Under the muscle vs. over the muscle - pros and cons of each
 

Even though there is still disagreement among plastic surgeons, lately the following is generally agreed upo:

Above The Muscle Breast Implants(Sub-glandular)

• Highest risk for capsule contracture

• More likely to interfere with a mammogram

• Highest risk of rippling, especially when the implant is textured

• Most likely to "bottom out" which is when the breast implants falls below the breast tissue level, resulting in a bulge in the wrong place and making any scars under the breast visible.

Under the Muscle Breast Implants(Sub-muscular)

• Less risk for capsule contracture

• Least chance of rippling

• Less likely to "bottom out"

• Less likely to interfere with mammograms

For the most part we can say the under the muscle placement breast implants give the best results. However there are DISADVANTAGES too:

• Longer recovery time with more post-op discomfort

• Harder to do so not as many cosmetic surgeons do it

• Since the pec muscles don't need to sag the breast implants sit higher on the chest. If you have natural breast sagging there could be some seperation of contour with the implant and natural breast tissue. The way to fix this though is with a breast lift.

• If you work out with weights some say the muscles basically squeezes the implants which creates an unnatural shape.

Hope this helps girls!!

I went with under the muscle breast implants but am only 5 weeks post-op so too soon to tell but I'll keep you guys updated.

Another benefit of going over the muscle is its easier to do, theres less recovery time, bigger implants can be used during the first surgery, less post-op pain and this is bec since only fat/skin are cut during surgery.

Over the muscle tends to look less real than under the muscle. My friend's doctor told her ripples and other obvious tell tale signs are less visible with going under. The drawback is the leaves the possibility of any chest exercises out of the question after so if you're very physically active it might not be best.

I discovered some useful info from an older friend of mine -

She was getting her breast implants replaced and she is 60. Her surgeon told her that for older women it is best to go over the muscle because as you age, you will have more sagging skin and lose tissue and this helps to perk it back up better than under the muscle. It's also better for this age group since the recovery is easier and less animation from muscle contractures.

If you're an A cup or smaller before surgery you most likely will need to go under the muscle anyway in order to cover the implant.

If you want to go to a big size, like a full D or bigger, and you don't have much breast tissue to begin with going the muscle is what you have to do to cover the implant also.

Also you can still get the rippling effect even when the breast implants are placed behind the pecs (aka partial under muscle implants). I don't think there's one right or wrong method it really depends on the person that's getting it. Everyone is different.

I've come to find there's no right answer here. So many things to take into account like your age, body type, health condition and more. What works for one of us won't work for the other. Yes there probably are so called best methods for certain types of people but I don't see how we can just say one type is best for all of us, not yet at least anyway.

my mother just got saline breast implants and she is in her 50s...... because of her extra skin from having children and age, she got them over the muscle to really fill it out. they look very real that way. my sister got them under the muscle cause she is young and had no extra skin really and that worked out well for her.

ps- as for the argument that the no silicone ones are solid, BULL!!!!!!! NO!!! they are not at all like cheek implants which are solid solid! they are still in liquid form but just more gooey! can u imagine if they were solid??? haha why would u ever want those? breasts are suppose to be soft!!!!

What I haven't heard mentioned is what I think the main difference between breast implants in front of the muscle and behind the muscle- the way they look after! When they're over the muscle you get a very noticeable cleavage line that goes over the top of the breasts. When you go behind the muscle the cleavage line doesn't go up over the breast and isn't as profound. In all fairness though I agree it depends on other factors too besides just being as black and white as over the muscle and under the muscle.