Heidi Hon, MD

I do agree that you probably have less soft tissue coverage than some patients. However, Motiva implants in my experience show less rippling, so even if you go over the muscle, I do think you will be happy with it and not have to worry about animation deformity. I truly do think you could go either way and be happy with both results. The capsular contracture rates for motiva implants from current studies are also very low at this point given it's microtextured outer shell. The one thing, I do recommend if you do go over the muscle is ask about mesh or internal bra to ensure that your implants don't bottom out. I have typically noticed that in my own patients when you go above the muscle, you have a higher chance of having that implant bottoming out.