Why XL breast implants only under-muscle ?

Dear mona2050,

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 it’s not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.

If you are concerned, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

Thank you for the question. It really depends on the patient (there are no absolute "rules").  Assuming your breast implants are currently in good position and the quality of the overlying tissues will allow for safe expansion (use of more volume), you should be able to maintain your breast implants in the sub glandular position. Nothing will replace careful in person evaluation and communication of goals. Best wishes.

 Implant sizes vary on many factors such as your chest wall measurements,  your skin elasticity, the amount of breast tissue, your desired result,  and the technique and skill of your surgeon. The optimal and the maximum implant size would also vary on each individual. There must be a reason why your surgeon has limited the implants to this size. The best course of action would be to have a detailed discussion with your surgeon regarding his/her rationale for the implant size.