Smooth Round Silicone over the Muscle. My Friends Are Against It And Say To Go Over?

Thank you for the question.

Once you have made the decision to proceed with breast augmentation surgery,  you will be inundated with “expert opinions” from all your family, friends, and even strangers. You may want to eliminate the “noise” to decrease your stress and/or confusion level.

Although patients who have breast implants placed in the sub muscular ( or dual plane)  position may experience more discomfort during recovery, I still think it is in your best interests (and that of most patients seeking breast augmentation surgery) to have implants placed in the “dual plane” sub muscular position.  This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look  of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability  of the implants (which may increase with time, weight loss, and/or post-pregnancy changes).

The submuscular positioning  also tends to interfere with mammography less so than in the sub glandular position. The incidence of breast implant encapsulation (capsular  contraction)  is also decreased with implants placed in the sub muscular position.

I hope this helps.

You will need to understand your surgeon's thinking before making an informed decision. Most patients have implants placed in the submuscular position. However, above the muscle positioing does provide the benefits of less pain during recovery and some believe a more natural looking result as the implant is behind only the tissue itself. Gel implants feel more natural and you may have indicated that is a primary objective. If you are unsure of the surgeon's thinking, request another consultation. If you are unsure if you have the right surgeon for you then consult with 2 - 3 other experienced and expert board certified plastic surgeons.