The decision to get breast implants comes with several other breast augmentation-related choices that you make based on your aesthetic goals and the current condition of your breasts. One of the most important decisions is where to place the implants: in front of the chest muscle or behind it. Each option offers unique benefits, and understanding these differences can help patients make an informed choice tailored to their goals.
Under the Muscle Placement
This is the most common option for my patients. This technique, called submuscular placement, creates a more natural slope to the breast, especially for patients with little natural breast tissue. It also reduces the risk of visible rippling and lowers the chance of capsular contracture—a complication that occurs when scar tissue hardens around the implant. Additionally, placing implants under the muscle makes mammograms easier to read, which is an important consideration for long-term health monitoring.
However, recovery may take slightly longer with this method due to increased muscle involvement. Patients may experience more post-operative discomfort as their body adjusts.
Learn more about what to expect during your recovery after breast augmentation.
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Over the Muscle Placement
Some women may opt to have implants placed atop the muscle (subglandular placement). This creates more noticeable results, and recovery is typically quicker and more comfortable because the chest muscle is undisturbed. This technique works best for individuals with enough natural breast tissue to cover the implant.
However, it may result in more noticeable rippling or edges in patients with thinner tissue. Mammogram imaging can also be slightly more challenging with this placement.
What Is Dual-Plane Implant Placement?
As its name implies, this technique combines submuscular and subglandular implant placement. The plastic surgeon places the upper portion of the implant behind the pectoralis muscle while the lower portion is covered by breast tissue. This placement can be particularly beneficial for women with mild to moderate breast sagging, as it can provide a slight lift.
Which Option Is Right for You?
The choice between under and over the muscle placement depends on your anatomy, lifestyle, and aesthetic goals. Request a consultation using the online form and we can discuss your options. You can also call my office at (718) 720-9400 to schedule a consultation.
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