Why Breast Implants Should Always Go Under the Muscle

Many physicians, including myself, are choosing to only place implants under the muscle.

The reason is that there are much fewer risks of complications and there is no clear advantage for over the muscle.

These are three possible complications that can happen when the implant is over the muscle:

1) The implant exerts pressure on the breast tissue. This causes it to thin out. As the breast tissue thins out, you may see the edge of the implant through breast tissue. No one wants the edges of their implants to show! (If a woman has enough breast tissue, this complication will likely NOT happen.)

2) Placement over the muscle may decrease ability to breastfeed. This placement “violates” breast tissue, whereas, under the muscle there is no violation of breast tissue.

3) It is uncertain why, but over the muscle has higher rates of capsular contracture.

Another reason to go under the muscle is that it makes the detection of breast cancer easier for radiologists.

Why Some Surgeons Go Over The Muscle

Plastic surgery is a relatively young field. There have been about 30 years of data now on the over/under the muscle question. A surgeon who graduated in 1990 would not have been exposed to this data.

As said before, if a patient has enough breast tissue, one of the potential complications can be avoided. However, to many physicians, there is still no clear significant advantage that makes it more worthwhile.

If you are worried about complications, the key is to ask yourself, "How much do I want this? For me, is it worth the actual cost? Also, is it worth the potential cost in the unfortunate case of a complication?" Those are subjective criteria. They are not facts, but, at the end of the day, it's what it comes down to. It's a very personal decision only you can make.

That said, on RealSelf, 96% of women who have breast augmentations are very happy they did. And, in my experience, they almost always say, "I wish I had done this sooner." The reason for this wish is simple: they love the way they look and feel, and wish that they had experienced this sooner in their lives.

Keep doing the research that you are doing. Getting your doubts addressed and your questions answered will help you come to a decision. The best patients are informed patients.

Now that you have learned about breast implant placement, you may want to read up about implant shapes, sizes, and the question of how pregnancy affects the decision of when to have your breast augmentation procedure. .

And be sure to go to many consultations. Doing so will actually save you time overall. A consultation is where you will get the best quality information directly from a plastic surgeon.