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How to Choose the Right Placement for Breast Implants

Before you make any final decisions about breast implants in St. Louis, there are various factors to take into consideration, such as implant filler material, size, and profile, as well as the type of incisions you’ll have. Many people don’t realize that there are different breast implant placement options available to choose from, including the subglandular (over-the-muscle) and submuscular (under-the-muscle) positions. The ideal implant placement depends on the patient, and the decision is made based on the preferences of the patient and surgeon, as well as realities of a patient’s anatomy and other details.

When choosing the implant placement position, your body type, the amount of muscle you have on your chest, how much existing breast tissue you have, the condition of your health, the implant size, the implant filler material, and your goals will be taken into consideration. It’s important to discuss this aspect of the procedure with an experienced, board-certified plastic surgeon during your consultation.

There are several major differences between the two placement options:

Subglandular Placement

In a subglandular placement, the implant is inserted above the pectoral muscle, but under the breast tissue and mammary gland. This placement involves a less complicated type of surgery, has the shortest recovery time, and causes the least amount of post-operative discomfort for patients.

However, the implants may look less natural, the risk of visible irregularities and rippling is higher due to the fact that they are closer to the surface, there is a higher rate of capsular contracture, and it is more difficult to have accurate mammogram readings. This position is more suitable for women who have a larger amount of natural breast tissue that would provide good coverage over the implants. It’s also a better choice for women who naturally have large or developed chest muscles, as the movement of the muscles may distort the implants positioned elsewhere.

Submuscular Placement

In this placement, the implant is inserted behind the major chest muscle wall and supporting connective tissue. This is the most popular option. Many women choose it because, while it’s safe to have mammograms regardless of which placement you choose, the submuscular placement makes it easier to have the breasts examined. One of the drawbacks is that the placement can require a longer recovery time.

Start planning your breast augmentation with help from our team at West County Plastic Surgeons of Washington University. Learn more about what’s involved by calling us at (314) 996-8800 or sending us a message to request a consultation.