Introduction: Choosing the Right Implant Placement for You

Breast augmentation is one of the most popular cosmetic surgeries worldwide. Whether you’re enhancing your breast size, restoring volume after pregnancy, or correcting asymmetry, breast implants can achieve your desired look. But choosing the right type of implant is only part of the decision-making process. An equally important choice is where the implant is placed: above or below the muscle. This choice can affect not only the final aesthetic results but also your recovery and long-term satisfaction.

In this guide, we’ll break down the three most common breast implant placements—subglandular, submuscular, and dual-plane—offering insight into each method, its advantages, and the patients who benefit most from it. We’ll also explore advanced techniques like HD endoscopic surgery and subfascial placement to help you make an informed decision.

Over the Muscle (Subglandular) Placement: For a Faster Recovery

Subglandular placement, often called “over the muscle,” involves positioning the implant beneath the breast tissue but above the chest muscle. This technique works well for women who have enough natural breast tissue to cover the implant.

Why Consider Subglandular Placement?

• Faster recovery: Since the chest muscle isn’t altered, healing time is quicker and less painful.

• Less post-operative discomfort: There is minimal muscle stretching, leading to fewer sensations of tightness and soreness.

• Easier access for shaping: Surgeons can shape the breast with ease since no muscle manipulation is required.

However, it’s important to note some potential challenges:

• Higher risk of capsular contracture: This occurs when scar tissue forms around the implant, potentially causing firmness.

• Visibility of the implant: In lean patients or those with less natural breast tissue, implants may be more noticeable.

• Increased risk of rippling: This is more likely in patients with very little breast tissue to cover the implant.