Breast

Over The Muscle Vs. Under The Muscle In Breast Augmentation Surgery

over the Muscle Vs. Under the Muscle in Breast Augmentation Surgery

When having breast augmentation surgery with breast implants, where the implants are placed is a crucial decision that should be discussed with a plastic surgeon. This decision can have a profound impact on your ultimate results, short and long term.

Breast Augmentation Surgery In Dubai

Breast Augmentation Surgery in Dubai can involve placing implants either over the chest muscle or beneath it. Which of these approaches to use depends on things like the patient’s breast tissue, chest anatomy, skin quality, body proportions, and how they want to look. With over-the-muscle placement, the implant is put under the breast tissue but above the chest muscle. It might work for people who have enough natural tissue to cover the implants well, and it can make the breasts look fuller. Under-the-muscle placement puts the implant under the chest muscle. This can cover more soft tissue and make the transition look more natural in some patients with less breast tissue. Neither placement is better in every situation because each has its pros and cons. Your doctor looks at each patient individually at Perfect Doctors Clinic before recommending the best place for an implant. Patients can talk about their aesthetic goals and find out how implant placement might change the shape, look, comfort, and recovery of their breasts during the consultation. This customized method helps support breast augmentation results that are balanced and natural-looking while making sure the treatment plan fits the patient’s specific needs.

Implant Placement Options

Breast implants can be placed either behind (under) the pectoralis major muscle or in front of (over) the chest muscle, but behind the breast tissue itself. When placed under the muscle, it is called the subpectoral or submuscular position. When in front of the muscle, the implant is known as the subglandular or submammary position.

Why Some Surgeons May Recommend Over The Muscle

Some plastic surgeons may recommend placing the implant over the muscle for a few reasons. These reasons may include:

  • Surgeon preference that can be affected by training experience
  • It is a technically simpler procedure to perform.
  • Less discomfort immediately after the surgery and a slightly faster recovery
  • Muscle contractions in the chest wall do not cause dynamic implant deformities (which may be obvious to others in certain situations). These benefits may be especially important for some, such as bodybuilders.
  • If there is a small amount of loose skin (and the breast implants are small enough to consider this option), a breast lift may not be necessary—at least not initially.

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Why Perfect Doctors Clinic Recommends Under The Muscle

Your doctor usually suggests placing breast implants under the muscle for most women for a variety of reasons. These are:

  • When implants are placed over the muscle, they are supported only by skin, while a submuscular pocket provides better long-term support from the overlying muscle and other tissues. It means maintaining the breast shape longer. Larger implants placed above the muscle tend to cause and accelerate skin stretching and thinning, resulting in droopy, deformed breasts.
  • Mammograms are usually easier to read and interpret than when they are placed in a submammary pocket.
  • The risk of capsular contracture is lower.
  • Implant rippling and palpability are reduced. This issue is even more pronounced in thinner women and those opting for saline implants.
  • Implants that are more covered with soft tissue generally look and feel more natural in the breast. The “bolted on” look, however, is associated with larger implants placed over the muscle.

Your plastic surgeon should discuss with you thoroughly the crucial decision of whether to place your breast implants under or over the muscle for your breast augmentation.  

How Perfect Doctors Clinic Chooses Placement For Each Patient

Instead of following a rule, your doctor looks at a few specific things during consultations in Dubai:

  • Thickness of tissue. Your doctor can tell how much natural cover there is with just a pinch at the top of the breast. With a thin cover, going under the muscle is much more likely.
  • How many breast cells you already have. A person with a lot of natural tissue can usually hide an implant well in both planes, but a person who is very thin typically can’t.
  • Level of activity. Heavy weightlifters and athletes may choose a low dual plane or over-the-muscle placement to reduce animation.
  • The amount of sag. If there is real ptosis, the implant may need to be lifted along with it, which changes the placement calculus.
  • Screening and care are needed for a long time. Your doctor looks at your family history and screening history because implant placement changes mammograms.

Common Questions Patients Search About Breast Implant Placement

What Are The Cons Of Over-The-Muscle Implants?

