Is subglandular/over the muscle becoming more popular again? (Photos)

You bring up an interesting question. I have seen a slight increase in the number surgeons placing implants in the subglandular position. In the vast majority of cases, I still prefer to put implants under the muscle, and I think you would be an ideal candidate for a sub pectoral implants position. It's critical to choose a surgeon who is certified by the American Board of Plastic Surgery and has extensive experience with breast augmentation.  Check their before and after photos!Best,Dr. Gabbay

Over the muscle gel implants can give a very natural contour and a little more lift effect. Also better in serious weight lifters.In thin women, higher filled Sientra gels are a good choice.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations. 

This is a great question! Subglandular augmentation is not trending up. While subglandular augmentation is the textbook answer for body builders, I have performed submuscular augmentation in body builders without any issues. The problems with subglandular augmentation is that smaller breasted patients don't have good coverage over the implant, so the implant may be visible under the skin; risk of capsular contracture is higher; and the implant will put weight directly on the breast tissue, exacerbating breast sagging and nipple areolar spread. It may be right for you - just make sure you get all the information you need.

Thank you for sharing your question and photographs.  There are both pros and cons to either subglandular or submuscular placement of implants but I do feel that most women, especially thin ones, benefit more form placement below your pectoralis.  Be sure to seek out a series of consultations so that you can make the best decision for your specific goals.  Best wishes.

Under the muscle placement is still performed more often than subglandular placement by most plastic surgeons. The fact that your pecs are so developed does not mean you can't have under the muscle placement. I have a couple of triple crown body builders who have submuscular implants with no issues. Patients are advised of the possibility of the implants “dancing” or animating at the moment the pecs are flexed; the implants immediately return to their resting position when the muscle is relaxed. This sometimes can be seen and rarely felt. I hope this information is helpful and reassuring. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."