Partially Under the Muscle Vs (Fully) Under the Muscle For Silicone Implants Pros and Cons?

What is the difference and the pros and cons of each. I want these for silicone implants with the armpit incision. Thanks in advance

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7 Doctor Answers | Asked by kawaiisrs

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Partially under the muscle vs. Fully under the muscle

You want silicone implants through armpit incisions. Silicone implants usually require large incisions because they cannot be filled within the breast. Ideally, implants should be under the muscle completely as possible. Smaller size implants are more easily covered by the muscle. Larger implants may extend outside the muscle envelope. The disadvantage is that muscle contractions can dislocate the implant inferiorly and the implants migrate out of the submusclar... more

Transax incision vs partial under muscle

Fully submuscular implants usually do not sit well and with time the breast tissue falls over the implant. I prefer a partial submuscular pocket or dual plane approach.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Dual Plane Technique vs Under the Muscle with Armpit incision?

There is a difference between the two, many surgeons place the implants beneath the muscle without releasing the insertion of the pectoralis (chest muscle) into the rectus muscles (abdominal ) , this is a true below the pectoralis muscle placement, a true dual plane technique releases the insertion of the muscle to allow for the lower pole of the breast to open up to allow for a better shape, this technique can be done with a transaxillary (armpit) incision if it is done under direct... more

Total muscle coverage for breast implants?

Submuscular implants are in reality subPECTORAL implants. Rarely does a plastic surgeon place implants in a totally submuscular location. I actually saw a patient recently who was done in another city 10 years ago and who had total muscular coverage, meaning additional muscles were used in addition to the pectoralis muscle. Suffice it to say it looked weird. This has unfortunately become a confusing subject for patients, because of the terminology used. If by "partial under... more

Subpectoral Breast Implants

No one is doing a full muscle coverage of breast implants. There is a lot of confusion in the description of the muscle pocket. The dual plane technique is common but can lead to bottoming out and double bubble. The standard subpectoral pocket is what is achieved with the armpit incision. Have you surgery with an experienced board certified plastic surgeon and you will have the best chance for a great result. Best Wishes Dr. Peterson

Marcus L. Peterson, MD

4 reviews

Saint George Plastic Surgeon

Fully under the muscle breast implants are rare

Many years ago there was talk of full muscle coverage for breast implants to provide a 'muscular bra' for support. The anatomy is such that this required placing the implant under the chest muscle,the abdominal muscle (rectus) and the side chest muscle (serratus) which was difficult, painfull, and altogether unnecessary. Submuscular implants are all in reality 'dual plane' covered by muscle above, and the breast below. There should be a good connection or marriage between the... more

Silicone implants under the muscle or partially under the muscle pros and cons

I prefer to put the majority of my patients' breast implants subpectoral, which is "under the muscle" to most of us. They are actually done with the "dual plane" technique (which most of us were doing before someone named it that). So they are under the pectoralis muscle for their upper 1/2 or so, and under breast tissue for the lower 1/2 or so. This is, IMHO, not as reproducibly done using the "armpit" (I say transaxillary) approach, so I... more