Breast Implant Placement Options

Updated January 31, 2022

Pros & cons of over the muscle vs. under the muscle breast augmentation

Just as implant size, shape, and style are all important factors when considering breast augmentation in Little Rock, so too is implant placement, as it will affect the look and feel of your new chest. There are a few important factors to consider when choosing subglandular (over the muscle) vs. submuscular (under the muscle) placement:

Both breast implant placement options have their own advantages and disadvantages that must be appropriately weighed when deciding where your breast implants will be placed. Dr. Branman will be sure to explain his recommendations at your pre-surgical appointment.

Subglandular placement (over the muscle)

In the subglandular placement method, breast implants are placed under the breast tissue and above the pectoralis muscle. By placing the breast implant above the muscle, a larger implant can be used because there is no muscle tissue limiting the size of the breast implant pocket. Also, the recovery time is typically shorter, with less post-operative soreness, because the surgery does not alter the muscle.

One drawback to subglandular placement is that when breast implants are placed over the pec muscle, the breasts may appear less natural because the transition from the chest to the breast is not as smooth. Also, the appearance of rippling and folding is more visible because there is less tissue covering the implant.

Submuscular placement (under the muscle)

In recent years, submuscular placement of implants has become the preferred choice among many surgeons and patients because of the natural-looking results that can be achieved. Submuscular placement involves placing breast implants underneath the lower portion of the pectoralis muscle, which can help reduce the risk of implant rippling and palpability, particularly in petite patients or those who do not have much natural breast tissue. Additionally, research has shown that by placing the breast implant here, the chance of capsular contracture is lessened regardless of the type of implant used.

One possible disadvantage of placing the breast implant behind the muscle is that a somewhat longer recovery period is necessary as the muscle tissue heals. Also, the size of the breast implant may be limited by this method. However, in the long run, many patients prefer the smooth chest-to-breast transition and ample implant coverage possible with the under-the-muscle method.

Which breast augmentation option is best?

The first step in determining which breast implant placement option is the best fit for you is to speak with an experienced cosmetic surgeon. If you’re considering breast augmentation in Little Rock, please contact us today. Dr. Branman would be glad to discuss your options and answer your questions about breast augmentation during a personal, private consultation.

For more information, contact us online or simply call the office at 501-227-0707 to schedule a consultation.