4th revision - can one implant be placed in front of the muscle and leave the other behind?

Implants may look equally good when placed either above or below the muscle, but typically they do look different. If you will be putting one implant above the muscle, you will likely have better symmetry by putting the other above as well.

While it is technically possible to place breast implants in different positions (one in front of the muscle and the other behind), it is not a common or recommended practice. Breast augmentation is typically performed with both implants placed in a consistent position to achieve symmetry, balance, and optimal aesthetic results.

Placing implants in different positions can lead to noticeable asymmetry in the appearance, feel, and movement of the breasts. It may also increase the risk of complications, including an uneven implant pocket, differences in how the implants settle over time, and potential distortion of breast shape.

In most breast augmentation surgeries, the choice of implant placement—either submuscular (behind the chest muscle) or subglandular (in front of the chest muscle)—is made based on various factors, including the patient's anatomy, breast tissue characteristics, and the surgeon's preferences.

If you have concerns about breast asymmetry or are considering breast augmentation, it's crucial to discuss your goals and expectations with a board-certified plastic surgeon. They will assess your unique anatomy, discuss the most appropriate implant placement for your situation, and provide recommendations to achieve the desired outcome. Consistent implant placement is a key element in achieving natural-looking and symmetrical results in breast augmentation

Although we surgeons hate to move implants that look great, you will be more symmetrical with both in front of the muscle. However, please discuss this with your surgeon for she has seen what you look like, and I have not.