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Problems With Breast Implants Under The Muscle

If you are considering breast augmentation, there are many choices to make. One of those decisions is whether you want your implants placed on the chest muscle or underneath it. There isn’t a “one-size-fits-all” solution that is perfect for each patient. The methods that you and your surgeon decide to take will depend on a variety of variables, and you have to consider each option to determine the best fit for your specific situation.

Implant placement for breasts is crucial for ensuring a patient gets the most attractive results and to avoid problems, like capsular contracture or implant rippling from occurring. In a breast augmentation procedure the implants are placed beneath a patient’s breast tissue, but above their chest muscles or under their breast tissue, and partly beneath the pectoralis major chest muscle.

The placement of both implants will yield satisfactory results. However, there are pros and cons for every option, so Dr. Bernard Salameh, one of the top plastic surgeons in Kentucky will analyze the specifics of your body to determine which placement is best for you. Salameh Plastic Surgery Center will walk you through this blog to help you decide which placement is best for you.

Breast Implants Under the Muscle

Implants that are placed under the chest muscles (a.k.a., “submuscular” placement) are an excellent option for women with a lack of tissues and are typical for breast augmentation candidates. The chest muscle provides protection and support that implants to create an attractive and natural look.

If you are planning to place implants under chest muscles, it’s important to take into consideration the position of the natural breasts with respect to the muscle. The muscle is situated at the top of the chest, running from the sternum down to the shoulder. In the event that the normal breasts shrunk (due to age and/or breastfeeding) and are now below the chest muscles, placing the implants below the muscle is generally not recommended as it could result in the implants appearing unusually over the chest, and possibly disfigured. In this case, placing the implants above the muscle is usually recommended.

The process of placing implants underneath the muscle is more complex and may cause less postoperative discomfort in subglandular implant placement. A further disadvantage is the possibility of animation deformity. This is a term used to describe a distortion in the implants when contracting the chest muscle during exercise or other everyday actions. The risk of deformity due to animation isn’t significant but is something to think about.

Advantages of Having a Breast Implant Under The Muscle?

You’ll have more tissue coverage so that the implant will not be as evident. This may result in an appearance that is more natural as it’s hard to discern the implant under the muscle of your body and the breast tissue. It is more natural to start off on the breast’s upper slope. This helps smooth out the line between breasts and implants.

Although this procedure can create an attractive, soft contour of your breasts, there are several negatives to take into consideration. Since the implant is located beneath the muscle, it could be a hindrance to the work you do or cause problems when you lead an active lifestyle. It is possible to have a certain amount of breast movement and this is something to be aware of if you are active.

Disadvantages of Having a Breast Implant Under The Muscle

As the tissue heals, it begins to adhere to the muscle. When you contract your pectoralis muscles, your breasts could be able to move in unnatural manners. They could, for instance, appear to rise and then outward or move down. Plastic surgeons refer to this issue as “dynamic distortion” or “animation deformity.”

Animation deformity is a problem after breast reconstruction that is characterized by implant displacement and pectoralis muscle contraction. The recent increase in awareness of this issue has led to increased interest in pre-pectoral breast reconstruction however research remains limited on the causes and consequences of deformities in animation. In particular, no danger factors are known to contribute to deformities in animation.

The results may take longer to show up. It is possible that you will have to wait for several months before your breasts fully recover. It is also crucial to know that when doing exercises or performing any other regular daily activities the pec muscle is likely to contract and make the implant flat in the process, which means that they are pushed forward and the shape of your breasts is altered.

In certain instances, there may be an indentation at the edge of the muscle. In the case of a moderate volume of breast tissue to begin with, in the course of time, you might develop a “waterfall deformity” due to sagging, particularly when it’s lax or gets lax over time.

Breast Implant Over The Muscle

Over the muscle or subglandular placement is the term used to describe placing implants above the chest muscle also known as the pectoralis major muscle and underneath the tissue of the glandular area. This method is generally suggested for women with some natural breast tissue as it provides cover and support to the implant. The proper implant coverage is vital for achieving a look that appears natural and not artificially increased.

