Under or over the muscle? If I go over, should I go smaller? (Photo)

Hello @T Williamson thank you for your question and showing your pictures. You have another possibility that allows you to keep the form of the breast while and after breastfeeding when the time comes and to continue with your activities, after a time to heal properly. This position is behind the muscle fascia is a safe and suitable technique for young women that gives the breast a natural and beast aesthetic result in my opinion. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Thanks for your question! I'd say about 99% of my patients choose a submuscular approach and it does not affect their lifestyle. I encourage it because of decreased risk or capsular contracture and numbness to the nipple. Good luck!

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.