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Should Breast Implants Be Placed Under or over the Muscle?

Jun 12, 2008

my friend went under the breast muscle w/ her implants...but now it looks rippling on the bottom. During consultation with a respected plastic surgeon in LA he told me under the pectoral muscle is much better... less risk from capsular contracture, safer for breast cancer screening, more natural (less stripper looking...his words, not mine!). Thoughts?

Answers (104)

From board-certified doctors and trusted medical professionals
Dr. J. Timothy Katzen, MD, FACS
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Dr. J. Timothy Katzen, MD, FACS
Board Certified Plastic Surgeon
4.9 | 866 Reviews
Answered on Jun 19, 2017
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5 people found this helpful
Dr. Luke J. Curtsinger, MD
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Dr. Luke J. Curtsinger, MD
Board Certified Plastic Surgeon
5.0 | 249 Reviews
Answered on May 16, 2016
Answer
3 people found this helpful
Dr. Stephen T. Greenberg, MD, FACS
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Dr. Stephen T. Greenberg, MD, FACS
Board Certified Plastic Surgeon
4.3 | 165 Reviews
Answered on Nov 16, 2015
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Dr. Ali Sajjadian, MD, FACS
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Dr. Ali Sajjadian, MD, FACS
Board Certified Facial Plastic Surgeon
4.9 | 285 Reviews
Answered on Jun 15, 2012
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Dr. Johnny Franco, MD, FACS
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Dr. Johnny Franco, MD, FACS
Board Certified Plastic Surgeon
4.8 | 469 Reviews
Answered on Dec 1, 2015
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Dr. Darren Smith, MD, FACS
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Dr. Darren Smith, MD, FACS
Board Certified Plastic Surgeon
5.0 | 71 Reviews
Answered on Mar 13, 2018
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Dr. Austin Hayes, MD
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Dr. Austin Hayes, MD
Board Certified Plastic Surgeon
5.0 | 171 Reviews
Answered on Feb 13, 2018
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Dr. Jerome Edelstein, MD
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Dr. Jerome Edelstein, MD
Certified Plastic Surgeon
4.9 | 235 Reviews
Answered on Dec 21, 2017
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1 person found this helpful
Dr. Michael Loffredo, MD
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Dr. Michael Loffredo, MD
Board Certified Plastic Surgeon
5.0 | 147 Reviews
Answered on Dec 4, 2017
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Dr. Joel B. Beck, MD, FACS
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Dr. Joel B. Beck, MD, FACS
Board Certified Plastic Surgeon
4.9 | 289 Reviews
Answered on May 8, 2017
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2 people found this helpful

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Darrick E. Antell, MD, FACS

I have never personally seen this happen, nor do I have any colleagues who have personally seen it. I have however heard of such things happening with saline implants, but it would not be possible with a silicone filled implant. Silicone implants are filled at the factory, and sealed in a...

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Steven H. Williams, MD

Thanks for your question -   There should be no problems with laser hair removal and your implants.  It is important to avoid direct laser energy to your incisions for the first 6 months while they heal.  Your provider may custom design shielding to avoid your scars if the...

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Chet Mays, MD

Thank you for your inquiry! If you are just getting implants, the scar would be below the breasts in the crease, where the breast come off the chest. Small incision. Typically, unable to be seen. Schedule a consult with a Board-Certified Plastic Surgeon to help you reach your goals.

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Ozge Ergun, MD

The price of Breast Implant operation depends on several factors such as the difficulty of your case and your request for your operation area. In my practice, prices for Breast Implant operation reaches from 3250 Euro up to 3750 Euro range, and it also includes the travel package such as...

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Scott C. Sattler, MD, FACS

At this point in time, I use smooth, round silicone implants in the submuscular position in all cosmetic breast patients. I feel that this scenario is safest for patients, and offers the best cosmetic outcome, in my experience.

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Robert M. Lowen, MD

There definitely is a rule of thumb for choosing the right size implants.  Choose the size that makes you feel how you imagined you would feel if your breasts were always the size you wanted.  Sounds simple, simplistic? Let's see what the process is for deciding what implant...

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