Breast implants: Subglandular VS. Submuscular? (Photo)

Good afternoon!Your best result will be with a Mod Plus or High
Profile round smooth
silicone gel implant placed under the muscle! Lasts longer, looks better, feels better, lower complication rates, better mammograms, etc etcI have attached a link to my Breast Augmentation photo gallery for your review- hope it helps!

Suglandular implants are not perky!!!!!There are
many advantages to sub muscular dual plane placement and very many
disadvantages to sub glandular placement. I would see no indication to do
anything but sub muscular. This can be best accomplished with the armpit
approach. The most sophisticated approach to breast augmentation is through the
armpit with a surgical camera (transaxillary endoscopic). Using this modern
approach the space can be crafted under direct vision, with virtually no
bleeding and no postoperative bruising. Most importantly, the shape of the
breast is meticulously created. The other, older methods of insertion are
technologically less advanced. Both silicone and saline implants can be placed
through the armpit by a surgeon with skill and experience using this approach.
The incision in the crease is the oldest method of placing the implants and
puts a scar directly on the breast.

Subglandular
silicone implant placement is the historical approach to this surgery, and was
widely used in the 1960's. The implant edges are more visible, the risk of
rippling is higher, the implant is in contact with the non-sterile breast
tissue so the risk of infection and capsular contracture is higher. The
interface between the breast tissue and the muscle is blurred so the implant interferes
with mammography more than sub muscular placement. The blood supply surrounding
the implant is worse so the risk of capsular contracture is higher. The support
for the implant is less so there is more long term shape abnormalities and
sagging. The look of a sub glandular implant is much less appealing than a sub
muscular implant. The placement of sub glandular implants makes any subsequent
revision surgeries more complicated and less successful. There are no
advantages to sub glandular implant placement.

In general, most patients get implants placed sub muscularly. The reality is, the most common, and in my opinion, best way to do it is partial sub muscular. You have the benefit of muscular coverage of the implants on top, preventing the "ridiculous circle" look, and sub glandular below, allowing for more perky and natural look with pretty roundness at the bottom of the breast. I feel that this is the case in most of the images you've shown, and I feel that that would be your best option. Of course, it is very important to have an in person examination to determine that for sure. It is imperative
that you seek the advice of a plastic surgeon who is certified by the American
Board of Plastic Surgery and has extensive experience in breast augmentation.

I wish you the best.

Dr. Gabbay.