Over or Under the Muscle? So Confused! (photo)

Thank you for your question. From your photo it appears that you are a good candidate for under the muscle. If you can have under the muscle there are definitely advantages such as more complete implant coverage and less chance of capsular contratcure.

In patients who have sagging breasts under the muscle is not possible without a lift and over the muscle is often done.

As to why one out of four recommended under over the muscle I cannot say. Perhaps he/she felt that you had some sagging. Also under the muscle is a more difficult and time consuming procedure.

I would also recommend submuscular placement for the same reasons as most plastics surgeons on here. The implant coverage is superior and the complication rate lower. There is a rare person for whom recommend subglandular implants. I would recommend getting additional opinions if you are still confused and ask the surgeon about your concern. Ultimately, finding a surgeon is a personal decision and you need to find someone you trust and develop a relationship with . Ultimately, not sound patronizing, it is best to let your doctor guide you into making the right decision, just as you would with any professional.

In my opinion, implants should be placed under the muscle with only rare exceptions. The exception might be a severe tubular breast deformity. you can certainly obtain a very natural result with a sub muscular augmentation and mammography will be more effective with the implant under the muscle.