Once you have decided to undergo breast augmentation, one of the many decisions you will have to make involves the placement of the implant. Under each breast sits a fan-shaped muscle called the pectoralis major. The implant can either be placed above it (subglandular) or below it (subpectoral or submuscular). This decision will have an effect on a few different things, including appearance, recovery time, and risk of complication.
For patients without much breast tissue to begin with, a subpectoral implant is more likely to produce a natural-looking appearance. This is because the pectoralis major adds an extra layer of covering. However, when the chest muscle is flexed, it puts pressure on the implant, causing it to flatten and shift visibly. This is an important consideration for athletes. In terms of recovery, subpectoral placement tends to be more painful and takes longer to show desired results. Finally, subpectoral implants interfere less with mammograms and future breast surgery.
Subglandular placement is most often recommended for women who already have a significant amount of breast tissue. This procedure is more likely to result in edges or rippling that can be seen through the skin. When smooth implants are used, placing them above the muscle involves a higher risk of capsular contracture, an immune response that is painful and potentially dangerous. Note that this risk can also be avoided by using textured implants. Recovery from subglandular augmentation is shorter and less painful.
There is no right answer for everyone – each procedure has its advantages and disadvantages. By carefully considering both options and consulting with your surgeon, you’ll be able to arrive at the right decision for you and be on your way to recovery and loving your new look.