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Over Muscle vs Under Muscle: Best Placement for Breast Implants
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Breast Implant Placement
Have you been contemplating the idea of ? Perhaps you’ve caught yourself pondering how the precise positioning of the implants could affect the end result. Or maybe you’re actively trying to determine which implant placement would be the most beneficial for you. It’s worth noting that you’re among many women in the UK for whom breast enhancement holds a special allure. A myriad of social and economic considerations influence this popular surgical choice.
In our modern age, advances in medical technology have made breast augmentation not only more accessible but also increasingly safe. That being said, the importance of being thoroughly informed cannot be overstated. It’s a significant decision, and every potential patient should be armed with all the necessary knowledge.
Before embarking on this transformative journey, it’s imperative to have an in-depth consultation with a seasoned plastic surgeon. Here at Centre for Surgery, our team of professionals is ready to guide you through every step, ensuring you have a crystal clear understanding of all facets of the procedure. We encourage a proactive approach: ask questions, delve deep into specifics, especially about where the implants will be placed. This seemingly technical detail can profoundly influence both your external appearance and your internal confidence post-surgery.
Centre for Surgery prides itself on housing a cadre of surgeons with extensive experience spanning various breast-related procedures. Whether you’re seeking a breast lift, augmentation, reduction, or even a bespoke combination tailored to your unique needs, our overarching aim remains consistent: to pave the way for you to realise the silhouette you’ve dreamt of. Your aspirations guide our actions, and together, we can chart a course towards a more confident you.
Simple Guide to Breast Anatomy


Knowing a bit about what your breasts are made of can be really useful if you’re considering breast implants. This way, you’ll have a better idea of what happens during the surgery.
So, let’s break it down. Your breasts have 3 main parts:
Your breasts sit on top of muscles in your chest, called the pectoral muscles, and these are on top of your rib cage. How your rib cage is shaped can also affect how your breasts will look after getting implants.
A Deeper Dive into Breast Implant Placement
Have you ever wondered about where exactly a breast implant is positioned during a breast enlargement procedure? It might surprise you to learn that there’s more than just one answer to that. The breast implant can be placed beneath the muscle, right above it, or in a combination spot known as the « dual plane » position. The choice isn’t random; a blend of several factors influences it.
Factors that contribute to this decision can range from basic physical traits to more personal preferences. These include your weight, age, and overall body shape. Your health status and past medical history also play a crucial role in this decision-making. Then there are preferences linked to the kind of implant you desire, whether it’s saline or silicone. And of course, your own hopes and dreams about the final outcome are of paramount importance.
It’s precisely at this juncture that the wisdom and skill of your chosen surgeon become invaluable. Harnessing the insights from their extensive background and numerous procedures they’ve carried out, our surgeons at the Centre for Surgery are perfectly poised to guide you. They’ll shed light on the unique characteristics of each placement type, helping you weigh the pros and cons. Our mission? To empower you with knowledge, so together, we can make a decision that beautifully aligns with your vision.
Subglandular Implant Placement for Breast Augmentation


Breast augmentation continues to be a popular cosmetic surgery choice for many in the UK. One of the key decisions to make is the placement of the implant. One such method is the subglandular or subfascial placement, also known colloquially as the ‘over the muscle’ technique. In this guide, we delve deeper into this technique, examining its procedure, ideal candidates, and its pros and cons.
In the subglandular approach, the breast implant is strategically positioned between your natural breast tissue and the pectoralis major, a thick muscle on the chest. The underlying principle of this method is to place the implant beneath the breast glandular tissue, ensuring a natural look and feel.
This type of implant placement is often recommended for women who already have a significant amount of natural breast tissue, typically those who wear a B cup size or larger. The existing breast tissue acts as a natural ‘cushion’, covering the implant and thus resulting in a fuller and more rounded appearance. This can be ideal for women desiring such an outcome, while others may opt for a more subtle look.
If you naturally have considerable soft tissue around your cleavage, this method often provides the most aesthetically pleasing result, with the implant nestled snugly between the breast tissue and chest muscle.
However, there are some considerations to bear in mind:
Submuscular Breast Implant Placement


When considering breast implants, one option is the ‘submuscular’ method, which is just another way of placing the implant ‘under the muscle’. So, what muscle are we talking about? It’s the pectoralis major muscle – think of it like a sturdy, fan-shaped muscle that sits across your chest.
