Submuscular or subglandular Breast Implants for a small-chested rock climber?

Having done reasearch and knowing about your surgery is an excellent start to breast augmentation. I enjoy when my patients have done their research and ask questions which help in the discussion. Where to place the implant is a question that comes up with every breast implant consultation. There are pluses and minuses to each. I also believe that everyone is diferent and scenarios like yours make a difference. Implants placed under the muscle can have less problems with scar tissue and infections as well as more natural looks and less palpablity. Implant placed above the muscle are not moved with flexing your pec muscles and can improve some droop in the breast. Silicone is a great choice for either. In terms of your scenerio I understand your concern. Only you can decided the major tradeoff between the two. I think for you, becuase you are thin, it comes down to possibly having some rippling or implant palpable versus not having the implants move or be noticed with rock climbing. An exam is important too becuase there are some features which may preclude you from placing the implants above the muscle. Best wishes.

I always recommend small round textured silicone gel
implants placed retro-pectoral since they look and feel more natural, are more
stable, less likely to ripple or have complications needing revision. Unfortunately, you have not told us your bra
size just your cup size. If you are 32
or 34 each 100 cc’s of implant corresponds to 1 cup size change. If you are 36 or 38 each 200 cc’s of implant
corresponds to 1 cup size change. From
this, you can compute the volume required to achieve your desired goal. Best Wishes,Gary Horndeski, M.D.

Thank you for your question.In my own practice I favor Submuscular. Under the muscle looks more natural, Mammography is better, infection rate is lower and the risk of capsular contracture appears lower.When my athletic patients flex their pec's, for that moment in time they may look less natural as the muscle compresses the implant, but for the 97% of the time they are not bench pressing or weightlifting under the muscle gives a more natural result. Above or below technically can distort over time-- IMO under the muscle does a better job of hiding the implant.As a AA cup size you are likely very slender. Aything that helps to hide the implant -common sense size, gel, submuscular is what I generally favor in a slender patient.  Subglandular can also burn some bridges, affecting the blood supply to the breast is you should need a lift in your future.I hope this helps.