Is capsular contracture more or less likely with under muscle implants?

Thanks for your inquiry and excellent question. Capsular contracture is less under the muscle. Hope that helps. 

Capsular contractures are lower with textured and silicone implants placed beneath the muscle. Recent studies have also indicated that an inframammary incision also has the lowest capsular contracture rate. Lastly smoking greatly increases your risk for capsular contracture.

There are many featured that are thought to be associated with the incidence of capsular contracture, including the type of implants used, the implant coating, bleeding during the augmentation surgery and many other factors. An important study some years ago suggested that placing implants below the muscle may be associated with a lower risk of capsule formation. I would suggest having a discussion with your surgeon to evaluate this further, as the implant position will also impact on the aesthetic outcome.

Under the muscle breast implants have a lesser risk of capsular contracture.Other factors are the use of textured implants, IMF incision, no touch technique to avoid contamination, the use of nipple shields during the surgery, perfect hemostasis and antibiotics at the time of surgery

Capsular contracture is lower with implants placed under the pectoralis muscle.  The textured implants can still have capsular contracture but lower than smooth implants when placed in front of the muscle.

Hello! There are very few things we all agree on in plastic surgery, but I think this might be one. The rate of capsular contracture is lower when the implants are placed under the muscle!Breast Wishes.

Capsular contraction occurrence is lower when the implants are placed under the muscle.  Textured implant placed in front of the muscle may have a lower rate of capsular contraction than smooth implant placed in front of the muscle.  When placed under the muscle, it appears the smooth versus textured issue is not significant since the implant manufactures NOW warranty against capsular contraction for years with either type of implant placed under the muscle.  They would likely not warranty against something that was expected to occur frequently.

My experience has been that implants placed under the muscle have a lower encapsulation rate vs on top of the muscle.

In very simple and plain words:-smooth or microtextured implants (first generations developed) have high rate of capsular contracture if located above the muscle-macrotextured or polyurethane coated (velcro) implants (latest generations) have even lower rates of capsular contracture in subfascial plane than submuscular, and can also be used subglandular though my recommendation is subfascialIt can be said that any implant shell in submuscular location is acceptable, though unnecessary nowadays with modern shell implants.I am for macrotextured or polyurethane coated shells in the subfascial plane, this allows the lowest rates of capsular contracture (nearly non existant) and less pain, less aggression and quicker recovery.

There is no clear cut evidence on this questionWhen implants are placed under the muscle, the muscle is often released resulting in the  lower  portion of the implant being  under the skin .I normally place implants under the fascia (the lining of the muscle).This appears to  have a protective effect and eliminates  the risk of animation deformity