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Breast Implants under the Muscle – Breast Implant Placement

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Breast Implant Placement

Breast Implant Placement – Under the Muscle, Over the Muscle or Dual Plane

Breast implant placement, a crucial aspect of breast augmentation surgery, involves positioning the implant either underneath the pectoral muscle (submuscular) or directly behind the breast tissue, over the pectoral muscle (subglandular). The choice between these two options varies depending on several factors, including your body type, desired aesthetic outcome, and advice from your plastic surgeon.

In-depth knowledge about implant placement can significantly contribute to a successful operation and satisfying results. It’s not just about increasing the size of your breasts; it’s about enhancing your body proportion and achieving a natural look that suits you. The final decision on breast implant placement should always be a collaborative effort between you and your plastic surgeon, considering your individual needs and goals.

Breast implant placement can greatly influence both the appearance and feel of your breasts post-surgery. Understanding the differences and potential outcomes between subglandular and submuscular placement can assist you in making an informed decision.

Anca Breahna is a renowned plastic surgeon based in Chester, UK, specialising in breast surgery. She offers a range of breast surgery procedures including breast augmentation, breast reduction, and breast reconstruction, among others.

Download Miss Anca Breahna Breast Augmentation Guide

Breast Augmentation Guide


Why Is Implant Placement Important?

Breast implant placement plays a significant role in determining how your augmented breasts will look and feel. It’s a critical factor that impacts the surgical results, including the shape, projection, and overall aesthetic appeal of your breasts. But it’s not just about the aesthetics. The placement of your implant can also influence the risk of complications post-operation, such as capsular contracture – a condition where the scar tissue around the implant hardens, causing discomfort and altering the shape of the breast.

Moreover, implant placement can affect the ease of mammography and breast self-examinations. It’s a decision that requires careful thought and understanding. The right placement can enhance your satisfaction with the surgery and contribute to a more positive body image.

Deciding on the correct placement for you isn’t a decision to rush into. It’s a choice that should be made with your plastic surgeon’s expert guidance, considering your lifestyle, medical history, and personal preferences.

Different Types of Breast Implant Placement

There are essentially two types of breast implant placement – subglandular and submuscular. Subglandular, or “over the muscle” placement, involves positioning the implant between your breast tissue and the pectoral muscle. This placement can provide a more rounded look and may be ideal for individuals with sufficient natural breast tissue.

Submuscular, or “under the muscle” placement, on the other hand, involves positioning the implant beneath the pectoralis major muscle. This placement can lead to a more natural look and feel, especially for individuals with little natural breast tissue.

A third type of breast implant placement is called “dual plane”. In this case, the implants are covered by the pectoral muscle on the upper part and the glandular tissue on the lower part.

Each type of placement has its advantages and potential drawbacks. Anca Breahna will discuss these with you during your consultation, taking into account factors like your anatomy, the size and type of implants you choose, and your desired outcome. It’s crucial to communicate openly with your plastic surgeon to ensure your expectations align with the potential results.

Submuscular Breast Implant Placement

Submuscular breast implant placement has gained popularity over the years due to its potential benefits. This procedure involves placing the implant partially or fully under the pectoral muscles, providing additional coverage and support for the implant. It may be an ideal choice if you have thin skin or little natural breast tissue.

By placing the implant under the muscle, Anca can create a more natural slope to the upper part of the breast. This placement can also reduce the visibility and palpability of the implant, leading to a more natural feel. It’s a technique that can deliver a subtle enhancement, perfect for those seeking a more understated look.

However, it’s worth noting that submuscular placement may involve a slightly longer recovery period due to the additional manipulation of the muscle tissue. You might experience more post-operative discomfort compared to subglandular placement. Your plastic surgeon will guide you through the recovery process, providing advice on pain management and activities to avoid.

The Advantages of Under-the-Muscle Breast Implant Placement

Breast Implant Under the Muscle

The submuscular method of breast implant placement offers several advantages. One of these is a reduced risk of capsular contracture, a common complication associated with breast implants. By placing the implant beneath the muscle, there is less chance of scar tissue forming and hardening around the implant.

Another significant advantage is the improved imaging during mammography. The placement under the muscle allows for better visibility of the breast tissue during a mammogram, ensuring any possible anomalies can be detected early.

Additionally, the under-the-muscle placement may lead to more natural-looking results, especially for those with thinner skin or less breast tissue. The muscle layer provides additional padding, reducing the likelihood of implant edges being visible or palpable, leading to a smoother, more natural contour.

Considerations for Submuscular Breast Implants

While submuscular breast implant placement has its advantages, it’s also essential to consider potential drawbacks. The procedure may be slightly more complex and potentially result in a longer recovery period, as the surgeon needs to manipulate the chest muscles during surgery. This could lead to more post-operative discomfort and a longer healing process.

Another consideration is the possibility of implant movement during chest muscle contractions. When you engage your pectoral muscles, particularly during exercise, there’s a chance that your implants may move or rotate, which could be a concern if you’re an athlete or regularly engaged in vigorous physical activity.

Lastly, while submuscular placement can offer more natural-looking results, the final outcome greatly depends on your individual anatomy and the skill of your plastic surgeon.

Comparing Subglandular and Submuscular Breast Implants

When comparing subglandular and submuscular placement, it’s important to consider your personal goals, lifestyle, and body type. Subglandular placement might be the better choice if you prefer a more pronounced upper breast fullness or if you engage in heavy chest workouts, as this placement avoids the potential movement of implants during muscle contraction.

On the other hand, submuscular placement might be more suitable if you have thin skin or little natural breast tissue, as the muscle provides additional coverage for the implant, potentially leading to more natural-looking results. It’s also a good choice if you’re concerned about potential complications like capsular contracture or if you want to ensure optimal imaging during mammograms.

