Have you seen good results with over the muscle implants on athletic builds?

I think that is the best option for you, consider coupling it with fat grafting to liposculpt your result.

Typically patients are able to return to their active lifestyles with under the muscle implants once they have fully recovered. This approach helps to give a more natural appearance, disguises a portion of the implant, and carries a lower risk of capsular contracture. Over the muscle implants are an option and the overall result will largely depend on the size, profile, and type of implant you select. Your surgeon is the expert in recommending what is best for you.

Over the muscle implants are good on patients who have a certain amount of breast tissue. Otherwise, they can look very obvious. Also, over the muscle implants have a higher rate for capsular contracture. Unfortunately, you have not provided photographs. At size 34 A, each 100 cc of implant corresponds to 1 cup size change. 200 cc implants would take you to size C. This may be appropriate for your body. If your breasts are widely separated then you may benefit from a simultaneous circumareola lift to move the nipple-areola complex more medial.

Best Wishes,

Gary Horndeski, M.D.

In my experience, over the muscle is a good option for avid weight lifters.

Intense lifters may develop animation deformity or displacement from very strong pectoral muscles, which can be avoided by placing breast implants above the muscles.

This is a more anatomic placement and easier recovery. Also gives more natural appearance with gels and help with any laxity. Proper sizing should avoid unnatural look.

Slightly higher risk of scar tissue/capsule and fold support.

Further exam and consultation with your/a plastic surgeon is recommended to discuss your options and expectations.

Hi! There are as just as many good results with implants over the muscle as there are good results with implants under the muscle. The decision is mostly due surgeon preference, patient anatomy and the results the patient is looking for. But, without at least some photos it is impossible to tell of you are a candidate.

Because you wish to continue your high activity level over the muscle is a good idea. Plus if your pecs are strong, there will probably be lots of implant animation whenever you move your arm and this does not look natural. On bodybuilders that do not want to alter their muscle anatomy and do not want a bolted on aesthetic, I always recommend teardrop shaped implants. They will fill out you upper pole in a gradual way while projecting the mid and lower portions of your breasts without altering your the pectoral muscle.

Best of luck,
Dr. Miguel Mota