Do You Suggest over the Muscle Silicone Implants for Strong Pec Muscles and Athletic Build?

140 lbs 5'5" 34 A Workout/lift weights 5 times a week 12.5-13 cm wide Moderate breast tissue from having 2 children Looking to be a natural looking small C

Doctor Answers 13

Implant placement

Breast implants are usually placed underneath the muscles to ensure natural-looking results. But if you have to flex your muscles on stage as a bodybuilder, you may consider sub-glandular implants.

Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Under the muscle breast implants in a body builder

Thank you for your question. I do agree with your concern that consider your a body builder and weight lifter, placing breast implants beneath your muscle could create distracting motion and movement of the breast implants. I would consider Sub-glandular breast implants beneath the breast gland and over the muscle.

Placement of implants under the muscle may not be a good idea in patients to are engaged in body build.

When the pectoralis muscle is engaged there can be a vector of force distributed to breast implant is below the pectoralis muscle. This will temporarily distort the implant but over time can move it to a permanently low space. This is referred to as bottoming out. One should consider sub glandular placement in this circumstance were silicone gel would probably be superior to saline.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Implants for body builders

body builders are have really low body fat and implants placed over the muscle will tend to look really fake and ball like.  Plus any flaw in the implants may be seen such as rippling.  I would highly recommend placing implants under the muscle to have a more feminine look. 

Benjamin Chu, MD, FACS
Honolulu Plastic Surgeon
4.8 out of 5 stars 91 reviews

Implant Placement in Athletes

   If there is very little breast tissue and the patient is not depending upon her upper body strength for a career such as weightlifting, boxing, bodybuilding, etc., submuscular placement is a better choice.  Find the plastic surgeon with ELITE credentials who performs hundreds of breast augmentations each year.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Over the muscle breast implants for weight lifters

Dear For Me,

I usually recommend over the muscle placement of implants for patients that are body builders, weight lifters, trainers or competitive athletes.  Silicone gel filled implants will probably be your best choice if you have very little breast tissue or chest skin/fat since they are less prone to rippling.  Consider the "gummy bear" implant if this is the case.  Good luck!

Kenneth R. Francis, MD, FACS
Manhattan Plastic Surgeon
4.6 out of 5 stars 47 reviews

Under or over muscle implants for body builders

Some surgeons prefer above the muscle vs under the muscle. Studies suggest that under the muscle is fine for body builders as well and should not affect the overall power of the muscle once things have healed.

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


For a competitive athlete,  I would recommend implants above the muscle.  However, you must have enough soft tissue to cover the implant to avoid visible rippling.  The smaller the implant the more natural the result.  Go get a consultation with a Board Certified plastic surgeon.

Todd B. Koch, MD
Buffalo Plastic Surgeon
4.7 out of 5 stars 35 reviews

Above or below muscle positioning of breast implants

Like silicone vs. saline-filled or resulting size, there is no "best" or correct answer to implant placement. It depends on the importance of various factors to the patient regarding short and long term issues. 

Over years of experience and thousands of cases I would say that all of the advantages have turned out to be in favor of getting breast implants under the properly released but not defunctionalized pectoralis muscle with one exception. The still functional pectoralis muscle will pull under the breast and above the implant which exaggerates the breast tensing effect of major pectoralis flexing (which is done in show bodybuilding). This is minimized by a dual-plane release of the lower-lateral edge of the pectoralis muscle but doesn't eliminate it. Otherwise, all the advantages such as those mentioned in the responses here have turned out to be in favor of sub-pectoral positioning.

For short term augmentation results in show bodybuilding, a silicone gel-filled implant above the pectoralis can be satisfactory in a young patient with good skin and tissue tone but be prepared to remove it or replace it with a subpectoral implant in the future. 

Scott L. Replogle, MD
Boulder Plastic Surgeon
4.0 out of 5 stars 1 review

Muscular chests and implants

You will get different opinions and they are all valid.  If you do muscle building body competitions then you will have different goals and needs.  You will continue to do heavy chest muscle activities and the implants will be better over the muscle.  If you are just doing your own body sculpting and work outs then you can modify your activities to accommodate the implants.  If you put the implants under the muscle you will be asked to lighten up on the chest muscles.

Long term, the best location will be under the muscle but all of this depends on what you are required to do and what you will do to better live with the implants.

Best Wishes

Dr. Peterson

Marcus L. Peterson, MD
Saint George Plastic Surgeon
4.6 out of 5 stars 38 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.