Over vs Under the Muscle

Over vs Under.

The Effect of Muscle

The Pectoralis Major

Once you've chosen a size, the next step is to decide whether the implant should go under the muscle or over the muscle. The muscle in question is the pectoralis major.

Under the Muscle

Implants placed under the muscle (subpectoral or dual plane) are further away from the skin than implants placed over the muscle. If you're thin on top or have very little breast tissue, the muscle will cover the top of the implant and give a more natural contour at the cleavage. Also, implants placed under the muscle tend to have less problems with hardening (capsular contracture).

Over the Muscle

Implants above the muscle are placed either immediately beneath the breast tissue (subglandular plane) or, less commonly, beneath the fascia of the muscle, but above the muscle itself (subfascial plane).

Remember

Choosing a proper implant size is not an exact science. Your breast measurements and texture will determine how much extra volume you can carry without overstressing your body, but you will find cosmetic improvement over a range of different volumes. There is more than one "right size" that will enhance your appearance.

Breast augmentation is not an emergency. Take the time to consider different sizes. If you're still not sure, you can buy yourself a few bras in the sizes that you're considering, stuff them, and spend a few days trying out each size.