Subglandular silicone implants advantages and disadvantages.

Submuscular placement may be more uncomfortable the first few days following surgery. The possible benefits of submuscular placement are that it may result in less palpable implants, less capsular contracture, and it will make it easier to image the breast with mammography. The appearance may be more “natural” for patients who are very thin. Subglandular placement may make your surgery andrecovery shorter and you may have less discomfort. This placement may provide a slight “lift”. Subglandular placement may result in more palpable implants, more capsular contracture and more difficult imaging of the breast with mammography. This placement is often recommended for those patients with sagging, but do not want a breast lift (mastopexy) and for tubular breast deformity

Thank you very much for this interesting question.In my practice i recommend using - Cohesive Gel - Silicón Breast Implants with textured cover.They are quite safe and aesthetically best as they give a firmer consistency, better projection and most natural appearance than Saline implants.Kind regards,Dr. Emmanuel Mallol Cotes.-

I appreciate your question.





The best way to determine implant size is based on chest wall measurements that fit your body.  Once we determine that we can choose the profile based on what you want or need to achieve.  





Implants under the muscle, there is less risk of capsular contracture.  Anatomic implants tend to give a more natural shape with more nipple projection.





The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!





Dr. SchwartzBoard Certified Plastic Surgeon



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon



#RealSelfCORESurgeon

Over the muscle looks more natural and maybgive more lift. It is also an easier recovery and useful in body builders. Higher fill gel implants can be used in thinner patients. Some increased risk with capsule contracture may result.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

I see that the other physicians have generated a very comprehensive list for you of the pros and cons of subglandular implants.  The one issue I see missing is the decreased risk for "animation deformity."  Although this is not always a problem, some patients develop a great deal of breast distortion with implants in the submuscular position, when they contract their muscles.  This does not occur when the implants are subglandular.  Neither position is the right placement for every patient.  I hope you like your implants.