Does putting an implant under the muscle make it look smaller?

Dear RSMember12714,

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.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Since the implants are positioned partially beneath the muscle, the surrounding tissue may initially compress that area. As you heal and the tissue gradually expands, the implants should experience less compression, allowing for a more natural feel and appearance.

A difference of 55cc is small and is mildly visible. It would be a good idea to try on both sizes at your doctor’s office to see which you prefer.