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Sub Glandular Vs Sub Muscular Implant for Better Cleavage?

asked 10 months ago by CanadianGirl001 in Canada
Latest answer by William Bruno, MD
Question viewed 671 times
Tags: silicone implant, 300-349cc, cleavage, comparison, subglandular, submuscular

I recently posted a question whether to get sub muscular or sub glandular implants and the feedback was most helpful in my decision. I'm leaning toward sub muscular 300cc silicone because I believe this will fill out where I am flat in my upper chest while looking most natural. My question is will this size and placement be enough to give me more cleavage? I've read that submuscular placement gives the chest a wider cleavage and I want to fill my breasts out and achieve more cleavage, not wider.

12 answers to Sub Glandular Vs Sub Muscular Implant for Better Cleavage?

What "is" cleavage?

In the past year, many of my patients have been calling "cleavage" the roundness in the upper pole of the breast, similar to what a push up bra does. Most of us who are older (and since Board Certification take so long, Plastic Surgeons who are Board Certified are a bit older) consider cleavage to be what is between 3 oclock and 9 oclock of your breasts. So we first need to know the right definitions. You speak of wanting your breasts to "fill out, not be... more

Dan Mills, MD
Orange County Plastic Surgeon

www.danmillsmd.com

Aiming for better cleavage

Subglandular placement will give you more implant visibility, and may allow you to have the implant more medially which translates to a 'better' cleavage. However, for ideal breast augmentation the implant should sit behind your breast. If your breast naturally sits more to the side, trying to place an implant closer to the middle will make the natural breast tissue look like it's falling off the side of the implant. That is not a nice look. Your pictures... more

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Submuscular breast implants will provide better cleavage

There are many advantages to having your breast implants placed in a submuscular(subpectoral) position. It is easier to perform mammograms, there is a higher likelihood of breastfeeding and a lower incidence of capsular contracture (scar tissue). Also, your cleavage will look more natural with implants under the muscle. Best wishes, Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon

Cleavage

Implant placement (over or under the muscle) has nothing to do with cleavage because the implant sits behind your breast, so that whatever cleavage (the distance between the breasts) you have now will be the same post surgery. If you want to create more of a cleavage then you need good push up bras. As for over vs under muscle implant placement, I prefer under the muscle.

Andre Aboolian, MD
Beverly Hills Plastic Surgeon

Subglandular placement of breast implants

Placing implants submuscularly can provide you with fullness and cleavage. There are limits as to how much cleavage you can create without causing problems but in my opinion, under the muscle is the better choice. It is difficult to determine implant size and implant profile pre-operatively. Every surgeon utilizes a different technique to determine implant size. It is too much responsibility for the patient to decide on which type of implant should be used. After communicating with... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast Implants Placement

There are a number of compelling reasons for selecting subpectoral placement over submammary placement. The most significant is that fact that radiologists have indicated that it is easier to image breast tissue by means of mammography when the implant is subpectoral. The pec major also provides an additional layer of tissue to conceal breast implants in the 'social aspect' of the breasts - that part that is easily visible in swimsuits and lower-cut clothing. Additionally, the pec... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Cleavage

Cleavage is more dependent on the bra and the shape of the chest rather than the implant position. . In this picture the sternum is more anterior than the ribs and the ribs flat surface is pointing away from the mid line so the implants will tend to be more lateral leaning and not medial leaning. The bra will make a bigger difference in the cleavage here.

Walter D. Gracia, MD
Arlington Plastic Surgeon

Subglandular vs Sumuscular for better clevage

Implant placement either under the breast gland or under the muscle will create more clevage. Pocket needs to be created more medially so that the implants will sit more medially. It is a bit more dissection under the muscle but in the long run it is worth it to minimize the implant related complications particularly contrature.

Raj Chowdary, MD
Allentown Plastic Surgeon

Sub Glandular Vs Sub Muscular Implant for Better Cleavage?

This is a very hard issue to advise. Your desires address placement in either position. from your so kindly posted photos I might chose subglandular placement. But I would need a detailed examination and discussion with you to finalize that decision.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Sub-glandular or Sub-muscular Breast Implants for Better Cleavage

Many women want cleavage, but what you should be aiming for is cleavage with the proper bra. Breast implants that give cleavage without a bra have usually been placed too close together and if the connection between the skin and breast bone is completely lost, the implants can end up in the same space, a condition known as symastia (in lay terms the "una-boob"). This can be a disastrous problem but easily avoided if you and your surgeon don't try to create something that was not meant to be... more

Joseph Fata, M.D.
Indianapolis Plastic Surgeon

Breast Augmentation and Cleavage

Cleavage is dependent more on your natural anatomy than on breast augmentation. Your photos show that you have a broad breastbone area and that means that your breasts naturally sit apart rather than together. Trying to achieve cleavage through augmentation can result is some unfavorable effects. Cleavage is better achieved by how you wear your bra than by implant positioning.

Hugh McLean, MD
Mississauga Plastic Surgeon

CLEAVAGE

Thanks for the photos. You appear to have enough breast tissue to cover a 300cc implant. Placing an implant under the tissue is a reasonable approach for you. This approach will give you the best cleavage.