Breast Augmentation: Q&A

Ask a Question

Overs or Unders? Which is Best for a Person Who Exercises a Lot?

I know there are more complications with overs. However, I have also read that for an active person unders can be susceptible to muscle distortion. I am active. I walk alot and have just got back into running after a hip injury. I do weights, nothing too heavy but I try to keep it at a challenging weight! I am 21, 60kgs and approx 180cm tall. I am currently a 12B thinking about a 12C or D, high profile, smooth, round implants. I dont mind the fake breast look either but not overly fake!

Tags:

Comment on this

12 Doctor Answers | Asked by cbreza in Melbourne, 07

Doctor Answers (12)
Community Comments (0)

Breast augmentation under or over the muscle

The only time I recommend placing the implants over the muscle is for a body builder with little fat/breast coverage, since when they flex their muscles during a competition, it may push the implant up. For other patients, going under the muscle makes more sense as there is less chance of rippling, palpabiligy, and most importantly less interference with mammography. Given that 1 out of seven women in this country develop breast cancer, this is, in my opinion, the most important... more

Over the muscle to prevent distortion but can have other problems

Thank you for your question. If you are very concerned and would be upset if your implants distorted by being under the muscle, then over the muscle can be an option. However, if you can feel your ribs on your sides, then you are going to be able to feel your implants. Moreover, you will have a much higher chance of rippling, thinning, and implant palpability if you go over the muscle. Plus, it's harder for mammograms, higher chance of capsular contracture. If you have a good bit of your... more

Breast Augmentation for Active "Exerciser”

Thank you for your question. Although I understand your concern about muscle movement and/or distortion with breast implants placed under the muscle, I think there are a whole host of benefits of using the dual/plane breast augmentation approach. For example, implants placed partially under the muscle tend to have fewer problems with rippling / palpability, encapsulation, interference with mammography, etc.. These advantages outweigh the potential for implant movement /... more

Pocket location for implants

In most patients, I place them in a dual plane ( submuscular pocket). This is done to provide more soft tissue coverage for patients. I think there is a lower capsular contracture rate, but patient can develop a flexion deformity.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Implant Position

There is definitely a lower risk of capsular contracture and less palpability with implants placed subpectorally. While there can be some distortion of the shape with pectoralis contraction, it is usually minimal and not noticeable in the outfits worn for fitness competitions or in workout attire. Subglandular positioning can work, but if problems with palpability or capsular contracture occur, they can be harder to deal with in these patients especially if they are thin and have... more

Donald Griffin, MD

7 reviews

Nashville Plastic Surgeon

Over vs under the muscle

The placement of the implant with regards to the pectorals major muscle is a consideration in every patient. There are specific concerns that are unique to the patient's anatomy that may tip the scales for the decision in a particular direction. Either approach is technically feasible. The patients anatomy implant shape and size all play a role in the decision.

Best augmentation for those who exercise

There is nothing wrong with a moderate size subglandular gel implant for those who exercise and wish to avoid the risk of implant shift with muscle action. The submuscular location can avoid a visible edge, and reduce capsular contracture rates, but does not work out for all. If you like the idea of subglandular implants you might have to give up on the high profile bit. Best of luck, peterejohnsonmd.com

Implants above or below the muscle

It is straightforward to go either way surgically, but far more patients have them under the muscle becasue they look better, have less scar tissue and give better mammograms than above the muscle implants. Even in athletes.

Overs or Unders? Which is Best for a Person Who Exercises a Lot?

You have answered your own question. If you do not want distortion on muscle contraction and do not mind the "fake" than overs are the choice.

Breast Augmentation: over vs under the muscle

Breast Augmentation is one of the most common aesthetic surgeries performed in the world. There are four major decisions that a patient should make in consultation with a board certified plastic surgeon to create the perfect surgical plan. 1. Silicone or Saline Implants. 2. Implant under or over the muscle. 3. Incision location. 4. Implant Size or Goal Cup Size. In my experience, using a silicone implant under the muscle gives a woman the most natural, sensual, aesthetic... more

Personal choice with regards to overs or unders.

Your choice to have surgery has pros and cons. Your choice of type of implants has pros and cons. So it follows that your choice of over or under the muscle would also have pros and cons. After a frank, in depth discussion with your plastic surgeon of options and what they would mean to you with your body type , only you can decide what is best for you and what you would happy with. As a general rule, most patients are happy with an augmentation which is... more

Jeffrey M. Darrow, MD

18 reviews

Boston Plastic Surgeon

Placement of breast implants

Placement of breast implants: there is no one answer you have little body fat and breast tissue under the muscle may look more natural it may also cause more motion on movement choose a modest size and consider pros and cons