Choosing the Best Placement for Your Breast Implants: A Guide to Enhancing Your Look

If you are contemplating breast augmentation, it’s essential to address numerous questions to ensure a successful outcome. One crucial inquiry to pose during your breast augmentation consultation is, “Where will the breast implants be placed?” Understanding the options for implant placement is vital for making an informed decision.
Many patients are often unaware that there are two primary options for breast implant placement: over the muscle and under the muscle. The choice between these placements depends on several factors, including:
- Your body type
- Your current health
- The actual size of the implants (measured in cc’s)
- Saline vs. silicone implants
- Your individual goals and desires
Experienced surgeons who specialize in breast augmentation can guide you in determining the most suitable placement for your implants. It’s crucial for patients to understand the advantages and disadvantages associated with both placement options.
Subglandular Placement
Also known as “over-the-muscle” placement, the subglandular technique positions the implant between the chest muscle and existing breast tissue. This method allows the implant to sit beneath the glands of the breast, enabling the possibility of breastfeeding in the future.
- Pros: Patients typically experience less movement of the implants during physical activity and reduced discomfort immediately following surgery.
- Cons: The appearance may be perceived as more artificial, mammogram readings might be less accurate, and there is a higher risk of capsular contracture, which occurs when scar tissue tightens around the implant.
Submuscular Placement
Submuscular placement, or “under-the-muscle” placement, involves positioning the implant partially beneath the pectoralis major chest muscle.
- Pros: This option generally results in more accurate mammograms, a more natural appearance, and a reduced rate of capsular contracture.
- Cons: Patients may experience slightly more discomfort post-surgery and a longer recovery period.
The Role of Chest Muscles
The anatomy of the chest muscles plays a significant role in determining the optimal placement of breast implants. Individual variations in muscle mass can influence whether subglandular or submuscular placement is more appropriate. For example, women with larger or stronger chest muscles may benefit from over-the-muscle positioning to avoid distortion of the breasts during muscle flexing.
Breast Tissue Considerations
Besides muscle density, the amount of pre-existing breast tissue is a critical factor. Adequate breast tissue can provide sufficient coverage for implants, potentially making the pectoralis muscle less relevant for placement considerations.
As you navigate the process of selecting a breast surgeon and discussing your procedure, prioritize conversations about implant placement. Understanding whether over-the-muscle or under-the-muscle positioning is best suited for your body will help you achieve optimal post-surgical results.