Are subglandular implants a bad idea? Should I get 325 cc high profile placed subglandularly or submuscularly? (photos)

I appreciate your question.





The best way to determine implant size is based on chest wall measurements that fit your body.  Once we determine that we can choose the profile based on what you want or need to achieve.  





Implants under the muscle, there is less risk of capsular contracture.  Anatomic implants tend to give a more natural shape with more nipple projection.





The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!

Dr. Schwartz



Board Certified Plastic Surgeon



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon



#RealSelfCORESurgeon

Thank you for the question. The downside of implants placed under the muscle mostly results from a deformity that can occur when the muscle tightens. It deforms the breast slightly while the muscle is flexing. Example videos can be found on YouTube. The downside of a subglandular implant results from not having the extra layer of pectoralis muscle  covering the implant. Visible implant rippling and a palpable edge are more likely. The risk of capsular contracture also increases.  A capsular contracture can be a challenging problem to fix when it occurs.My recommendation for most patients is a dual plane pocket. The top of the implant is covered by pectoralis muscle, while the lower aspect sits in the subglandular plane.Congratulations on your upcoming surgery.

I highly recommend placing the implant under the muscle. It will reduce future rippling and palpability of the implant. Muscle coverage will help reduce sagging as well 

Hello and thanks for your photosI tend to agree with your surgeon, who sounds very experienced. With your current breast size and shape, its likely that you'll have a lovely result either way. Cohesive silicone implants  have made it possible to place implants above the muscle with very nice results, especially since you are not planning to go very large. In addition, here in Canada we have implant options that are not yet available in the USA, which may decrease the risk of rippling. Conversely, it's very likely that you'll have a lovely result under muscle as well, though you do need to be prepared for the "muscle animation" problem, so make sure you have seen photos of what that can look like with subpectoral implants.Best wishes-

I am a fan of subglandular placement of breast implants when the patients anatomy favors it.  You have great anatomy and lovely breast aesthetics, you should have an excellent outcome.  I agree with your surgeon that subglandular implants will work well for you for the exact reasons you gave.  The profile of the implant should be determined by your breast measurements and volume desires.  Good Luck.