Implants Above or Below the Muscle?
Dr. Phil Haeck explains the options women have when considering getting a breast augmentation and whether its best to get breast implants above or below the muscle. Every woman’s body is different that is why it’s always best to consult with a board-certified plastic surgeon.
Hi I’m Dr. Phil Haeck and I’m a board certified plastic surgeon in Seattle, Washington. I work for The Polyclinic Plastic Surgery and I’ve been doing breast augmentation for 25 years.
Women want to know the pros and cons of putting an implant on top of the pectoral muscle or below the pectoral muscle. That’s a decision that needs to be made between the plastic surgeon and a patient based on her own individual characteristics. If a woman is already a C-cup and has a generous amour of skin, an implant on top of the muscle will give her a beautiful result and it might be less painful. If a woman’s an A-cup and does not have a lot of loose skin, that implant should probably be placed under the muscle. It gives you a more natural cleavage line and plastic surgeons for years have believed that going under the muscle is actually a better way to handle the implant for the long term. Every time you move your muscle that implant gets a subtle squeeze and that might make the implant softer in the long run.
Above the muscle an implant (breast implants) may be more visible. Below the muscle, you might have more natural cleavage lines and it’s a woman’s preference of what she wants to be seen above the bra line.