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Breast Implant Placement: Over vs. Under the Muscle?5 min read

Breast Implant Placement: Over vs. Under the Muscle?
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Navigating the world of breast augmentation means facing some crucial decisions, and one of the most discussed is whether to place implants over or under the chest muscle. 

It’s more than just a matter of preference; each choice has unique benefits and potential challenges. This article delves into the nitty-gritty of both options, highlighting the pros and cons to help you make an informed decision.

The 2 Breast Implant Placement Options

Breast implant placement is primarily centered around two main options: subglandular and submuscular.

Subglandular Placement

In subglandular placement, the implant is positioned right behind the breast tissue, in front of the chest muscle. It’s often chosen for its more natural look, especially in women with a decent amount of existing breast tissue.

This method often yields a more immediate and pronounced result, offering a distinct “lifted” appearance that some individuals desire. Additionally, the procedure is less invasive, translating to a quick recovery process.

Over-the-muscle placement can deliver a more natural feel and look for women with a good amount of natural breast tissue. Also, athletes or those with highly toned chest muscles might opt for this placement to prevent the implant from being distorted during muscle contractions.

Submuscular Placement

On the other hand, submuscular placement involves placing the implant beneath the pectoral muscle. This option is sought-after for its contoured appearance and reduced risk of certain complications.

One key advantage of submuscular placement is the more natural, contoured appearance it can provide, especially in women with thinner breast tissue, as the muscle layers offer additional coverage over the implant. This placement also provides reduced visibility and palpability of the implant’s edges.

Another perk is the potential for a decreased risk of capsular contracture, a complication where the tissue surrounding the implant tightens. Furthermore, submuscular implants yield better mammography images, as the implant’s position doesn’t interfere as much with breast tissue.

What Role Do Aesthetics Play in the Decision?

Desired aesthetic outcome holds significant sway in the decision-making process for breast implant placement.

For instance, some women desire a more pronounced, “augmented” appearance, often achieved with over-the-muscle (subglandular) placement. This option might result in a more distinct upper breast fullness, giving that coveted “lifted” look. 

On the other hand, those leaning towards a subtler, more natural enhancement might find the under-the-muscle (submuscular) placement more suitable. With the muscle layer covering the implant, there’s a smoother transition and contouring, mimicking the natural slope of the breast.

A detailed discussion with a plastic surgeon, paired with visual references and simulations, can help align surgical choices with envisioned outcomes.

Does Recovery Time Vary Based on Placement?

Recovery time after breast augmentation varies based on implant placement, with each method posing its distinct set of postoperative considerations. 

For over-the-muscle (subglandular) placement, the surgical process involves less tissue since the implant is positioned right behind the breast tissue and in front of the chest muscle. As a result, many patients report a quicker recovery process with less initial discomfort. The straightforward nature of this placement often means fewer restrictions on arm movement post-surgery, contributing to a more comfortable healing process.

Conversely, submuscular placement involves positioning the implant beneath the pectoral muscle. Since this method is more invasive, the initial postoperative discomfort is more significant, and the overall recovery period could be extended. Women might also have to follow more stringent guidelines on physical activities, especially those involving the chest muscles, during the initial healing phase.

Why is a Personalized Consultation Essential?

A personal consultation is paramount when considering a breast augmentation. 

While online resources, friend recommendations, and before-after pictures offer valuable insights, they cannot replace the tailored advice a plastic surgeon can provide during a one-on-one discussion.

During a personal consultation, the surgeon thoroughly assesses your breast tissue, skin elasticity, body proportions, and overall health. This evaluation combines a deep dive into your aesthetic goals and concerns. The convergence of this information allows the surgeon to recommend the most appropriate surgical technique, implant type, and placement tailored to you.

Moreover, consultations allow for establishing trust, getting a feel for the surgeon’s expertise, and clarifying any doubts or misconceptions. It’s a space to voice concerns, understand potential risks, and set realistic expectations.

In essence, a personal consultation bridges the gap between a general understanding of the procedure and a customized action plan, ensuring that the journey aligns with your aspirations and safety considerations.

Start Your Breast Rejuvenation Journey at Aesthetica!

Breast implant placement is a nuanced decision that intertwines personal aesthetics with individual anatomy. Whether leaning towards subglandular or submuscular placement, the final choice must resonate with your unique desires and physique. The importance of a personal consultation cannot be overstated, as it molds general knowledge into a tailored plan of action.

By arming oneself with information and seeking expert guidance, you will embark on a journey that enhances physical appearance and enriches self-confidence and well-being!

Meet us at 19500 Sandridge Way, Suite 350, Leesburg, VA 20176, or call us at (703) 574-4342 for a complimentary consultation with Board-Certified Plastic Surgeon Dr. Phillip Chang before moving forward with your procedure. If everything matches up, our team will help you navigate the entire process from beginning to end. Also, remember to check out our blog and social media for more information on plastic surgery and cosmetic trends!

References

  1. “Breast Implants.” Cleveland Clinic, 31 Aug. 2021, my.clevelandclinic.org/health/treatments/21724-breast-implants. Accessed 29 Aug. 2023.
  2. Gotter, Ana. “Breast Augmentation: What You Should Know.” Healthline, 7 Dec. 2018, www.healthline.com/health/breast-augmentation. Accessed 29 Aug. 2023.
  3. Nunez, Kirsten. “What’s It Like to Recover from Breast Augmentation Surgery?” Healthline, 28 Jan. 2020, www.healthline.com/health/breast-augmentation-recovery. Accessed 29 Aug. 2023.

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