Submuscular vs. Subglandular - Which is Better?

I'm worried because my surgery is soon and some have mentioned a rt breast lift is not a good idea or thigh lipo. I heard the chest muscle dies with submuscular placement and that subglandular was better, created better cleavage and filled in the upper pole, so now I'm confused, my surgeon is planning sub muscular, but I called yesterday to see if he does subglandular, any help or suggestions? I'm scheduled to have a tt, rt lift, augment w/ saline 400+cc, lipo on flank, inner/outer thigh. Thanks

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14 Doctor Answers | Asked by CittyCat in Ashland

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Breast Implant Positioning?

Thank you for the question. In general, I think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which... more

Breast implants submuscular vs. subglandular

Generally speaking submuscular implant placement is preferred for most patients. Submuscular implants will not cause the muscle to die. Advantages of submuscular placement include: -lower risk of contracture -lower risk of visible rippling Subglandular implant placement is possible in certain individuals, particularly in individuals with a fair amount of natural breast volume. In your case, I would definitely recommend submuscular implant placement... more

Implants below or above the muscle

I would agree with most of the previous posts that submuscular is better for most patients. The major advantages of submuscular placement include 1) softer coverage, 2) less risk of rippling, 3) improved upper breast shape. The major disadvantages of submuscular implants are 1) A little more painful recovery, 2) implant movement with activity (this can be minimized by appropriate muscle release). York J. Yates - Utah

Sub Muscular versus Sub Glandular Breast Augment

Whenever possible, I prefer Sub Muscular Breast Augmentation. The more of you there is over the implant, the more it will look and feel like you, and the less it will look and feel like an implant. This is especially important in patients who are thin or have very little native breast tissue. Based on your photos I believe you will do better with a Sub Muscular Augment. Good luck!

Subglandular or submuscular for Breast Augmentation?

I feel that both positions have a role in Breast Augmentation. There is no question from the medical literature that the submuscular or dual-plane approach has a lower rate of certain complications such as capsular contracture. However, there are some disadvantages to this approach as well, including the possibility of breast drooping beyond the position of the implant.

Jeff Scott, MD

5 reviews

Everett Plastic Surgeon

Under or over the muscle with implants - which is better?

There is not really one best answer to this question. The positioning of implants is really left to the patient to select with her surgeon's guidance. My general recommendation is to place the implants under the muscle. The gives a more natural look after surgery, provides a healthy blood supply to surround the implant, and leaves more tissue to cover the implant. In my practice I only recommend that patients who rely on their pectoralis (chest) muscles for a living have their... more

Submuscular versus Saline Breast Augmentation

In your case, you have very little native breast tissue and I would recommend submuscular implant placement. This will still give you upper pole fullness and cleavage with your breast shape, but decrease your chance of scar tissue formation and rippling in the upper half of your breast. I find it hard to tell whether you would benefit from a right breast lift based on your photos. I wish you a safe and healthy recovery. see video

Submuscular vs. Subglandular - Which is Better

Thank you for posting photos. I prefer sub-muscular placement with saline implants when there is little breast tissue to start with, like yours. The muscle will not die. It will give better coverage of the implant with less liklihood that you will see rippling. I personally would not lift your right breast with that size implant, but some surgeons would.

Submuscular versus subglandular.

The choice between placing breast implants under the muscle versus over is dependent upon the amount of breast tissue and fat that you have. The goal is to conceal the implant so that the edges are not visible and to prevent the occurrence of rippling. The muscle does not "die" when you place an implant underneath it. Another advantage (which may be more theoretical) includes a lower rate of capsular contracture when the implant is underneath the muscle. With submuscular... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Muscle does not die with implants placed underneath.

I prefer placing implants under the muscle. The muscle does not die if the implant is submuscular. I have found that the submuscular location results in: 1)more tissue covering the implant for a more natural look 2) improved mammograms when compared to the subglandular implants and 3) decreased rate of capsular contracture. see video