Do on top of the muscle implants sag or look worse than under the muscle in years to come?

Question

I having a BA in a few weeks and I'm having them on top of the muscle. In ten years or so will the look of them change significantly i.e. will they sag badly etc compared to implants under the muscle? I'm only having a 360 cc implant and presently a 34 B

George Marosan, MD · Answer

There's a misconception that the muscle holds up the implant better. The muscle is used as extra cover over the upper medial aspect of the breast to camouflage the implant. If you are slim, and have small amount of breast tissue, then placing them over the muscle will tend to show the outline of the implant. Saline implants, I believe, are harsher on the tissues and cause a traction pull phenomenon over time which presents itself as rippling and sagging breasts (often people wonder if their implants are leaking, since they look smaller in a stretched out skin envelope). See a board certified plastic surgeon for another opinion or re-consult with your present surgeon. Good luck.

Tom J. Pousti, MD · Answer

Thank you for the question. Although breast implants in the sub muscular ( or dual plane) position may experience “distortion” with muscle movement (workout) 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, and the attached link (dedicated to breast augmentation surgery concerns) helps.

Kenneth Hughes, MD · Answer

Tissue thinning and implant visibility tend to be more prominent with subglandular placement.Kenneth Hughes, MDLos Angeles, CA

Gary Lawton, MD, FACS · Answer

Generally speaking on top of the muscle is a compromised outcome when compared to the under the muscle approach.

Curtis Wong, MD · Answer

will all settle and droop with time but its much more apparent when they are placed on top of the muscle.  They really look like 'rocks in socks' as you age.  If you're having the shaped gel implant, your body should heal around it and it should hold its shape well over the years and this is what I would recommend to my patients who want them on top of the muscle.

Do on top of the muscle implants sag or look worse than under the muscle in years to come?

Answers (7)

Answer: Under the muscle

Answer: Under the muscle

Answer: Smooth round implants

Answer: Smooth round implants

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Do on top of the muscle implants sag or look worse than under the muscle in years to come?

Answers (7)

Answer: Under the muscle

Answer: Under the muscle

Answer: Smooth round implants

Answer: Smooth round implants

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.