Each option for implant placement—below or over the muscle implant—has its own perks in terms of style, recovery time, and mammogram efficiency. The most effective way will differ from woman to woman because of individual differences in physiology and lifestyle. Even while placing an implant on top of the muscle might be a decent option for some women, this option is not suitable for very thin women because there is not enough tissue to hide the implant and make it appear natural.

When it comes to the placement of implants, the chest muscle is responsible for two of the more important roles. One of the most important advantages is an increase in the protection afforded to sensitive structures. Another benefit is that it assists to define exactly the natural contour of the breast line.

In women who have naturally tiny breasts, breast implants should be concealed by a sufficient amount of natural breast tissue in order to achieve a natural appearance. In this particular scenario, the patient can end up with results that are less than satisfactory as a consequence of having the implants placed over the muscle.

Breast Implants

A natural breast will have an upper part that is not completely spherical and will have a modest slope to it. The sloping aspect that results from the insertion of an implant beneath the muscle is caused by the pressure of the tissues that are immediately next to the implant. This tilted appearance is frequently accomplished by exerting additional strain on a saline implant, which is more rigid than a silicone implant. Saline implants are typically used for this purpose. As a direct consequence of this, silicone implants have to be positioned below the muscle, whereas saline implants are almost always positioned above the muscle.

In this article, we will discuss the Subglandular breast implant and its pros and cons.

What Is A Subglandular Breast Implant Or Over The Muscle Breast Implants?

Breast Implant Revision

Subglandular breast enhancement or over the muscle breast implants involves inserting implants beneath the breast tissue and over the muscle implant of the pectoral. No flattening or shifting of implants occurs when the chest is flexed in this way. The need for a breast lift may also be reduced if you opt for sub-glandular implants instead. Over the muscle implants, age naturally with the patient by sagging down with the breast tissue. When the over the muscle implant is inserted beneath the breast tissue, healing time and discomfort are often reduced.

In over the muscle breast implants, the implant is placed in the retromammary space, the area between the breast tissue and the pectoralis major muscle where the areolar tissue is loose. As it most nearly mimics the natural arrangement of breast tissue, this position is generally regarded as the most visually attractive. Subglandular implants typically provide the breasts with a more prominent roundness and a more attractive cleavage line. Furthermore, sub-glandular insertion is preferable to submuscular implant placement since it requires less tissue penetration, has a faster operation and recovery time, and can be performed under local anesthetic only.

Pros And Cons Of Over The Muscle Implants

Heavy breast

The biggest pros of having an implant placed over the muscle is that it reduces the amount of motion that the implant and breasts experience when they are active. Additionally, compared to other procedures of implant placement, this one is easier to perform. In addition, surgeons are able to use larger implants when they do the sub-glandular placement.

This kind of breast augmentation typically results in the patient experiencing less pain and making a faster recovery from the procedure. Patients recover from the procedure more rapidly because the pectoral muscle is not stimulated while it is being operated on. Due to the rapid reduction in swelling that occurs following breast augmentation, it does not take the breasts very long to “resettle” back to their prior size and form after the procedure. There is no risk that the implant may become injured as a result of movements made by the chest muscles.

  • Better cleavage in the breasts.
  • Low risk of breast animation.
  • Lessening of lateral malposition (widening of cleavage).
  • Enhancement of breast form in cases of breast ptosis or breast contracture.
  • Fast recovery

breast implant

On the other hand, as one of the cons, the sub-glandular implantation of breast implants has become more uncommon because of the risk that it may cause many difficulties and unfavorable side effects. This is despite the fact that this placement method does have some benefits. With sub-glandular implant placement, the “rippling” effect of saline implants may be exacerbated. This is because the creases of the underneath implant are way more visible through the skin. In addition, the incidence of contracture capsular is around 30%, whereas the incidence of capsular contracture is only 10% when the implant is placed sub-muscularly. Capsular contracture complications occur after surgery due to the body’s immunological reaction to foreign material. During this problem, collagen capsules form and squeeze the surrounding tissue and the implant, which can frequently result in distortion, pain, and discomfort. Capsular contracture is a common condition that frequently necessitates the replacement of implants or corrective surgery. Subglandular enhancement is considered by some to be less physically pleasing than submuscular augmentation because they believe the breast’s roundness is unnatural when compared to submuscular augmentation. Because such assessments are very subjective, comparing after and before pictures will serve as your greatest reference when selecting the kind of outcome you want to achieve. Now you have understood the pros and cons of over the muscle implants.


Set up a time for a consultation with an experienced doctor if you are thinking about getting breast implants and are unsure which type of implant placement would be best for you if you go ahead with the procedure. Only after then you can figure out wether over the muscle implant or under the muscle implant is the best suited for you.  I hope you got a clear picture of over the muscle implant and the pros and cons of over the muscle implants in this article.

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