The main problems are that the edges and rippling are easier to see and feel, especially in thin patients; the upper pole is rounder and easier to see; there have been higher rates of capsular contracture in the past; and mammography screening is harder to do because the implant sits in front of more breast tissue. These don’t matter as much for a person with a lot of natural tissue. That’s why over-the-muscle isn’t always the best choice, but it’s not always the worst either.

Can You Feel Breast Implants Over The Muscle?

You are more likely to feel the implant because only skin and a breast gland separate your hand from it. When the person is thin, that can mean feeling the edge along the top or side of the breast and sometimes seeing ripples. Putting the implant under the muscle makes it harder to feel the edges because it adds a layer on top of them. A cohesive silicone gel implant and enough soft-tissue coverage both make an implant less noticeable.

Can Subglandular Implants Look Natural?

They can, especially if the patient has enough of her breast tissue to cover the implant or if the implant is a moderate-profile cohesive gel implant that isn’t too big. Subglandular placement tends to look less natural in thin patients, as the upper pole can appear rounded and the edges of the implant may be visible. Your doctor judges the outcome on your actual tissue thickness with a simple pinch test rather than applying a blanket rule.

How Common Is Capsular Contracture Under The Muscle?

Anywhere an implant is put in can cause capsular contracture, which is when the scar capsule around the implant gets harder. However, lower rates have been found under the muscle than in the subglandular plane, according to several studies. It is thought that muscle movement over the implant and maybe better blood flow play a part. Going submuscular doesn’t get rid of contracture, but the lower rate is one reason why submuscular and dual-plane pockets are used so often.

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Dr. Perfect Celebrity, Medical Director

Dr. Perfect Celebrity is the Medical Director of Perfect Doctors Clinic.

Dr. Perfect Celebrity’s Board Certification and Licence

Dr. Perfect Celebrity is certified by the American Board of Plastic Surgery, is a Fellow of the American College of Surgeons and is licensed by the Dubai Health Authority (DHA licence 9284929-0).

Medical Review by Dr. Perfect Celebrity

Dr. Perfect Celebrity reviews the medical information on this site, so what you read here has been checked by a doctor.

How do I book a consultation for breast augmentation at Perfect Doctors Clinic?

Call us on +971 4 611 2000, send a WhatsApp message to +971 50 190 3845 or email concierge@perfectdrs.com, and we will find a time that suits you.

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Best Plastic Surgeon In Dubai For Breast Augmentation Surgery

Best Plastic Surgeon in Dubai for Breast Augmentation Surgery is available at Perfect Doctors Clinic, where your doctor provides personalized care for patients considering breast augmentation and different implant placement options. Picking the right place for the implants is an important part of breast augmentation because it affects the shape of the breasts, how they project, how visible the implants are, and how the whole thing looks. So, instead of using a standard method, the choice between over-the-muscle and under-the-muscle placement should be based on the person’s anatomy. When the implant is placed over the muscle, it is under the breast tissue and above the chest muscle. If a person has enough natural breast tissue to cover them well, this option may be a better choice. This option may also make the breasts look fuller. When the implant is placed under the muscle, it is under the chest muscle. This technique can give the implant more coverage. This could help people whose breast tissue isn’t very thick or who want a softer transition between the implant and the tissue around it. Before recommending implant placement at Perfect Doctors Clinic, your doctor carefully looks at the breast anatomy, tissue thickness, skin elasticity, chest structure, body proportions, and the person’s personal taste in how things look. Instead of using a method that works for everyone, this detailed evaluation helps make a treatment plan that is specific to the patient. During the consultation, patients can openly discuss their hopes and learn about the pros and cons of each placement option. Your doctor also talks about how the chosen method might change the way the person looks and how they heal. Perfect Doctors Clinic focuses on custom planning surgeries, careful aftercare, and results that look natural. Dubai patients who want breast augmentation surgery can get professional help throughout their treatment and make an informed choice about where to put the implants so that they look best with their body and meet their aesthetic goals.

Call or complete our online contact form today to schedule your free consultation with your doctor, if available during the discount season.