Under Muscle Breast Augmentation for Tight Pectorals?

In general, most of the time I use saline or silicone gel implants below the muscle because they have a tendency to look and feel better and mammograms are easier to perform. However, in patients who are fitness competitors and trainers, I use a subglandular breast augmentation with a silicone gel implant because of the fact that most of these patients are lean, have minimal amount of breast tissue, and don’t want their implants to move during these fitness competitions.

RedGirl122,
It is okay to have your implants above the muscle. If they are put under the muscle, the muscle needs to be cut in order to accommodate the implant. However, if you are an athlete, then you may prefer to the have the implant placed above the muscle. Just find a plastic surgeon who is comfortable doing this procedure. Good luck.