Which breast implant location is best for patients who lift weights? I have stretchy skin. I'm 5'3", 137lbs.

This is a great question. In athletic patients, those who lift/ do chest exercises, or have strong chest (pec) muscles, placement of the implant under the muscle can result in animation deformity (movement of the implants/ breasts with chest muscle use). This can give the appearance of "jumping breasts" in the gym and over time potentially risk implants being pushed too high/ too low/ or too much to the side. For this reason, if a patient desires implants under the muscle or requires this placement because they are too thin, I advise them to adapt their activities to minimize the development and use of the chest/ pec muscle. Alternatively, the implant can be placed subfascial (under a thin casing layer over the muscle) which gives the implant some of the benefits of being under the muscle such as stability but without any risk of movement of the implant/breast with chest/ muscle flexion. As with regards to size, small or large implant sizes can be placed subfascial. I recommend that you consult with a board-certified plastic surgeon to discuss your goals and desires.
Dr. Zamani

Hi there,
There is truly no perfect spot for the implant but both places have pros and cons.
The most important thing about going above the muscle is to be sure your tissues are thick enough to camouflage the implant, otherwise you will get rippling and need them revised. If you work your chest out a lot and have thick enough tissues then going above the muscle makes sense.
You need to be seen and examined in person so the doc can determine your thickness and let you know if you are a candidate. If you are not then you should do under the muscle without too much worry or hesitation.
As to mesh, all of the breast meshes are dissolvable/broken down by the body in about 1-2 years. they leave behind a thicker layer of scar tissues to help support the implant and hold your results for longer.
All the best