During your pre-op consultation you may have a decision to make with your plastic surgeon: do you want your breast implants inserted under or over the muscle?
So what are the real differences between the two, and which one is right for your particular body? Breast implants that are inserted on top of the muscle (subglandular) are placed between your natural breast tissue and your chest muscle. Breast implants that are placed under the muscle (submuscular) are inserted beneath the muscle and also your natural breast tissue.
If you have very little breast tissue of your own, over the muscle breast implants might look unnaturally round and firm. This is especially true with saline breast implants, which are not as soft and squishy as silicone implants.
By placing saline breast implants under the muscle, the added pressure softens up and more naturally shapes the otherwise round and firm implant. Plus, under the muscle implants do provide an extra layer of protection.
Over the muscle breast implants have their own sets of benefits. If you have at least a B cup pre-surgery, over the muscle implants can appear very natural. If you have little to no breast tissue, over the muscle implants put you at risk for rippling or folding, especially with saline implants.
Silicone breast implants are often recommended for over the muscle because silicone is softer and more pliable in consistency than saline; this keeps implants soft and well shaped without the added weight of your chest muscle on top. Plus, if you lift weights or do push-ups, your implants won’t move as your chest muscles flex.
No two people are exactly the same and so the choice between over or under the muscle beast implants should be completely dependent on your body type and personal preference.