Should I switch to over the muscle implants to avoid shape change due to lifting weights? (photos)

It is my understanding that you already have implant, right? In that case, it would be best to keep them in the same pocket if you do not have any issue with mucle show. However, if you do not have implants, based on these photos, you can have them placed both on top or under the muscle. Difference between 250 and 275 ml. implants would be barely noticable. Only on the basis of in person consultation one could give you more direct answer. Hope this helps.

Dear DNP,
I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

If your concern is animation deformity from using your pectoral muscle, then make sure it is re-attached when replacing the implants from under to over muscle or the problem can persist. Because you will have less coverage with over muscle placement, there are a few things you can do to minimize visible rippling: First, stay with moderate profile not high profile; and second, consider a more cohesive gel such as Sientra HSC+ or Allergan cohesive.

Your breasts have fallen over the years. You need a lift more than switching position of the implants. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

When considering breast augmentation, it's important to keep in mind that the size and shape of the breasts can be affected by weightlifting and other physical activities. Placing the implants on top of the muscle may reduce the risk of muscle distortion and minimize changes in breast shape due to exercise.

The choice between 250cc and 275cc silicone high-profile implants will depend on your individual goals, body type, and the recommendations of your surgeon. It's essential to have a thorough consultation with a board-certified plastic surgeon who can provide personalized advice based on your specific needs and goals.

During the consultation, you can discuss your concerns about visible ripples or wrinkles on the breasts and explore the best options for achieving your desired results while minimizing potential risks.

Remember, breast augmentation is a personal decision, and it's essential to have realistic expectations and understand the potential benefits and risks involved.

I hope this helps,
best of luck !

Stay behind the muscle or at least the fascia to avoid seeing ripples and the implant edge. Since they are behind the muscle now, you still may see some muscle movement even if placed in front of the muscle.

Submuscular implant placement results in animation deformity.
Placing implant above the muscle eliminates animation on muscle contraction.If the tissues are thin ,I add an absorbable mesh and fat grafting.