Over vs. Under the Muscle Placement of Breast Implants

Illustration of over vs. under the muscle breast implant placement. There are many details to consider when undergoing breast augmentation surgery. One of these includes whether to have your breast implants placed over or under your chest muscle. If you have decided to pursue breast augmentation surgery, understanding the factors involved with over vs. under the muscle placement is important. Patients in the Jacksonville, FL-area can learn about these options at a consultation with Dr. John W. Tyrone. There are many factors that affect which method will work best for you, such as body type, implant size, and personal preference. To learn more, schedule your consultation today.  

Over the Muscle Placement

Placement over the chest muscle is considered a less invasive method. Since the implants are being placed over the muscle, recovery time and discomfort after the procedure are minimized.

When the breast implant is positioned under the breast tissue and over the chest muscle, the placement is known as subglandular placement. Traditionally, this was the method by which all breast implants were placed. There are benefits and limitations to over the muscle implant placement:

Benefits: Placement over the chest muscle is considered a less invasive method. Since the implants are being placed over the muscle, recovery time and discomfort are minimized. Aesthetically, larger implants can be used with this method, as long as the soft tissue quality of your breasts allow for them. Also, patients may appear to have greater cleavage with this method, since the implants can be positioned closer together.

Limitations: This method of placement does not always provide the most natural look. Since the implants are positioned over the muscle, this results in a more pronounced roundness that can appear more augmented. With no muscle covering the implant, this method can increase the risk of rippling, or a visible implant border. Also, since the implants are supported only by skin, there is a higher chance of experiencing stretch marks. Additionally, the rates of capsular contracture tend to be higher with subglandular placement.

Under the Muscle Placement  

Since the implant is covered by breast tissue as well as muscle with this method, it tends to look more natural. The risks of rippling, stretch marks, and bottoming out are also reduced because the muscle provides support to the implant.

When the breast implant is positioned under the muscle, the placement is known as subpectoral, or submuscular. Since its introduction in the mid-1970s, this method has largely replaced subglandular placement. Just as with subglandular, there are benefits and limitations to the subpectoral method:

Benefits: Since the implant is covered by breast tissue as well as muscle with this method, it tends to look more natural. The risks of rippling, stretch marks, and bottoming out are also reduced because the muscle provides support to the implant. The risk of capsular contracture is also reduced with this method.

Limitations: Placing the implant under the muscle is more invasive, and therefore, recovery time is increased. Your breasts may appear to sit higher on the chest for several weeks before the final result is achieved. With this method, patients are more limited by the size of implant, although this is largely dependent on your body type. Additionally, when your chest muscle is flexed, the implant can appear distorted.

Contact Us Today

Dr. Tyrone is committed to helping his patients fully understand the benefits and limitations of each implant placement method. During your consultation, he will discuss your goals with you and thoroughly review both methods. Contact us today to schedule your appointment. 

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