Breast augmentation is a transformative cosmetic procedure that empowers individuals to enhance their breast size and shape, boosting their self-confidence and embracing their desired aesthetic goals. Among the various implant placement options available, submuscular implant placement, also known as “under the muscle” placement, offers a popular approach known for its natural-looking results. In this blog post, we will provide a detailed overview of the submuscular implant placement technique, exploring its benefits, the surgical process, and important considerations to help you understand why it continues to be a preferred choice for many patients and skilled plastic surgeons.

What is Submuscular Implant Placement?

Submuscular implant placement involves positioning the breast implant beneath both the breast glandular tissue and the pectoral muscle. The implant is placed beneath the pectoral muscle, providing additional coverage and support for the implant, which can result in a natural and gradual slope from the upper chest to the breast.

Advantages of Submuscular Implant Placement

Submuscular implant placement offers several advantages, making it a popular choice for certain patients:

• Natural-Looking Results: Submuscular placement may provide a more natural appearance, with the implant sitting beneath the muscle, giving a smooth and gradual slope from the upper chest to the breast.
• Reduced Risk of Visible Rippling: Submuscular placement can be advantageous for patients with minimal natural breast tissue or those choosing saline implants, as the additional coverage from the muscle can help reduce the visibility of implant rippling.
• Potential Reduced Risk of Capsular Contracture: Some studies suggest that submuscular placement, as opposed to subglandular placement, may be associated with a lower risk of capsular contracture—a condition where scar tissue forms around the implant.
• Potential Easier Imaging during Mammograms: Submuscular placement may make it easier to visualize breast tissue during mammograms, as the implant is situated beneath the muscle.

Considerations for Submuscular Implant Placement

While submuscular implant placement offers significant benefits, there are important considerations to keep in mind:

• Longer Recovery Period: Submuscular placement may involve a slightly longer recovery period compared to subglandular placement, as the pectoral muscle is involved during surgery.
• Potential Impact on Muscle Contraction: Submuscular implants may move slightly with pectoral muscle contraction during certain activities, such as flexing the chest muscles. This movement is not harmful and is generally not noticeable in everyday activities.
• Breast Shape and Upper Pole Fullness: Submuscular placement may result in a slightly more natural slope, which may affect upper pole fullness or cleavage for some patients seeking enhanced upper breast fullness.

The Submuscular Implant Placement Procedure

The surgical process for breast augmentation with submuscular implant placement generally follows these key steps:

• Preparation and Anesthesia: Prior to the surgery, you will have a comprehensive consultation with your plastic surgeon to discuss your aesthetic goals, medical history, and expectations. During the procedure, anesthesia will be administered to ensure your comfort and a pain-free experience.
• Incision Placement: The surgeon will create an incision in the chosen location, such as the inframammary fold, periareolar border, or transaxillary area.
• Creation of the Implant Pocket: After the incision is made, the surgeon will carefully create a pocket beneath the pectoral muscle to accommodate the implant.
• Implant Insertion and Positioning: The chosen breast implant will be inserted into the pocket and positioned to achieve the desired symmetry and aesthetic outcome, considering the patient’s unique anatomy and goals.
• Closure: The incisions will be meticulously closed with sutures or surgical adhesive. Dressings will be applied to support the healing process and protect the incisions.

Recovery and Aftercare

Following the submuscular implant placement breast augmentation procedure, patients can expect some initial swelling, discomfort, and bruising. Your surgeon will provide detailed post-operative instructions, including guidance on pain management, wound care, and activity restrictions during the recovery period.

Attending all follow-up appointments with your plastic surgeon is essential to monitor the healing progress and address any concerns or questions you may have.

Is Submuscular Implant Placement Right for You?

The suitability of submuscular implant placement depends on various factors, including your aesthetic goals, breast anatomy, and the expertise of your plastic surgeon. It is essential to consult with a board-certified plastic surgeon experienced in breast augmentation to determine the most appropriate implant placement for your specific case.

During your consultation, your surgeon will conduct a thorough assessment of your individual needs and discuss the benefits and potential considerations of submuscular implant placement, as well as other placement options that may be suitable for you.

Conclusion

Submuscular implant placement in breast augmentation offers natural-looking results and reduced risk of visible rippling or capsular contracture. While the recovery period may be slightly longer and there might be minor implant movement with muscle contraction, many patients find that the benefits outweigh these considerations.

Choosing the right implant placement is a crucial step in achieving your desired breast augmentation results. By working closely with your plastic surgeon, openly communicating your aesthetic goals, and considering your unique anatomy, you can make an informed decision to enhance your natural beauty and embrace newfound self-confidence.

Disclaimer: The information provided in this blog post is for general informational purposes only and should not be considered as medical advice. For personalized guidance and recommendations, consult with a board-certified plastic surgeon experienced in breast augmentation.