Under the muscle or over the muscle?
Doctor Answers 19
Under the Muscle (Submuscular) or Over the Muscle (Subglandular)
The best way to determine the position of the implant that would meet your expectations is to schedule a consultation with a surgeon who is Certified by the American Board of Plastic Surgery. At that consultation a thorough breast examination will be performed that will include detailed measurements including breast size, shape and width, assessment of your skin quality, and any asymmetry of the breasts. This exam will allow your surgeon to help you choose a breast implant size and position that will be appropriate for you and your goals.
Given the fact that you are petite, you most likely do not have a lot of soft tissue coverage for the implant. I would consider a submuscular position of the implant. I believe that, in your case, the submuscular implant would look more natural and feel more natural. The other benefit is that there is a lower capsular contracture rate under the muscle. Breast augmentation is not a cookie cutter surgery. Depending on the person, sometimes a subglandular position is a better option.
Be sure to book a consultation with a Board Certified Plastic Surgeon so they can perform a thorough examination, discuss your options of breast implant placement, and review the risks and benefits of either position.
I hope this helps and best of luck with your breast augmentation!
Sub pectoral placement of breast implants does not necessarily mean a long recovery; most of my patients are driving and doing all normal daily activities with in 2-3 days. Regardless, it's a bad idea to choose implant position based on such a temporary event, when the repercussions of the decision will be with you for the rest of your life.
The benefits of sub pectoral placement far exceed the risks, or any benefit form subglandular placement.
Best of luck!
Breast Augmentation Under or Above the Muscle?
Meet with and discuss your options carefully with an ABPS board-certified plastic surgeon of your choosing. Warm regards.
Jon A Perlman M.D., F ACS
Certified, American Board of Plastic Surgery
ABC-TV Extreme Makeover Plastic Surgeon
Beverly Hills, California
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Both Have Pros & Cons
Sub-muscular is almost always the best way to go
Submuscular vs Subglandular
Benjamin J. Cousins M.D.
Board Certified Plastic Surgeon
Under the muscle vs over the muscle
It also preserves the blood supply from the pectoral muscle to the breast, which is divided if the implant is placed over the muscle.
Implants generally look more realistic when placed under the muscle.
The recovery difference is minimal with modern minimal touch techniques. Patients are generally sore for a few days and should try to use their arms as gently as possible for two weeks.
Implants under or over the muscle?
these as their 'first' pair of implants. We know that implants are not lifetime devices, so it is important
to think through the best placement position. Yes, submuscular placement generally has a slightly longer
recovery time. But, over the long run I do believe that it is the best position for most patients for a
variety of reasons. In my experience, most patients obtain a softer, more natural, and more durable result
with submuscular implants.
Breast Augmentation Under muscle vs over muscle
The simplest answer is that you do not have enough natural breast tissue for adequate cover for the implant. Therefore, going sub-muscular will ultimately look and feel more natural-giving you a better result.
Healing time will honestly not differ all that much. A breast augmentation is one of the shortest recovery periods for cosmetic procedure. Surgery will take about an hour, you can go back to work in days (if you do not lift over 10lbs+ regularly), and you can return to exercise in six weeks.
For subglandular implants without adequate tissue coverage- just think of a pillow under a sheet. Sub-muscular will be a pillow under a nice thick down blanket.
Please make sure you choose a board certified plastic surgeon when moving forward.
All the best,
Beverly Hills, CA
Over the muscle vs under the muscle placement. I always go under!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.