Choosing the correct breast implant placement is just as important as selecting implant size or shape. Whether implants are placed under the muscle (submuscular) or over the muscle (subglandular) affects the final appearance, feel, recovery, and long-term outcome of breast augmentation. Understanding the differences helps patients make informed decisions aligned with their anatomy and aesthetic goals.
Understanding Implant Placement Options
Breast implants can be positioned in two primary ways:
- Under the muscle (submuscular or dual plane)
- Over the muscle (subglandular)
Each approach has unique advantages and considerations depending on the patient’s body type and expectations.
Under the Muscle (Submuscular) Implant Placement
In submuscular placement, the implant is placed partially or completely beneath the pectoral muscle. This method is widely used and often recommended for patients with limited natural breast tissue.
Benefits of Under-the-Muscle Placement
- More natural-looking breast slope
- Lower risk of visible implant edges
- Reduced risk of capsular contracture
- Better mammogram imaging
Because muscle coverage softens the implant’s edges, this option is ideal for slim patients.
Considerations
- Slightly longer recovery period
- Temporary muscle discomfort
- Possible implant movement during chest muscle contraction
Over the Muscle (Subglandular) Implant Placement
With over-the-muscle placement, the implant sits above the chest muscle and below the breast tissue. This approach is often suitable for patients with adequate natural breast volume.
Benefits of Over-the-Muscle Placement
- Shorter recovery time
- Less post-operative discomfort
- No implant movement during muscle flexing
- More dramatic cleavage in some cases
Considerations
- Higher risk of visible implant edges in thin patients
- Greater likelihood of capsular contracture
- May interfere more with breast imaging
How Body Type Influences Placement Choice
Key anatomical factors include:
- Amount of existing breast tissue
- Chest wall anatomy
- Skin elasticity
- Lifestyle and physical activity level
Athletic patients or those with thin tissue often benefit from under-the-muscle placement, while patients with fuller breasts may prefer over-the-muscle positioning.
Impact on Aesthetic Results
Under-the-muscle implants generally produce a softer, more natural contour, while over-the-muscle implants can offer more immediate fullness. The final appearance also depends on implant type, size, and surgical technique.
Recovery and Healing Differences
Submuscular placement typically involves more initial tightness and soreness, while subglandular placement allows for faster return to daily activities. Full recovery for both approaches occurs over several weeks.
Long-Term Considerations
Long-term outcomes, including implant longevity and revision risk, are influenced by placement choice. Under-the-muscle placement often provides better long-term support and natural aging of the breasts.
Why Choose Badge Health?
Badge Health collaborates with experienced, board-certified plastic surgeons in Turkey who specialize in personalized breast augmentation planning. Using advanced assessment tools and patient-focused consultation, Badge Health ensures the safest and most suitable implant placement for optimal results.
Final Thoughts
There is no universally “better” implant placement—only the option that best fits your anatomy, lifestyle, and goals. A detailed consultation with a qualified surgeon is essential to determine whether under or over-the-muscle placement will provide the most natural, long-lasting outcome.