Subglandular or submuscular ? (photos)

Dear Dollface,   Thanks for submitting your pictures. From your pictures, you appear to be small A cup with wide cleavage and right breast is larger than left breast. In 28 years of plastic surgery practice with thousands of breasts augmentation surgeries, I have use exclusively the sub muscular technique. Through the years, I have done breasts augmentation on many mothers and daughters which is quite indicative for the successful technique. The advantages are as follows : 1. Less loss of sensation since the nerves are crossing over the muscle, just beneath the gland and so the pocket dissection is less likely to damage the nerves. 2. Better coverage of the implants with less palpability and ripples. 3. Statistically, less capsule contracture (hardening of the breasts ) . Full C cup will be a very nice size for you. For the exact implants size you will have to have your surgeon take the chest circumference measurement. If you are 34 small A , the correct size will be roughly , 450 cc. Always, consult with experienced board  certified plastic surgeons who operate in accredited surgery center for your safety. Check the before and after pictures in the photo gallery to make sure that they are numerous, consistent and attractive. Pay special attention to the cleavage area, the perkiness, the symmetry and natural look.                        Best of luck,                                              Dr Widder 

Submuscular placement may be more uncomfortable the first few days following surgery. The possible benefits of submuscular placement are that it may result in less palpable implants, less capsular contracture, and it will make it easier to image the breast with mammography. The appearance may be more “natural” for patients who are very thin. Subglandular placement may make your surgery andrecovery shorter and you may have less discomfort. This placement may provide a slight “lift”. Subglandular placement may result in more palpable implants, more capsular contracture and more difficult imaging of the breast with mammography. This placement is often recommended for those patients with sagging, but do not want a breast lift (mastopexy) and for tubular breast deformity

HiI think that a subglandular pocket could look great.  It can give nice shape.  It doesn't cause the breast to move or animate when you contract the muscle.  It has less pain after surgery and faster recovery.  And probably gives you a nicer result for longer as the implant and the breast start to come down together over time.  If you don't want to go too large (over 200-225 cc) then based on photos I would suggest a sub glandular pocket.  If you want to go much larger or you have thin tissue, to be determined at your breast augmentation consultation, then sub muscular.  This is a good example of why you need to customize the surgical plan to best match your goals and your current situation.Good luck,Dr Rodger ShorttOakville Plastic SurgeonDirector of Cosmetic Surgery TrainingMcMaster University