Subfascial or submuscular in my case?

Dear hdk9920,
I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi there,
I think both options could get you to the look you are after, but there are some things to consider.
For the subfascial to work well and not be visible (rippling) your skin and breast have to be thick enough to camouflage the implant, which is typically around 1.5-2cm of thickness by pinch. Subfasical can typically make you cleavage closer together than submuscular as the pocket can be created as close to the midline as needed whereas the submuscular pocket is always stopped medially by the actual muscle attaching to the sternum.
Your MD may also be recommending subfascial due to your tuberous breast. By putting the implant right below your breast tissues, the tissues will more readily mold to the implant shape and correct the tuberous shape.
Submuscular has a very low incidence of rippling and the muscle acts as extra padding for the implant, therefore making it look more natural. It can also correct the tuberous shape.
I would recommend you ask both MDs for photos of tuberous breast correction they have done as both ways could work for you
All the best