Downsizing implants: what are the benefits of subfascial vs subglandular? (photos)

Dear New80085,
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 and thanks for your question. Based on your photos. You need a breast-lifting surgery. After breast lifting you get lifted but slightly smaller breasts than now. My first recommendation is breast lifting and implant for you. With this combination you can get lifted, round and attractive breast. After this surgery you have incision around areola and from the areola to bra sulcus. The operation takes about 2.5 - 3 hours. You should use a sport bra for 6 weeks following the surgery. If you want breast lifting and implant, you should use breast band with sports bra for 6 weeks after the surgery. Sports bra supports your breast from downside and breast band supports them from the upside. By this way breast tissue and implant will be moving together.

Subfascial will give more support to avoid sagging and more coverage so the "ball" is not seen. However, this is more painful. since your implants are behind the muscle, you still may have some flexing issues even with them in front of the muscle or even out.

There are pluses and minuses to each placement for breast implants. By going under the muscle you can avoid the muscle deformity that concerns you. Placing the implant under the muscle will help disguise the upper portion of the implant, which is especially nice for those with little breast tissue or a thin frame. Going under the muscle also has a lower incidence of capsular contracture. Thirdly having the implant placed beneath the muscle generally gives a more natural result.