If she considering chest augmentation or revision, one crucial decision you and also your surgeon will have to make together is even if it is to place your new breast implants over or under your chest muscle. This placement matters because that a variety of reasons, and also to help guide you in do this decision, board-certified plastic operated doctor Dr. Movassaghi describes the differences in between over and under the muscle breast implant location in this post.

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How perform breast implant placement options compare?

Breast implant placement is an essential to offering a patient through the ideal aesthetic results, and also to protect against issues, such as capsular contracture and also implant rippling, from occurring. Throughout breast augmentation surgery, breast implants room either inserted underneath a patient’s chest tissue but over their chest muscles, or underneath their chest tissue and partially under their pectoralis significant chest muscle. Placement in both places can produce satisfactory results; however, there room pros and cons to every option, because of this your surgeon will certainly assess your distinct body kind to identify which implant position is best for you.


Over the muscle placement

Subglandular, or “over the muscle,” implant placement is as soon as a breast implant is put on height of a patient’s muscles but beneath their skin, fat, and also glandular tissue.

Pros the subglandular placement:

Chest muscles stay intact, therefore there is no ns of duty or weakness.Final outcomes are usually achieved within a few weeks.Able come accommodate bigger implants.

Cons the subglandular placement:

Implant rippling—when “wrinkling” is clearly shows on the external perimeter of an implant—may occur throughout subglandular placement due to the fact that it is much easier to see the upper “edges” the the implants as soon as they are placed over the muscle. Implant rippling is most generally seen in thinner women with smaller breasts, together they have actually less chest tissue to hide your implants. Implant rippling can regularly be avoided by working through a board-certified plastic surgeon that understands how to correctly choose and also place implants. In fact, in patients who room thin and also choose to have subglandular augmentation, i can aid them through the upper pole fullness by injecting their very own fat obtained from another part of the body, favor the ship or hips.Subglandular implants interfere an ext with mammogram readings, although there are various other modalities, such together ultrasounds, that have the right to improve mammogram results.

Under the muscle placement

The ax submuscular, or “under the muscle”, implant location is somewhat misleading: while the chest implant is put underneath a patient’s skin, fat, glands, and pectoralis major muscle (the outermost chest muscle), many surgeons actually ar the implant on optimal of the inside pectoralis minor and also serratus muscles so that the pectoralis significant muscle consists the top and also side of the implant. This leaves the bottom and also outer leaf of the implant covered only by the patient’s natural breast tissue.

Pros that submuscular placement:

Provides an ext tissue coverage end the implant in the top pole.Creates a smoother transition from the chest wall to the implant.Achieves the many natural-looking result.Submuscular implants interfere less with mammography.

Cons that submuscular placement:

Your surgeon will have to cut and detach your pectoralis major muscle.Higher chance of the implant moving upwards and also towards the armpit.Higher possibility of an additional deformities, such as “double-bubble” deformity, along the lower pole that the breast.Slightly longer and an ext uncomfortable surgery and recovery period.Diminished stamin in the chest muscles after surgery.

Breast revision: the various other reason to take into consideration implant placement

If you’ve currently had a chest augmentation, you may be researching implant placement choices because she interested in modification your breast implants. Chest revision surgical treatment is often performed to exchange chest implants, yet it can additionally be performed to correct usual issues that occur over time, such as loose breast skin, and also other issues that have the right to develop, like implant migration, implant rippling, and/or capsular contracture (when the scar capsule around the implant constricts). During breast revision surgery, you and your surgeon might decide to readjust the location of her implants to accommodate a brand-new implant dimension or to correct any type of of these issues.

How perform I decide where to ar my breast implants?


Now that you are acquainted with the two main breast implant placement options, just how do you select which one is best for you? here are a few factors that will assist inform your decision:

The dimension of your implants.

When choosing the size of the implant, that is much more important come think about the shape of the breast you want rather of the amount of CC’s in the implant. My strategy is to shape her breast quite than come volumize it. There space some general guidelines the are crucial when considering implant placement since the larger your implants are, the an ext likely any rippling is to it is in visible v your chest tissue. This is why ladies with larger breasts and more abundant breast tissue are better candidates for bigger implants, while females with smaller sized breasts may have a more complicated time concealing bigger implants. Generally, if you have minimal breast tissue and want bigger implants, under the muscle placement will provide the finest results as your pectoralis major muscles will help hide any feasible rippling in her implants. It’s crucial to understand that as the dimension of her implants increase, therefore does your price of short-term and also long-term complications, and correspondingly, your possibilities of search an implant revision.

Saline vs. Silicone chest implants

In general, silicone implants are less prone to rippling and also visibility. There room also

more options for silicone implants, both in size and shape and in gelatin materials. That said, there have actually been recent improvements to saline implants which make them ripple less and feel an ext natural 보다 older versions. The choices for saline implants are, however, much more limited.

Your individual goals and also desires

There are plenty of factors to consider when picking your implant size, shape, and location. Your anatomy, the can be fried shape and size of the breast you desire, and also your way of living all play vital role in her decision. Remember, there is no “one-size-fits-all.” Together, we will decide on the appropriate implant and implant location to attain your goals during your consultation.

What is the most well-known implant location option?

There is no “Holy Grail” because that implant type, size, shape, or location. What is ideal for one individual might not be appropriate for another. In fact, Dr. Movassaghi just recently released a publication titled, “Shaping the Breast: A substantial Approach in Augmentation, Revision, and also Reconstruction,” to resolve this specific issue, amongst others.

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Ready to talk about your implant placement options in Eugene? above Dr. Movassaghi

If you’re quiet unsure i beg your pardon implant placement choice is appropriate for you, nothing worry. Throughout your consultation, board-certified plastic surgeon Dr. Kiya Movassaghi will certainly measure your breast tissue thickness and aid you recognize your chest implant placement alternatives in detail. Dr. Movassaghi has over 19 years of suffer lecturing and performing breast augmentation and breast implant revision surgeries and would love to help you accomplish your right augmentation results. Call our Eugene office digital or contact (541) 686-8700 to schedule her consultation today.