How do dual plane and sub muscular implants affect chest muscle strength long term?

Question

I’m 164 cm, 59 kg, fairly active — running, tennis, moderate resistance training and body weight exercises. Nothing competitive. I’m thinking about getting breast implants and have been trying to understand how that might impact chest muscle strength in the long term. I get that there will be short term loss of strength but what about long term? Does submuscular placement versus dual plane placement make a difference to chest muscle strength and the types of exercises that can be done?

Ted Eisenberg, DO, FACOS, FAACS · Answer

Dual plane is part submuscular (pectorals muscle) an part subglandular. This provides the most natural look and is the approach taken by most plastic surgeons. In my experience there is no long term loss of strength. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Bora Ok, MD · Answer

Hello from Istanbul! For both dual plane and submuscular implant placements, we generally do not observe a significant loss in muscle strength in the long term. There might be a minimal difference in professional athletes, but for someone like you, who engages in moderate training, there should be no issues that would cause any problems. That being said, the placement of implants depends on a multitude of factors and is best determined after a detailed in-person examination. Best of luck on your journey!

Steven Sigalove, MD FACS · Answer

Dual plane or total submuscular coverage does not affect the strength of your pectoralis muscle. There are studies, however, that do show long term shoulder girdle muscle weakness which would potentially affect someone who was engaged in vigorous strength training or fitness. Breast augmentations that are performed in the dual plane or submuscular position can indeed result in hyperanimation deformities which can be noticeable and potential unsightly. To minimize the likelihood of this, especially in an athletic patient who enjoys doing chest workouts, I would recommend a subfascial breast augmentation. #sigalift

Daniel Barrett, MD · Answer

Dear cg5154,
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

Harry T. Haramis, MD, FACS · Answer

Each situation should be tailored to the individual patient, weighing options.

Under muscle shields the upper implant, lessens scar tissue or capsule, makes mammograms easier.

It may not allow for filling out the lower breast thereby limiting correction of ptosis/sagging. Also in some women, when they flex, some abnormalities may be visible.

Over the muscle, gives a more natural look and will improve sagging without a formal lift. Chance of capsule is slightly higher. This is also used in our practice for professional body builders with very strong muscles which can displace the implants.

In my experience, dual plane offers the best of both options. Upper muscle coverage with lower expansion. Most of our patients are athletic and under muscle does not seem to have much of an affect on sports or activities.

An exam and consultation with a plastic surgeon is recommended to best discuss your options and expectations.

How do dual plane and sub muscular implants affect chest muscle strength long term?

Answers (7)

Answer: Implant placement

Answer: Implant placement

Answer: Dual plane and submuscular breast implants

Answer: Dual plane and submuscular breast implants

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Everything you need to know about Breast Augmentation

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How do dual plane and sub muscular implants affect chest muscle strength long term?

Answers (7)

Answer: Implant placement

Answer: Implant placement

Answer: Dual plane and submuscular breast implants

Answer: Dual plane and submuscular breast implants

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.