Placement of Breast Implants
During your breast augmentation surgery, implants may be placed over the pectoral muscle; over the pectoral muscle and under the fascia, or, covering of the muscle; under the muscle; or in the dual plane. In some cases, your plastic surgeon may use the “dual plane” technique, placing implants both over and under the pectoral muscles to internally lift the breasts maximally.
The placement of your implants will depend in part on your body type, the type of incision you choose, the type of breast implants you choose, the degree of enlargement you want to achieve from your breast augmentation, and the recommendation of your surgeon. You will discuss options and develop a plan designed specifically for you during your initial consultation with Dr. Malhotra.
How will the location of my breast implants affect my look?
The decision to place implants over or under the muscle is an important part of developing your breast augmentation plan. The type of implants you choose—saline or silicone—may appear differently under the breast tissue.
Saline implants may develop rippling when placed directly behind the breast tissue, or over the muscle. Some women and their surgeons prefer to place saline implants behind the muscle to minimize the likelihood of rippling. In some women, however, placement over the muscle will fill in loose skin and a more natural look will be achieved.
Silicone implants tend to have a look that is more similar to the natural breast and they are also less prone to rippling. The majority of silicone implants are placed under the muscle to help maintain the implant position. In addition, placement of the implants under the muscle reduces the chance of scar tissue, or capsular contracture, around the implants. Silicone implants are used approximately 70% of the time in our practice. If your breasts have fallen, you may find yourself wanting a breast lift in addition to having breast implant surgery.
Some benefits of placing breast implants behind the muscle include:
- A tendency for less rippling
- Less risk for firmness or capsular contracture
- More tissue covers the implant
The degree of scar formation varies from person to person, however there is less risk for scarring when implants are placed under the muscle. Capsular contracture, scar formation, and hardening of the tissue around the implant, is also more common with silicone-based implants. This scar formation may increase over time as the body responds to the presence of the implant.
There is a short recovery period following breast enlargement surgery when implants are placed under the muscle if quick recovery techniques are used. Women that are very active such as runners, body builders, and fitness instructors should discuss their physical activity plans with Dr. Malhotra. If exercise is important to you, it should be taken into account in developing your breast augmentation plan.
Meet Dr. Pramit Malhotra
Dr. Malhotra is board certified in plastic surgery and otolaryngology, and performs both surgical and non-surgical treatments.
Cost of Breast Augmentation and Breast Implants in Michigan
The cost of your breast augmentation and implants will depend on a variety of factors. View breast implant costs to learn more.