When it comes to breast augmentation, one of the most critical elements in achieving a natural-looking result is proper implant placement. Patients have two options for implant placement: over the pectoral muscle (subglandular) or under the pectoral muscle (submuscular). The most appropriate choice will depend on several factors unique to each individual, including skin thickness and preoperative breast size/shape.
For women who have thin skin and minimal breast tissue, I usually recommend placing breast implants under the muscle. The added thickness of the muscle over the implant helps to conceal the shape of the implant and/or any folds or rippling that may occur, resulting in a more natural appearance for most women. It is important to note, however, that the lower outer half of implants positioned deep to the muscle will not be covered by muscle tissue due to the anatomy of the pectoral muscle. Consequently, folds and wrinkles are more likely to be apparent or palpable in the lower portion of the breasts. Despite this, most patients and plastic surgeons agree that submuscular implant placement still provides a natural-appearing result.
For patients who have good skin thickness and an ample amount of tissue (i.e. women who can fill an average B cup or more), a natural-looking outcome can often be achieved by placing breast implants above the muscle. When this is the case, I typically recommend gel implants due to their reduced rate of rippling. Subglandular implant placement is also preferred for individuals whose breast skin and/or tissue needs to be expanded.
If you have any additional questions, or if you would like to schedule a breast augmentation consultation at my practice, please don’t hesitate to contact Aesthetic Surgery of Virginia today.
– Dr. Enrique Silberblatt, Board-Certified Plastic Surgeon