Under or over the muscle? Does my skin look thick enough for over the muscle implant with a lift? (Photo)

Thank you for your inquiry! You decide how you want them and we can discuss options of making it work for you. We would love to meet with you to discuss your concerns. Schedule a consultation with a Board-Certified Plastic Surgeon!

Dear Gurlgirl131,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

There are many advantages to going under the muscle and these generally outweigh any potential benefits of going above the muscle. As a direct answer to your question, your photos show that you would likely have inadequate tissue coverage if the implants were placed above the muscle.