Which breast implant placement gives a more natural appearance?

In my practice I place most implants under the muscle. The best position for an implant whether under the muscle, (sub-muscular), or over the muscle, (sub glandular), depend upon the anatomy of the woman.  Several factors need to be considered when determining implant position: The amount of tissue... more

For most patients placing the implants under the muscle will give a more natural appearance and is a more durable result.  There is less stretching of the skin and breast tissue and less drooping over time.  There is also some evidence that the chance of developing capsular contracture may be reduced... more

Many factors can lead to a "natural" or "un-natural" looking result.  Each woman is different as to size, shape, and soft tissue coverage.  The more natural results usually have more soft tissue coverage.  One way to help achieve this is to put the implant under the muscle... more

Under the muscle generally gives a more natural result -- each patient presents with different anatomy (a woman's breast are sisters not identical twins!) and therefore must be seen and examined by a Board Certified Plastic Surgeon. Larger implants and implants with higher profiles give a less... more

Placing breast implants under the muscle helps to hide the edges of the implant especially in women with a thin fat layer under the skin.  Saline implants should not be placed over the muscle as the edges may be readily palpable (easily felt) or visible.  Silicone implants, with their smoother... more

Breast implants can look very natural in either position. There are several factors which influence whether or not the implants look natural:  1) How much tissue the patient has overlying the implant.  I recommend that  thin patients whose ribs are showing have the implant under the muscle.... more

I believe over the muscle gives a more natural appearance. But if you go too big, it still won't look good. Have an idea of what you are looking for, then try on sizers at the office with your plastic surgeon.

The pec muscle looks like a triangle with borders along the sternum and clavicle.  When an implant is under the muscle, the muscle helps maintain the slope to the upper portion of the breast.  Natural breasts  have more of a slope above, and curvature below the nipple.  That being said, if... more

It was interesting to see the return of silicone implants in 2006 and how much better breast augmentation patients were looking. Gone were the torpedo, shelf look, and in was a more natural voluptuous result.  The europeans have known for a long time that silicone implants have a more natural softer look... more

I recommend submuscular placement for almost every patient.  The exceptions would be: Body builders Patient desiring removal and replacement of current subglandular implants for deflation or size change.  (they have to be happy otherwise with the subglandular implants) Patients with fairly large... more