Breast Implant Placement Options
1. Over the muscle – Subglandular
- The Upside: Since the implant is placed over the pectoral muscle and below the breast tissue, recovery time is usually shorter because there are fewer traumas to the underlying tissues. Placing the implant over the muscle can also give the breasts a slightly lifted look.
- The Downside: Implants placed over the muscle sit closer to the surface of the skin, making them more detectable through touch and more visible if your skin is thin. And in a mammogram, your doctor cannot see as much breast tissue due to the placement of the implant.
- What the Expert Says: “Silicone implants allow for more patients to have their implant placed subglandularly (in front of the muscle) because there is less rippling and visibility with silicone,” explains Washington, DC, plastic surgeon Scott Spear, MD.
2. Under the muscle – Submuscular
The Upside: Positioning the implant below both the pectoral muscle and the breast tissue allows for the implant to be less visible and acting as an internal bra, keeping the implant in place. The implant is also only partially covered by muscle, so it’s less likely to cause problems with mammograms.
- The Downside: It’s a more painful recovery because the internal anatomy of the tissue behind the breast is changed more.
- What the Expert Says: According to Dr. Tracy Pfeifer, placing the implant under the muscle is good for those that are thin because it provides extra coverage over the implant, which gives a more natural look.
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