In the end, the best choice depends on a thorough discussion with your plastic surgeon, who will recommend the most suitable option based on your individual needs and goals.

Dual Plane Breast Implant Placement

A relatively new approach to breast implant placement is the dual plane method. This innovative technique combines the benefits of both subglandular and submuscular placement. In a dual plane procedure, the implant is placed partially under the pectoral muscle and partially under the breast tissue.

This approach can offer the natural look of submuscular placement along with the fullness that subglandular placement provides. It’s particularly useful for patients with mild to moderate breast sagging, as it can provide a slight lift effect.

How to Choose the Right Breast Implant Placement for You

Choosing the right breast implant placement is a personal decision that should be made in consultation with a skilled and experienced plastic surgeon. It’s important to consider your body type, lifestyle, and aesthetic goals. Open and honest communication with your plastic surgeon about your expectations and concerns will help guide this decision.

Consider the pros and cons of each placement option, and don’t hesitate to ask questions or seek a second opinion if necessary.

FAQs about Breast Implant Placement

FAQs Anca Breahna

How long is the recovery period after breast implant surgery?

  • The recovery period can vary depending on the individual and the type of placement chosen. Generally, most patients can return to light activities within a week. However, strenuous activities, especially those involving the upper body, should be avoided for at least 4-6 weeks. Anca will provide specific post-operative care instructions tailored to your situation.

Will the scars from the surgery be noticeable?

  • Scarring is a natural part of the healing process. The visibility of scars depends on the incision technique used, individual healing factors, and post-operative care. Over time, most scars fade and become less noticeable. There are also treatments and topical products available that can help reduce the appearance of scars.

Can I choose between saline and silicone implants regardless of the placement?

  • Yes, both saline and silicone implants can be placed either subglandularly (over the muscle) or submuscularly (under the muscle). The choice between saline and silicone is often based on personal preference, desired feel and appearance, and recommendations from the plastic surgeon.

How will I know if my implant has ruptured?

  • Symptoms of an implant rupture can vary. For saline implants, a rupture is usually noticeable as the breast will deflate due to the saline solution being absorbed by the body. For silicone implants, ruptures might be less obvious and are sometimes called “silent ruptures.” Regular check-ups and imaging tests like MRIs can help detect ruptures in silicone implants.

Does implant placement affect the risk of developing breast implant illness (BII)?

  • Breast Implant Illness (BII) refers to a range of symptoms some women attribute to their breast implants, though it’s not officially recognised as a medical diagnosis. Currently, there’s no conclusive evidence linking implant placement (subglandular or submuscular) to an increased risk of BII. It’s essential to discuss any health concerns with your plastic surgeon.

Will I need additional surgeries in the future related to my implant placement?

  • While breast implants can last for many years, they are not considered lifetime devices. Over time, you might need additional surgeries due to reasons like implant rupture, capsular contracture, or cosmetic reasons. Regular follow-ups with your plastic surgeon can help assess the condition of your implants.

How soon after childbirth or breastfeeding can I consider breast implant surgery?

  • It’s generally recommended to wait at least 6 months after childbirth or breastfeeding before undergoing breast implant surgery. This allows the breasts to return to their natural size and shape post-pregnancy and ensures that milk production has ceased.

Further Reading about Breast Surgery with Consultant Plastic Surgeon Anca Breahna

Medical References about Breast Implant Placement

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About Anca Breahna – Consultant Plastic Surgeon

top UK cosmetic surgeon anca breahnaMs Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of breast, body and face surgery and minor skin procedures.

As one of the very few female Plastic Surgeons in her region, she is able to offer that unique female perspective, with empathy, attention to detail and personalised care.

Anca Breahna’s surgical training has been largely undertaken within the United Kingdom. She began a rigorous training programme in Plastic and Reconstructive Surgery in 1999, after achieving her medical degree from the University of Bucharest. Miss Breahna attained her PhD degree at the same university in 2007 for her medical research. She then relocated to the UK to further extend her qualifications and training.

Anca’s NHS practice is now focused on Breast Reconstructive Surgery, Skin Cancer Surgery, Hand Surgery and soft tissue reconstruction. Over the last 15 years, through her pursuit of further training and education, Anca has developed a special interest and expert practical experience in a range of Aesthetic Breast and Body Surgery.

It is Anca’s true dedication and commitment to her field, that sets her aside from her peers. Her extensive surgical training means that you are in safe hands. She is renowned for providing exceptional care, support and helping achieve realistic goals for her patients.

Anca will treat you in a straightforward manner, with respect, consideration and empathy to ensure you are comfortable with your choice.



Your Next Steps

Do your Research

  • Please read our website pages and blogs to learn more about your intended procedure.
  • All Surgery has risks and potential complications. Please read more about the risks of your surgery.

Making The Most Of Your Consultation

  • A Medical Referral from your Doctor before your consultation is not compulsory however  it is recommended.
  • Please arrive slightly early for your in-person consultation with Anca – Car parking is available on-site at all hospitals.
  • You are welcome to bring a friend or relative to help consider the information and discuss your options.
  • Please be aware you may need to undress for a physical exam so wear simple clothes.
  • Ensure you also take a lot of notes during the consultation and thoroughly read all the documents provided.

Want more information before scheduling your consultation?

Please call to find out more about availability, pricing and medical payment plans or to request more information about the procedure, contact us.

How to Book your Consultation with Anca Breahna – Plastic Surgeon

You can book your consultation with Anca by paying the £150 cosmetic consultation fee when you make your appointment. This fee covers further consultations about the same concern.

Contact Anca’s Team

Call Claire on 0800 080 6026 or Joedy on 03332 244111 to arrange your consultation or email us for more information.

We look forward to hearing from you soon.

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