Are there an increase in ruptures with placing implant under the muscle?

No, there is not. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Thank you for your question!  We often place breast implants under the muscle to decrease the risk of capsular contracture.  As far as placement in body builders, ideally it would be better to place the implant on top of the muscle to prevent changes in the shape of the breast  with contraction of the muscle.  On the other hand, the implants have a higher capsular contracture rate and most serious body builders have such a low body fat percentage that visualizing the implants is easier and they don't look as natural.  There is no increase in rupture rates when placed under the muscle.  I hope this helps to answer your question!!

Breast implants placed subpectoral(under the muscle) have a lower incidence of capsular contracture. The rupture rate is not higher under the muscle. If you are a bodybuilder, then it may be an option to place the implant subglandular (on top of the muscle) since this will prevent the implant from moving during contraction or posing.Consult with a few plastic surgeons in person for a more detailed exam and review of your goals.Best wishes,Dr.Bruno

hello thank you for your question and provided information as well;..based in your question its difficulted evaluate your case if the question dont have a picture, its recommended to get a consultation in personal with a plastic surgeon.

There is no evidence that placing a breast implant beneath the muscle can lead to implant breakage. Nor is there any evidence that capsular contracture rated rise with submuscular placement. In fact, the contracture rate seems lower. Yes, there are reasons to place implants above the muscle, but that is patient and situation specific. You need to speak with an experience board certified plastic surgeon and discuss your options. No such thing as a dumb question. The more that you know, the better you'll be at designing your operation. Best of luck.

This can be exceedingly complex.  Despite extensive research, the cause of capsular contracture remains unknown and only occurs 3% of the time or so.
Capsular contracture can occur in even the most careful surgeon's practice.  The most important thing in this consideration is to find a plastic surgeon who does hundreds of breast augmentations and revisions who is very sophisticated in the approach to treating capsular contracture SHOULD it occur.I have prevented capsular contracture recurrence by shifting the plane to submuscular, extracapsular, subglandular with a change to textured, and with dermal matrices and without. I think for those people in whom the living is made by athletic performance, the implant can be placed above the muscle.  Other patients will be happier longterm with submuscular placement.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Thank you for your question.  I typically recommend all implants to be placed behind the muscle.  I personally feel it's better placement, looks better, length of implant last longer and CC is less.  I would also recommend seeing a Board Certified Plastic Surgeon to help answer your specific questions during and in person evaluation.  Best of luck to you . 

I think most board certified plastic surgeons would agree that placing the implant behind the muscle does not increase the risk of rupture. It can even help in cases of capsular contracture if mild by camouflaging the upper pole. You may see a compression of the upper portion of the implant when doing bench presses if you are wearing a tight top. I have performed sub muscular implants in body builders and they are very happy.Hope this helps.Michael kulick MDSan Francisco Ca. 

Dear Sunny1045,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. There is no evidence that over the muscle placement reduces the risk of implant rupture. If you are considering a surgery, 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

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

There is no evidence for an increase in the incidence of rupture in the submuscular setting. There is significant data demonstrating a decrease in capsular contracture (which is responsible for the trend towards submuscular which has occurred over the last several years).Implants are exceedingly durable and can withstand a great deal of pressure (they can survive being runover by a car) making it highly unlikely that they could be damaged during exercise.As always, discuss your concerns with a board certified plastic surgeon (ABPS).