Is it Better to Place the Implant Under the Muscle or Under the Mammary Gland?

Hello, I want to enlarge my breasts but I don`t know where it is better to be the implants, under the muscle or under the mammary gland, and why? Please, please help me. Thanks,

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23 Doctor Answers | Asked by ioana4783

Doctor Answers (23)
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Mastopexy and augmentation

I think you will benifit a lot from breat lift( mastpexy) with/out augmentaion. You have a good volume from your breast tissue when its lifted up can give a very nice shaped breast, with skin resectin only and reshaping your breast. Still you have the option of augmentation if you wish for more volume after the lift. on that case both options for the pocket (submuscular/ subglandular) will give good results. You need to discuss all the pros and cons of both your surgeon, good luck. more

Above or below the pectoralis muscle

It is not possible to be certain from the photo but the first issue is whether a lift (mastopexy) is required before an implant can be considered. If the nipple is more than two centimeters below the level of the inframammary crease behind it then a proper mastopexy (actually moving the gland with it's nipple-areola attached up on the chest wall) is required before an implant can be properly positioned. The overwhelming consensus and experience is that breast implants need to... more

IMHO, It is ALWAYS in your best interests to place implants behind the chest muscle

Hi there- The only advantages (to the patient) to placing implants over the chest muscle are: it is a bit less painful, and (according to some) it is better for correcting mild drooping of the breasts.... there are advantages to the surgeon (shorter operation, more operations per given time, more $$)... First of all, please know that when performed by an experienced surgeon, sub-pectoral (under the muscle) breast augmentation causes only mild pain that lasts for a few days. With... more

Under the muscle

Implant placement under the muscle carries several advantages, it reduces the risk of rippling, reduce the risk of capsular contrature and mammogram is easier to interprit when the implants are under the muscle. For that, i agree with most of the comments made her. The issue of whether you need a lfit of not has to be addressed with your plastic surgeon. The physical examination and seeing before and after photos of patient wih similar situation is advisable. It is also advisable to... more

Better to Place the Implant Under the Muscle or Under the Mammary Gland?

Respectfully, your breasts lost some of their volume and have sagged. A breast augmentation will add volume but will not raise the breasts significantly. To do so would require a breast lift , Mastopexy. Since there is NO perfect breast implant and all of them will have a variable degree of rippling when stood on edge (in the natural breast on the chest position), we want to cover the breast implants with as much of your tissue as possible. this hides the rippling and is best dome when... more

Breast implants above vs. below the muscle

Because implants do not blend in well with surrounding tissues at their edges the usual recommendation is to place the implants under the muscle for those who have very little body fat or breast tissue to start with. The goal is to maximize the amount of tissue between the edge of the implant & the outside world/eye. The muscle we refer to is the pectoralis major whose lower border only reaches to the nipple or above the nipple in women. Thus only somewhere between 30 & 60% of the... more

Breast Implants Under the Muscle vs. Under the Breast Gland

There are many advatages to placing breast implants under the muslce. First of all, the implants appear more natural as the muscle provides for a natural slope at the upper pole. Also, there is a smaller chance of seeing the implant rippling when they are placed under the muscle. Lastly, there is a significantly decreased risk of a capsular contracture - which is when the implant capsule, which is normally soft and not apparent, becomes thick, contracted, and often painful... more

Considering all of the facts, under the muscle is better.

The more surgeons that answer your question, the more opinions you will get and, unfortunately, the more confused you may be. My opinion is that breast implants are best under the muscle and in you need a lift, get a lift. Implants on top of the muscle are easier to see and feel, have a higher risk of capsular contracture and rippling, they tend to sag more over time, they get in the way more when getting a mammogram and they make it harder to get a lift in the future if that... more

Over or under?

Innyour photo, your breasts look ptotic. Sometimes putting implants under the breast will give you enough of a lift, or you might need a mastopexy with implants. I believe that implants should go in the same plane as your breasts, that is over the muscle. Especially when you are ptotic, under the muscle is the wrong place to go.

Breast implant above or below the muscle

In looking at your photos it appears that your own breast tissue is lower than the edge of the muscle, and ideally the implant is placed with the nipple as its bulls-eye. Taking that into consideration, you would need to have it placed above the muscle, unless you had a breast lift performed at the same time as the breast augmentation.