Is there a high risk of complications for over muscle breast implants & how long will they last?

Question

Hello, I have a breast augmentation coming up in a couple months. The surgeon I chose whom was recommended by a friend does over the muscle breast implants. During my consultation I was told I’ll be getting a lift included. After doing much research I see the majority of patients receive under the muscle. Is there a high risk of complications with over the muscle implants? I’m just concerned on how long they will last and with the cons included, is this a risky procedure? Thanks!

Johanna D'Agostino, MD · Answer

Hi Allyssa!Surgeons have their own preferences when it comes to sub-muscular vs. sub-glandular placement of breast implants. Not every patient is a good candidate for sub-glandular placement. The examination will guide the surgeon determine the best approach. If both options are doable, then the surgeon's preference will most likely play a role on the decision making. In my practice, I prefer the sub-muscular approach unless there is a contraindication for this procedure. Some of the reasons I choose sub-muscular placement are: More natural appearance, decreased risk of capsular contracture, decreased risk of rippling and interference with mammograms. Good luck with your surgery!!

Martin Jugenburg, MD · Answer

Hello, thank you for your question. every plastic surgeon may approach things differently and have their own preference. We usually go below the muscle in our practice to help distribute the weight of the implant onto the muscle instead of supported by breast tissue alone. However there are circumstances when we place the implant above the muscle. Speak to your plastic surgeon about your concerns. Feel free to check our website for more before and afters.

Daniel Barrett, MD · Answer

Dear allyssapg,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

For my patients who need lift, I place the implants behind the muscle for better long term support and better upper breast fullness. Otherwise, you are asking sagging tissue to support more weight and not sag again, which does not always work.

James Hoyt, MD (retired) · Answer

The risk of complications with over-the-muscle breast implants can vary among individuals. Common risks include capsular contracture, implant rupture, and changes in breast sensation. The longevity of implants is not guaranteed, but they typically last around 10-20 years, and some may need replacement sooner. Regular follow-ups with a healthcare professional are essential for monitoring and addressing any concerns.

Is there a high risk of complications for over muscle breast implants & how long will they last?

Answers (5)