How can I really know my implant was placed under and not over the muscle? I can feel bumps that can move around?

Hi,No cause for alarm.  It is common to feel some irregularities of the saline implant edge, even is it is submuscular.  You can ask your doctor the next time you visit to actually feel and hold and implant, and you will see it is engineered to have some folds.  But, please talk to your doctor about the placement, since a submuscular implant usually has a part of the implant (the lower outside) that is NOT covered by muscle.  This is standard.  So discuss this part with your surgeon, but it sounds like his/her advice is right on target.  Also, if you are only two weeks postop, some shooting pains to the areola can be expected, so again, relax and enjoy the new you.  Good luck.

It is difficult to tell what you may be feeling without an exam.  If you place your hands on your hips and try to flex your chest muscle like a body builder, if the the implant moves then it is under the muscle.Earl Stephenson, Jr, MD, DDS, FACS

I think that your plastic surgeon, as opposed to online consultants, will be your best resource to answer questions precisely. He/she will be able to tell you whether breast implants were placed and what the “bumps” you are feeling are. Online consultants will not be able to do so. Generally speaking, if you place your hands on your hips and flex your pectoralis major muscles,  you will likely be able to see the breast implants move when they are under the pectoralis major muscle. At this point, I would suggest that you remain emotionally even keeled, continue to exercise patience, and continue to follow-up with your plastic surgeon.  Don't be surprise, despite the current emotional “ups and downs” if you are quite pleased with the outcome of the surgery performed several months from now. Best wishes.