Do you lose implant volume when you place implants in a subfascial position just as you would in a subpectoral position? (Photo)

     Implant position may affect the appearance and projection of the breast tissue but the overall volume is still the same regardless of the placement(subglandular, subfascial or subpectoral).  The choice for placement is usually determined by the thickness and quality of the overlying upper breast tissue and whether or not there is any drop or ptosis of the breast.  Implants placed under the pectoral muscle may seem slightly smaller due to the compressive effect of the pectoral muscle and will project less for that reason (this problem can be minimized by release of the lower pectoral muscle during surgery).  The fascia of the pectorals is quite thin and should not result in any significant reduction in the appearance of the implant volume.

It is common misinformation that an implant has less volume when placed under the muscle. There is no study that actually measured this and it is really not possible since neither saline nor silicone lose volume when compressed (unlike a sponge which gets smaller with compression). Furthermore, if it was true, it would depend on the amount of muscle coverage (Dual Plane 1, 2, or 3) and also on compression due to skin tightness. Discuss with your surgeon to make sure your implant has proper dimesions for your chest & breast.