Subglandular Style 410 implants for thin/muscular build? (Photo)

I am planning to have breast augmentation soon. I want a more natural look, and would really prefer NOT to have implants sub muscular because I am very active, and I really don't like the breast distortion that occurs when the pec muscle contracts over an implant. But, I don't want rippling/obvious edges, or an excessively round/fake look which is why I am thinking about the Style 410 gummy bear implants. Do you think sub glandular Style 410 implants will give me what I am looking for?

Doctor Answers 4

Subglandular Style 410 implants for thin/muscular build

Taking into consideration the things you do not want, then I think that a shaped cohesive silicone implant on top of the muscle is a way ti go. Having said that, you should ask to feel that implant as it is not going to feel as soft as the other silicone implants out there.


Las Vegas Plastic Surgeon
4.8 out of 5 stars 25 reviews

Subglandular Style 410 implants for thin/muscular build?

Unfortunately, I think your plan is a recipe for failure with bad results and wasted money and a difficult problem to fix later on. I see too many patients that had that done and are very unhappy. There are no shortcuts to good results, so if you don't want the subpectoral placement, skip the implants. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 24 reviews

Subglandular Shaped Implants

I think you are on the right track.  The two options I would offer you would be a subglandular shaped implant as you mentioned, or submuscular, but an oval implant so the upper pole does not have as much muscle effect when you contract.  You probably need this shape implant anyway because of your strong pec muscle and upper chest shape (from the pictures you sent). The choice between over and under the muscle would be based on how much tissue you have in the upper part of the breast.  

My preference would not be to use the 410, because it is too firm, especially if the implant is subglandular.  I would choose the Sientra Oval Shape, which is softer and has great options for size and projection in the Oval. This would allow you to control both your overall size, and the uneven size and shape of your breasts (seems like from your pictures).  

Obviously a full consultation is needed, but you definitely have the right idea.  

Best of luck in your research.  

Dr. Schwartz

Michael R. Schwartz, MD
Thousand Oaks Plastic Surgeon
5.0 out of 5 stars 21 reviews

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Subglandular implants

Thank you for your question and photos.  It is uncommon to place a subglandular implant on a patient who is very thin because of the increased visibility of the implant and the increased risk for rippling along the edges of the implant.  Your concerns for placing the implant above the muscle are valid ones, however.  If you are going to place an implant in a subglandular position, the best implant to use is the shaped highly cohesive implant, such as the style 410.  That is a good choice and will give you a very reasonable result.  

Brian C. Reuben, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.