Can Breast Implants placed through the nipple also be placed under the muscle?

Yes,
implants can be placed using a circumareola incision and under the muscle.However, since your breasts are shriveled,
you would benefit from a simultaneous skin excision.The goal of breast surgery is to create
beautiful breasts.Beauty is determined
by several factors including position of the breast on the chest wall, skin
tone, symmetry, cleavage, position of the areola and volume.22% of women who undergo breast augmentation
alone require revision within 2 years because they are dissatisfied with the
result.Frequent causes of
dissatisfaction are over implantation and not performing a simultaneous lift
when needed.I recommend a new technique
called Breast Augmentation with Mini Ultimate Breast LiftTM.Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage.Through the same incision, implants can be
placed.Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant.Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.Best Wishes,Gary Horndeski, M.D.

Implants can certainly be placed in a sub muscular position using the periareolar approach. However I am less inclined to go through the areola these days in that there may be a higher risk for capsular contracture. Dragging the implants from breast tissue which is a requirement of a periareolar approach subjects the implant to contamination by bacteria.

Any breast augmentation scar is well hidden by clothing. You can have incision around the lower half of the areola. You must have an adequate sized areola for this approach. Good luck. Earl Stephenson Jr, M.D., DDS, FACS