Possible to Get Under Muscle Breast Implants Without Cutting Muscle?

Hi there-

Here are my thoughts....

There is no doubt in my mind that (unless you are a body builder and lift heavy weights for hours each day) you will be better off in the long term if your implants are placed under your muscle. Even though you are athletic.

The muscle modification that occurs in the average operation is NOT enough to permanently affect a patient's ability to engage in sporting activities, or limit her performance in them. I personally have several professional athletes as patients- all of them have implants under the muscle, and they are all able to do what they do without a problem.

The degree of modification is ideally individualized to the needs of each patient, in order for each patient to achieve her optimal outcome and as close an approximation as possible to her goals. Limiting your surgeon's ability to perform an important aspect of the surgery would not be in your best interests...

In other words, if you are able to dictate what happens to you muscle during surgery, but after surgery your breasts look funny or ugly to you, will you be happy? I doubt it....

It is very important that rather than focus on the details of what will happen in the operation, you spend that energy finding a surgeon you can trust and that you like and can get along with.

Once you've found such a surgeon, communicate your goals and concerns- then trust them to do what they do.

Honestly, some of the worst outcomes I have seen, in the most unhappy patients, have been when the patient was able to find a surgeon willing to alter what they would normally do to accommodate what the patient thought was in her best interests...

Here is some advice on how to best find a surgeon:

Possible to Get Under Muscle Breast Implants Without Cutting Muscle? Yes, it is possible but not desireable

If you want the most natural-looking breast, you will need a subpectoral implant, in which the implant is placed under the muscle. This procedure requires the merest incision—about three centimeters in the crease under the breast or at the edge of the nipple—and diminishes the incidence of capsular contracture, the formation of hard scar tissue around the implant, which occurs in 10 to 30% of cases.
Once the incision is made, the surgeon creates a pocket into which the implant is inserted, which in your case, would be located beneath the pectoral muscle underlying the breast tissue. Subpectoral implants aren’t right for everyone, though. If you have saggy breasts, an implant placed under the muscle won’t fill out that empty breast sack, and you’ll get what we call the “double bubble” look, where the breast hangs several inches below the implant.