Can Implant Placement Interfere with Pectoral Muscle?

i would not like my implant to interfere with my pectorial muscle if i am excercising becuase i am very active but i definitly want as much of a natural look as possible (my breast fat covering the implant).is there an operation that can compromise the two subglandular and sumbmuscular.

Doctor Answers 11

Under and Over the muscle Implant placement and pectoralis muscle funciton

After reading your comments and concerns, it seems having a small to moderate sized silicone cohesive gel implant may be the best answer. There are no absolutely perfect solutions but this implant allows you to have a very natural look while not impacting the pectoralis muscle function.

Hope this was helpful.

Orange County Plastic Surgeon
5.0 out of 5 stars 195 reviews

Implant Placement and Exercise

Your goals and objectives should be clearly communicated to your surgeon so he or she can best advise on implant selection and placement.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 41 reviews

Implant Placement in Active Patient

Unless you are a competitive body builder, I typically recommend a sub-pectoral placement to maximize the benefit-to-risk ratio.  The most common "side-effect" in athletic patients is "tethering" of the implant, also known as "breast animation."  You can do a search on these terms and find videos to get the visual of this action.  Best wishes!

Brian Howard, MD (retired)
Alpharetta Plastic Surgeon
4.3 out of 5 stars 19 reviews

VIDEO: Under versus over and pectoralis muscle function with breast implant augmentation surgery

Placing the implant under the muscle (complete, total, partial , dual plane) can interfere with the pectoralis muscle function as can be seen in the following video

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Breast augmentation is usually performed beneath the muscle.

Breast augmentation is usually performed beneath the muscle even in very athletic or active individuals.  This usually gives the most pleasing contour and hides the implant better.  I have operated on yoga and karate instructors, marathon runners, triathletes, personal trainers and full time mothers (that's more of a work-out than most people give credit for).  In each of these instances I have encouraged submuscular position to help hide and conceal the implant because most of these people don't have  a lot of native breast tissue to cover the implant.

Be aware that you can have a visible movement of your breast tissue when you contract your pectoralis muscle firmly.  You have it right now as well, but your skin is not pulled tightly enough for you to see it very much right now.  After augmentation the skin will be tighter and will show this movement a little more. 

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
4.9 out of 5 stars 271 reviews

Implant placement and pocket location

Placing an implant in a partial subpectoral plane is my preferred location for most individuals.  There is a compromise in both locations( the  other being above the muscle).  Under the msuscle may impact the way the implant moves with muscle flexion.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Implant placement interfere with pectoral muscle

Without an in person examination to see the thickness and anatomy of your chest wall and its musculature very hard to advise. My guess is I could do a partial sub-muscular placement. But any time you cut the pectoral muscle there can be decreased function. Maybe the above position is your only real answer. Seek opinions in person from boarded surgeon in your area. Best of luck from MIAMI DR., B

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Subglandular breast implants best in very athletic women.


From what you say,  you will probably do best with moderate sized, cohesive silicone breast implants placed over the muscle.  You can get natural result this way.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Implant interference with Pectoral muscle

The implant will always interfere some with the pectoralis muscle if it is placed under the muscle. Therefore, I never place implants under the muscle in women like you. Instead, I use a textured implant over the muscle.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 6 reviews

Dual plane is an option

The best option for the patients that are very athletic is to place the implants above the muscle. the disadvantage of the sub glandular position is the thinning of the tissue and early sagging.

The dual plane helps to some degree,but will feel implant moving with the pectoralis muscle contracture.

The other option is fat grafting if you have fat deposits that can be harvested.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.8 out of 5 stars 122 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.