Over or Under the Muscle? So Confused! (photo)

Thank you for your question. In my own practice I favor under the muscle implants. It has been my experience that under the muscle looks more natural and tends to hide the implants better specifically in a slender patient such as yourself. There is clear evidence that implants under the muscle have lower rates of capsular contracture and infection. Under the muscle will also provide you with a better mammogram when the time is appropriate. Lastly, should you need a lift or tightening in your future after childbearing, under the muscle preserves the blood supply to the breast better and makes lifting safer when necessary. Best wishes.

For women with the size breast and body shape like in the photo I would generally recommend under the muscle. It will reduce the incidence of capsule contracture over the long term (10-20 years from now) and will help to give you a "softer" look and reduce the chance of being able to see ripples or wrinkles. This is especially  true the larger the implant you want. But good results could certainly be had with a subglandular implant. There is not any right or wrong.