Now, here’s how the procedure works. The surgeon carefully loosens a part of this muscle near the bottom, close to the ribs. Once that’s done, the breast implant is tucked right beneath it. However, there’s something to note: the pectoralis major isn’t long enough to cover the whole implant. It manages to shield only the upper part, while the lower part remains nestled under your natural breast tissue.
The ‘under the muscle’ or ‘submuscular’ method might be the best bet for ladies who naturally have less breast tissue or those who wear smaller bra sizes. Why? Simply put, if there’s not much natural breast tissue to work with, the muscle in that area can help cover and support the implant better. This tends to result in breasts that look and feel much more natural.
Dual Plane Breast Implant Placement
The world of breast augmentation has evolved, and the ‘dual plane’ technique stands out as a sophisticated blend of two primary methods of implant placement. If you’re thinking of this approach, let’s delve deeper into understanding it.
In dual plane placement, the breast implant is strategically positioned: a portion rests behind the pectoralis muscle (which is the large muscle of the chest) and the remainder behind the breast tissue itself. To achieve this:
Understanding the « Drop and Fluff » Phenomenon in Breast Implants
Have you ever heard the terms «  » related to breast augmentation? It might sound a little quirky, but it’s an essential part of understanding what happens post-surgery. Let’s delve into the details.
When surgeons position breast implants underneath the pectoralis major muscle – a thick muscle lying flat against the chest – the implants initially look and feel a bit ‘off’. Why?
The magic happens as time goes on. As days turn into weeks and weeks into months, the pectoral muscle and the surrounding breast tissue start adjusting to their new roommate, the implant. The muscle loosens, the breast tissue stretches, and the implant gradually begins to settle.
The « Drop » refers to the implant moving downwards into its intended position, giving the breast a more natural silhouette.
The « Fluff »: As the muscle and breast tissue accommodate the implant, the lower part of the breast begins to fill out and round. The whole breast begins to take on a softer, more natural appearance and feel.
And what about the areola? Initially, after surgery, it might appear to be pointing downwards. But as the implant drops, the areola returns to a more forward-facing position.
The transformation isn’t overnight. Typically, the significant changes start showing around the three-month mark post-surgery. However, everyone’s body is unique, and the exact timeline can vary. Some might see the desired results sooner, while for others, it might take a tad longer.
Choosing the Right Breast Implant Placement for You
Breast augmentation is a highly individualised procedure. What works wonders for one woman might not necessarily be suitable for another. So, when you’re considering which implant placement is best for you, it’s essential to consider a multitude of factors:
The right implant placement is a tailored decision made in collaboration with your surgeon. When you meet with a specialist at Centre for Surgery, the process typically involves:
When pondering over the implant placement options, it’s worth noting:
But remember, there’s no universally « best » method. The most appropriate implant placement will vary based on individual factors, desires, and anatomical considerations.
It’s paramount to consult with an experienced surgeon who can provide tailored advice. They’ll assess all the factors, listen to your goals, and recommend a placement technique that aligns with your body and desires. The key is collaboration, open dialogue, and a shared vision of the desired outcome.
All You Need to Know About Breast Implant Placement – Common Questions Answered
This isn’t a straightforward ‘yes’ or ‘no’. Several factors come into play when making this decision. For instance, if you naturally have fuller breasts, placing the implant over the muscle might be the better choice for you. On the other hand, for those with less breast tissue, the under-the-muscle approach, or even the dual-plane method, might be recommended. The final call will be made by your surgeon after taking into account multiple factors and, of course, in discussion with you to ensure the results align with your vision.
It might appear that way, yes. When implants are tucked under the muscle, the outcome is often a subtler, more natural look. For those worried about this subtlety, considering a slightly bigger implant could be a solution. Naturally, these nuances are best discussed during your consultation.
There’s a simple trick to it. Press inwards with your hands placed on your hips; this action contracts the chest muscle. If the top portion of your implant seems to flatten out, then it’s likely under the muscle. If there’s no change, it’s probably above the muscle.
For women on the leaner side, having ample tissue to cover the implant can be a challenge. Therefore, women with more generous breast tissue often find over-the-muscle implants to look more natural.
Yes, a bit. Generally, when implants are placed under the muscle, there’s a volume reduction of around 50cc. So, if you’re targeting a breast size of 300cc, you might need to consider a 350cc implant to get the desired result.
