Subfascial or submuscular in my case?

Hard to answer your question without a picture. Descriptions don't work on this forum.
Not a fan of anything "low profile" That has never worked for me.
I like a smooth round full profile under the muscle. Allergan SSF ( smooth soft touch full profile) is my favorite. Under the muscle...submuscular is the way to go. Subfascial is interesting but just another way to basically stay above the muscle . I feel under the muscle protects the implant and looks natural and less chance of encapsulation. Best to see a board certified plastic surgeon who does a ton of implants and revisions.
Good luck!

Andrew Cohen, MD

Firstly, it's essential to understand that both may have valid perspectives, but the ultimate decision should be based on your specific anatomical features, personal preferences, and the recommendations of a board-certified plastic surgeon whom you trust.

Regarding the options presented:

Moderate Profile Responsive Implant Placed Submuscular:
Moderate profile implants tend to have a slightly more projecting shape compared to low-profile implants, which can provide a natural-looking enhancement.
Placing the implant submuscularly (beneath the chest muscle) can offer more coverage and a smoother transition, especially for individuals with thin tissue coverage or a wide chest.
This option may be suitable for achieving a natural-looking result while providing sufficient support and coverage for your wide chest and mild tuberous deformity.

Low Profile SoftTouch Implant Placed Subfascially:
Low-profile implants have less projection from the chest wall, which might be beneficial if you're aiming for a subtle enhancement.
Placing the implant subfascially (between the chest muscle and the fascia covering it) can provide a more natural slope and movement, especially for those with adequate tissue coverage.
This option may be suitable if you prefer a more subtle augmentation and if your anatomy allows for adequate coverage and support with a subfascial placement.
Consider the following factors when making your decision:

Anatomical Considerations: Your wide chest and tuberous deformity will influence which option is most suitable for achieving a natural-looking result. Ensure the chosen approach addresses these concerns effectively.
Desired Outcome: Clarify with your surgeon what your expectations are regarding size, shape, and overall appearance. This will help them recommend the most appropriate implant type and placement technique.
Long-Term Considerations: Discuss the longevity and potential risks associated with each option, including future revisions or complications that may arise.
Surgeon's Expertise: Choose a board-certified plastic surgeon with extensive experience in breast augmentation and a track record of achieving natural-looking results. Their expertise and understanding of your unique anatomy will greatly influence the outcome.
It's essential to have thorough consultations with both surgeons, asking any questions you may have and ensuring you fully understand the proposed procedures and their implications. Additionally, consider seeking a second opinion if you're uncertain or want further reassurance before making your decision.