I do aerial tricks. I mean drops from 20ft+. But want a BA under muscle. 30 yr F (Photo)

Very impressive- I would equate your skills to those of professional body builders whom I recommend consider implants over the muscle. Extreme lifting with very strong pectoral muscles can squeeze the implant out and result in distortion over time. Higher filled Sientra gels or Natrelle Inspira implants are good choices.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations. 

Excellent question and that is an amazing skill set that you have. Breast augmentation can be done in your case and be done under the muscle. The major issues of course involve your occupation.  You will need to have a longer than normal recovery time after surgery prior to returning to your job. You also may have a higher risk of displacement of the implant with muscle contraction than a typical patient.  That means that the implant may move when you contract your chest muscle. Some people have minimal distortion despite heavy muscle contraction others don't and there is no way to predict. That is why above the muscle augmentation is recommended to athletic patients.

Hello and thank you for your question. This is fine as long as you refrain from aerial tricks for 4-6 weeks.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Yes, I recommend a smooth, round, silicone "Gummy Bear" implant placed in a submuscular plane.  This is still ideal depite your aerial tricks. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with and who is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery.

Best wishes!

Dr. Desai

Thanks for your question.I will go against many of my colleagues here.  I prefer to go transaxillary submuscular with silicone implants.  That being said, in your case, as well as body builders, I would go subglandular with a silicone implant.  Whenever you go submuscular, there is a SIGNIFICANT decrease in your pectoral muscle strength for quite some time (way more than a month or two).  My patients are cleared to return to the gym after 4 weeks, but it takes a long time for them to get back the chest wall strength they enjoyed pre-op.  If you are able to slowly build your strength back and take a 2 month hiatus from your work, then go for it.  Otherwise, please ask to speak with several of my post op patients to get truthful responses.Best of luck with your decision.Dr. T