I would strongly recommend having that conversation with your plastic surgeon, as your concerns are certainly valid. The vast majority of the breast augmentations that I do are 'under the muscle.' For patients who are very active (e.g. bodybuilders, CrossFitters), I think it's worth considering going 'above the muscle' for a couple of reasons. Anecdotally, patients who have had implants put 'under the muscle' have told me that they feel like they have about 90-90% of the strength of their pectoralis muscle after they are all healed, compared to before surgery. For the average patient or for someone who works out sparingly, losing 5-10% of their pectoralis muscle strength may be inconsequential. For those patients who are very active, that 5-10% loss of strength may be a big deal. Another thing to consider with patients who use their chest muscles a lot is the possibility of developing "animation deformity." When the pectoralis major muscle contracts, it can cause the implant to move in position, which results in a visible distortion of the breast. This can happen in any patient where the implant is 'under the muscle,' but it might be even more noticeable in patients with more robust pectoralis major muscles. If the implant is 'above the muscle,' contraction of the pectoralis major muscle shouldn't change the position of the implant as significantly. There are good arguments in favor of placing implants in either position, so I would encourage you to talk with your plastic surgeon to make sure that you're comfortable with the route you choose.