Would I be a candidate for subglandular implants? Also my surgeon said I would need an internal lift from nipple (Photo)

Dear louiie25,
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

The patient in the photo does not exhibit any sag to the breast. She is relatively lean. However there is no right or wrong in this question. For sure this patient is a candidate for a sub glandular implant but she is also a candidate for a sub muscular implant. There are pros and cons with each approach that should be thoroughly discussed with the patient at her consultation including differences in risks including capsular contracture with each technique. Expected results should be discussed, the accuracy of mammograms with implant positioning should be discussed, the potential of being able to feel the implant (this also depends on type of implant-gel versus saline) and the surgeon should be able to review with you not just the rationale for location but also the cons with other approaches and why the surgeon in their determination chose this particular method. I do not think there will be a significant difference based on implant size. Also remember that the chest muscle may require some fibers to be split to allow entry into this's under the muscle region and to correctly position the implant but do remember that the muscle heals. I am not sure what an internal nipple lift means or why it would be necessary to elevate the nipple in this particular individual.