Unfortunately, yes. Given that the muscle is incised during the procedure, the postoperative pain can be sharper, especially in the first few days.
The longevity varies, but most silicone or saline implants last between 10 to 20 years. It’s not uncommon, however, for some to be removed earlier for aesthetic or other reasons. A segment of patients might even opt for removal between the 8 to 10-year mark.
Generally, the placement of breast implants should not interfere with your ability to breastfeed. This is because the implants are usually placed under the breast tissue or muscle rather than within the glandular tissue that produces milk. However, the surgical approach might have an impact, such as if the incisions are made around the areola. Always discuss your future plans for breastfeeding with your surgeon during the consultation process to determine the best surgical plan for you.
Yes, breast implants can feel different when touched compared to natural breast tissue. The type of implant material, whether silicone or saline, as well as the implant’s size and texture, can all affect how natural the breasts feel post-surgery. Generally, silicone-based implants offer a more natural feel, particularly if they are not excessively large.
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If you’re getting breast implants and they’re going under the muscle, you might feel more pain after the surgery compared to having them placed over the muscle. But don’t worry too much—the pain is usually not that bad and can be managed well with pain relief tablets.
After you’ve had breast implant surgery, particularly if the implants are under the muscle, it’s best to steer clear of exercises like push-ups, planks, or bench presses for a while. These exercises put a lot of pressure on your chest muscle, which can mess with the position of the implants. Over time, this could make the implants move down or shift out of place. So, it’s a good idea to wear a supportive sports bra when you finally get back to exercise.
While the implants themselves won’t change in size, losing weight can make them appear larger in proportion to your overall frame. This is particularly true if you lose OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines TreatmentCrow’s Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis TreatmentChronic Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentBlepharospasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough FillersNasolabial Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling (https://www.tlcark.com/) from areas around the breasts, such as the upper torso or back, making the implants more prominent.
No, the implants stay the same size. But as your breasts recover from the surgery, they might settle and appear more voluminous.
They might look more pronounced on a slender frame, but remember that the implant’s actual size remains unchanged.
While there are numerous options on the market, silicone implants are often touted to give the closest look and feel to natural breasts.
After the surgery, due to inflammation and swelling, the implants might seem smaller. As you recuperate, they’ll settle, and the appearance will become fuller.
Yes, it’s a possibility. Once your body has fully adjusted to the initial implant, you can consider upsizing. Always be sure to discuss this with your surgeon before making a decision.
It’s typically recommended to wait between six months to a year.
The « worth » of breast implant surgery is a personal consideration and varies from person to person. If you’re self-conscious about the size or symmetry of your breasts, then breast augmentation can significantly improve your self-esteem and body image. The procedure allows for more clothing options and can make you feel more comfortable in social situations. However, having realistic expectations and discussing your goals thoroughly with your surgeon is essential.
Why Choose Centre for Surgery for Your Breast Augmentation Procedure?
At Centre for Surgery, our paramount focus is on patient care, safety, and exceptional clinical outcomes. We are proud to be accredited by the highest medical and healthcare standards, ensuring you’ll receive the highest quality of care.
Our team of specialist plastic surgeons are some of the best in the field, with decades of combined experience. They stay abreast of all the latest techniques and technologies to provide state-of-the-art care.
We understand that every patient is unique, so we offer personalised consultations. We provide individually tailored treatment plans to meet your specific needs and ensure you get the desired results.
From diagnosis to recovery, we utilise the most current, evidence-based technology to provide the best possible care and monitoring.
We believe in looking after our patients from the first consultation to post-operative recovery and beyond. Our dedicated support team is available 24/7 to ensure you are well taken care of throughout your journey.
Sarah’s Breast Augmentation Experience « My experience at Centre for Surgery was phenomenal. The staff were incredibly supportive, and the results were beyond my expectations. The dual-plane technique they recommended worked wonders! »
Alex’s Rhinoplasty Journey « I was really nervous about getting a nose job, but the team at Centre for Surgery made me feel at ease. My surgeon was incredibly professional, and I couldn’t be happier with how my nose looks now! »
Linda’s Facelift Transformation « I wish I had done this years ago! The Centre for Surgery team have been outstanding from the initial consultation to the aftercare. A special shout-out to the nursing team who were ever so kind. »
Ready to take the first step towards the new you? Don’t hesitate to get in touch with us to schedule a consultation. You’ll have the opportunity to meet your surgeon, discuss your options, and start planning your treatment.
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