muscle because I find that most of my patients are very thin and could use the extra soft tissue coveragge in the superior pole.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Implants over or under the muscle

This is a hotly debated question and there is no right or wrong answer. Clearly, the vast majority of surgeons prefer to place implants under the muscle but I would discuss the pros and cons of your particular circumstances with your surgeon.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

I prefer to put breast implants under the muscle

There is not one correct answer but i personally prefer to almost always put the implants below the muscle since they are less palpable, they look more natural, you get a better mammogram and there are less likely to develop hard capsules.

It is best to "err" on having your Breast Implants placed UNDER the muscle

Because ALL breast implant RIPPLE and PLEAT, only a few people with a fair amount of breast tissue already available can adequately cover the implants and hide these imperfections. The BEST way to produce a great breast Augmentation result is to find an implant that fits a woman's chest wall AND is covered by her present breast tissue. Since the vast majority of women seeking breast Augmentation do NOT have a lot of breast tissue cover, we prefer to place breast implants UNDER... more

Under vs. Over the muscle

My preference is under the muscle. This is more painful, but tends to give the best long term result with less chance of contracture, ripples, visibility, more protection, less chance of bottoming out. Others may have other reasons for over.

PLACEMENT OF BREAST IMPLANT ABOVE OR BELOW THE MUSCLE

This is one of those "grey" areas of plastic surgery and different opinions are the norm. However, given that 1 out of 7 females in this country develop breast cancer in their life time, I always place the implant under the muscle, since it allows better visualization of breast tissue during mammography.

Breast Augmenation: Over or under the muscle

If you want the most natural-looking breast, you will need a subpectoral implant, in which the implant is placed under the muscle. This procedure requires the merest incision—about three centimeters in the crease under the breast or at the edge of the nipple—and diminishes the incidence of capsular contracture, the formation of hard scar tissue around the implant, which occurs in 10 to 30% of cases. Once the incision is made, the surgeon creates a pocket into which the... more

Subglandular vs Submuscular vs Dual-Plane Breast Augmentation

This is one of the debates that rages on in the plastic surgery community, with surgeons on both sides of the fence. However, more and more surgeons prefer the partial submuscular, or dual-plane approach these days. It really is a misnomer that the implant is completely under muscle. In reality, only part of the implant is under the muscle ( usually the top 2/3 to 3/4), which is why some people prefer the term dual-plane. Going on top of the muscle... more

Under vs Over Muscle Implants

There are benefits and disadvantages to both locations. The benefits of under the muscle placement are a more natural feel and appearance as well as a smaller incidence of capsular contracture. The primary disadvantage is more pain post-operatively.