Breast Implant Placement: Over or Under the Muscle?

Plastic Surgery for New York City (NYC), Manhattan and all of New York (NY)

Once you have chosen the size and type of breast implants you want, the next question you will need to consider is where to place the implants relative to your chest muscle. This will affect your breast augmentation results in a few different ways.

Breast implant placement under the chest muscle (subpectoral) is usually the preferred choice, since the muscle coverage helps hide the edges of the implants, resulting in a more natural look and feel. Certain studies suggest that placing implants under the muscle also reduces your risk of capsular contracture. You may feel more post-operative pain and/ or discomfort due to increased pressure from the implant,  and slight pressure in your chest during exercise, since your muscles will tighten around the breast implants.

Placement over the chest muscle (subglandular) can contribute to a rounder, more pronounced overall shape in some patients, and also allows for larger sized implants. However, the risk of visible rippling and other aesthetic problems can be higher depending on the type of implant you have chosen, along with the risk of capsular contracture and bottoming out.

The right placement method for you will depend on the specific breast implants you have chosen, the thickness of your breast skin, cosmetic preference, and several other factors that Dr. Lefkovits will help you evaluate.

If you have further questions about breast implant placement, please contact Park Plaza Plastic Surgery today or call (212) 750-9494 to schedule your consultation with NYC board-certified plastic surgeon Dr. George Lefkovits.

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