I do serious pole dancing. I'm scared about getting under the muscle implants. Any thoughts/ experiences w/ subglandular?(photo)

Hello,Subpectoral, dual plane placement of implants works very well for most athletic persons.  However, if you were to get subglandular implants, my preference would be highly cohesive, form stable, anatomically shaped devices; this would minimize the risks of rippling, implant palpability, implant visibility, and capsular contracture, all of which is more common in the subglandular position.As for your desired size, 'natural' and DD don't coexist. You will look augmented at that size. So make a choice. Finally, regardless of the size, your nipple position will be suboptimal.  Only a breast lift can improve that. Go visit a few ABPS certified and ASAPS member surgeons.Best of luck!

you are the ideal candidate to have a breast augmentation but under the fascia of the pectoralis muscle. This will give you the best of both worlds, you will have implant coverage with the fashion but won't have the animation/dancing of the implants that is caused by placing implants under the muscle. This is a very common technique that was described the by Brazilian plastic surgeons and gives a very nice results without the downsides of placing the implant under the muscle. I commonly performed this in my practice and preferred to all other types of breast augmentation. 

There are pros and cons between the two different placements.  To summarize, the subglandular placement does prevent the animation deformity, where the implants moves with muscle contraction, but that tends to be the main advantage.  The disadvantage is many and include rippling, implant palpability, capsular contracture (implant/scar tissue hardening).  The main disadvantage of subpectoral placement is the exact opposite, animation deformity.  The benefits are many which is why most plastic surgeons would recommend subpectoral/dual plane augmentation.Hope that summarizes it well.

It is very difficult to determine the best lift you will need (recommended based on your photos) or the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 300 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants:

Thank you for your question and photos. Submuscular implant placement has the lowest risk of capsular contracture (scarring around the implant). It should not have any effect on the strength of your muscles, but could cause an "animation deformity" or increased implant movement with use of your muscles. Another option would be "sub-fascial" implant placement, which is below the breast tissue and directly on top of the muscle. Decreases the chance of capsular contracture and avoids any animation deformity. Best of luck, Dr. Kludt