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Should breast implants be placed in only a subpectoral position? In my opinion, absolutely yes. There are two compelling reasons behind my opinion. First, radiologists have let us know that they can best image breast tissue mammographically when an implant is in a subpectoral compared to a submammary position. For that reason alone, I think subpectoral position should be the only choice. Another compelling reason is aesthetic. The pectoralis major muscle serves as an additional layer of soft tissue coverage for the upper pole of the implant. It tends to flatten the upper pole of the implant somewhat, creating a very smooth and natural appearing contour to the upper pole.