Breast Implants: Q&A

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Any Difference Between Having Implants Under the Muscle and Having Over Muscle?

i am 5.4 and 117 lb, i ware a 34 A and i am looking for a gel 325 cc. i am nervous about all i don`t know and i want to look like a natural breasts and not like i got some lollypops. Thank you. Also any difference between textured and plain.

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under muscle comparison natural looking over muscle pros and cons recommendation

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20 Doctor Answers | Asked by 1Cris

Doctor Answers (20)
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For natural appearing breast augmentation, avoid the muscle and avoid 'over the muscle' go cold-subfascial!

Your best choice fo a natural appearance will be subfascial placement which is neither under or over the muscle but in a unique plane between the fascial covering of the muscle and the muscle itself. No other technique can come close to the natural appearance that cold-subfascial augmentation delivers. I have attached a video that explains its benefits. I hope this helps! All the best, Rian A. Maercks M.D. see video

Any Difference Between Having Implants Under the Muscle and Having Over Muscle?

As slender as you are you definitely want the implants behind the pectoralis muscle. When you look at photos of slender women with implants in front of the muscle you can see the entire top curvature, as if they had grapefruit halves under their skin. The muscle does not cover the entire implant but obscures the top and inner margins, thus mimicing a natural looking young breast. The textured implants have no benefit and several drawbacks, most doctors use the smooth surfaced devices. And... more

Saline implants better under the muscle--Gel implants no difference above or below.

Placement of the implant above or below the pectoralis muscle has no effect on capsular contracture. Saline implants are more liable to have visible contour irregularities if placed above the muscle. Silicone gel implants have no aesthetic difference above or below the muscle.

Can Be Much Difference In Under/Over Muscle Implants

There can be a good deal of difference in results when implants are place under or over chest muscle. I virtually always place implants below the muscle as I feel this gives a more natural result. This is even more important in a patient like you who begins with an A cup breast.

Implants above or below the muscle

I am a firm believer in placing implants partially under the muscle for better coverage and I think a decreased chance of capsular contracture. This will provide a more natural appearance for the average patient but this depends on your starting breast volume and the size implant you chose. There is no one size fits all approach so the best thing to do is to have a consultation or two with board-certified plastic surgeons to see what your most appropriate options are. I hope this helps... more

Implant placement choices

I prefer smooth implants, under the muscle. This generates in my opinion a more natural look, less capsular contractures, better mammograms, and less implant palpability.

Under the Muscle vs.Over Muscle

For thin women, there is a greater risk of rippling which can be reduced if you have submuscular placement. While there has been some studies that have indicated lower probability of capsular contracture with textured implants, smooth implants is generally my preference. Consult with 3 - 4 experienced and expert board certified plastic surgeons to review your options.

Over vs. Under muscle

Having the implants placed under the pectoral muscle may help you achieve the natural look you desire. The muscle helps to camoflauge some of the nuances of the implants. The lower outer portions of the implant are not usually covered by the muscle, but the upper portion is, which is the part more visible when wearing a bathing suit or certain style tops and dresses.

Mennen T. Gallas, MD

8 reviews

Houston Plastic Surgeon

Under the muscle implants are best

Since you are thin and size 34 A, you have small breast volume. I would definitely recommend silicone gel implants. They are less likely to ripple, feel more natural and the implants should be placed behind the muscle to provide additional padding and long term support. Implants can be placed through an incision around the nipple or inframammary to hide the incision in the shaodw of the breast. In your case, I do not recommend implants in front of the muscle... more

Implant positioning and texturing of implants.

The choice of implant placement - under or over the muscle - depends mostly on the ability to camouflage the implants. For women with minimal breast tissue (as is likely with a 34A cup), the usual recommendation is for placement under the muscle. This avoids the visibility of the implant in the upper portions of the breasts and provides a smooth transition from the upper chest to the breast. The choice of texturing vs. smooth implants depends on two factors: 1. Capsular contracture... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Over or under the muscle

This is usually a choice made by the surgeon.The less breast tissue a patient has the more I go under the muscle.Gel is the way to go.I usually use smooth and only use textured when I am doing a revision and there has been severe encapsulation.

Under the Muscle

Most women will benefit from placement of the implant under the muscle. To be accurate, only part of the implant is placed under the muscle. The lower portion of the implant is usually not covered by muscle so you can get more expansion of the lower breast but this also allows the lower implant to be felt more easily. Placement under the muscle should also help with mammograms and reduce the risk of capsular contracture. On the other hand, the recovery following... more

Above or Below The Muscle ?

Thank you for your question. Based on the information you provided it would appear that you are slim and would have thin tissue above an implant. This would make the implant more visible and susceptible to rippling if placed on top of the muscle. Here are some of the benefits of under the muscle, the difference between saline vs silicone, and textured vs smooth implants. Less visibility of the implant and rippling under the muscle... more

Breasts Implants Over or Under the Pectoralis Muscle?

Thank you for the question. Although patients who have breast implants placed in the sub muscular ( or dual plane) position may experience more discomfort during recovery, I still think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural... more

Breast implant question

I agree with the common thread among the responses thus far that in a thin A cup female placiing the implant below the muscle is the best for a natura,l longer lasting result with better future mamograms. I prefer smooth round saline implants and the Mentor high profile works very well in narrow chested body types. Please see a few board certified plastic surgeons for their opinions.

Diff Btween Havin Implants Under or Over the Muscle?Answr:

I tell my patients that over the muscle gives a more "wow" breast and under the muscle a more "natural" breast. And the thinner a woman is, the more implant visibility you will get with over the muscle. And the debate rages on with regard to Textured vs smooth...I'm afraid that after all these years we really have not settled the question...

Breast implant placement

Given how thin you are and the lack of breast tissue to start with, my recommendation is for placement under the muscle. This will produce a more natural feel and appearance and reduces the risk of capsular contracture. For sub pectoral implantation, I use smooth implants as there is no benefit to the textured implants except in the rare patient who is a good candidate for placement above the muscle.

Submuscular and subglandular are toatally different in their goals and effects

Submuscular placement of implants vs "in front of muscle breast implants" are totally different operations in their goals and effects. Simply put subgladular implants give better cleavage and more natural behavior of breasts. Submuscular implants tend to move with movement of chest muscles, have muscle flex deformity, suboptimal cleavage but less long term sagging. However, it is your doctor who gets to male final recommendations based upon your own unique body, needs... more

Breast Implant Placement above or below the muscle

We are always striving to give the best and most natural result from breast implant surgery. Usually the best location for placement of the implants is below the Pectoralis Major muscle. The advantages of this placement location are: More natural look More natual feel Easier to perform and read Mammograms in the future Lower incidence of capsular contracture Although, there are some women when placement of the the implant on top of the muscle is... more

Breast implants under muscle or over muscle and textured vs. smooth

I generally prefer to put the implants "under the muscle" (what we call "subpectoral") as I feel it a) lowers the chances of capsular contracture, b) gives a more natural look, c) gives a more natural feel and d) "presents" all of the breast tissue to the mammogram (i.e., doesn't cover up any breast tissue so doesn't potentially "hide" it from mammograms). Most patients seeking breast augmentation are like you, thin. Because... more