Implants placed over the chest muscle are a simpler procedure, with a faster recovery. Patients who have implants put over the muscles tend to experience less discomfort post-operation since the chest muscles are not altered in the course of surgery. Additionally, keeping the chest muscle in place implies that there is no chance that the implants will distort when the chest muscles are flexed when exercising or doing daily routine movements.

However, there is a greater chance of rippling or noticeable wrinkles or folds within the implant, especially in the case of subglandular implant placement. This is more likely to be seen in women who are extremely thin or who have very little breast tissue at all.

Advantages of Having a Breast Implant Over The Muscle 

There are fewer chances of muscle interference and your sense of movement will not be affected much following the procedure. If you lead an active life the implants for breasts are less traumatic to the muscle tissue that is already present.

Because the breast implant will be placed over the muscles, you must have sufficient breast tissue to cover the implants. If not, there’s the possibility that the implants will show following surgery. You must ensure that you have sufficient tissue coverage to cover the dimensions and shape of the implants you’d like.

Disadvantages of Having a Breast Implant Over The Muscle

There is less breast tissue evident on mammograms. It is also more difficult to view when viewed through a mammogram. So your breast tissue might be described as dense in the case that you have a large amount of the tissues (and less fat). Thick breast tissue is normal. Certain women have greater breast tissue density than other women. Most women’s breasts get less dense with the passage of time. However, in some women, there’s not much of a change.

There is also an increased risk of developing capsular contracture. Capsular contracture can lead to constant pain and cause distortion to the shape of the breasts and can cause the breasts to appear higher in the chest. Once a breast implant has been placed in place fibrous scar tissue grows around it, creating a capsule. The body creates a protective capsule around any object that it perceives as foreign. The tissue capsule is generally flexible or slightly firm but not visible and aids in keeping the implant in its place.

The presence of breast implants on the muscle may also increase the likelihood of rippling, especially if you have small breasts. When there’s a deficiency of breast tissue that is natural enough to protect implants, it increases the likelihood of forming ripples, as well as highly noticeable folds or wrinkles. Rippling that is visible is rarer than rippling you feel but not be able to see. It can happen, however, it is more common for women who don’t have lots of breast tissue.

Breast Implant Profile Types

Woman holding silicon bags for breast implant

Implants can be found in different designs, comprising low-profile moderate profile, moderate profile plus profile with the high profile. A breast implant’s profile is related to how far the implant is projected into an erect chest. Implants with similar dimensions (cc volume) with different widths will have different projection levels. Implants that have a smaller base width will have better projection when compared with implants with a larger base width.

Implants with low-profile profiles have a lower profile and appear flat and only slightly projecting the chest. This kind of implant is suitable for women with larger chests. Implants with a moderate profile are those with a moderate profile, which tend to produce more natural-looking results. As the name suggests, they have more projection when compared to implants with a low profile, but not as significantly as high-profile ones. Implants with moderate profiles are generally best for women with smaller chests or narrower chests.

Implants with high-profile profiles are the type of implant that is extremely thin at their base to allow for the greatest projection. Implants with a high profile yield the most complete and most natural results, but they may appear more natural in certain patients. However, they are usually suitable for women with small breasts who have slim chest walls.

Saline vs Silicone vs Gummy Bear

Saline-filled implants can be had by all women who want to increase their breast size who are over 18. The silicone shell is placed into the body. It is then filled according to the size desired by Dr. Salameh. The saline liquid is similar to water. It is a thin layer of skin beneath which the folds of a saline-infused implant could be seen or felt more frequently. This is commonly referred to as implants “rippling” and “wrinkling.”

Certain saline implants come with the benefit of being adjustable postoperatively via remote injection ports This is often employed in certain kinds of breast implant procedures. It allows one to refine the volume of the implant in the months prior to when that port for the implant is taken out.

Silicone implants for breasts are filled with silicone gel. The gel is a little more natural and resembles breast tissue. In the 5th generation of silicone implants, the silicone gel won’t get out of the shell easily. The only way to find out if the silicone implant had ruptured and the gel leaked is by MRI. The new 5th generation silicone implant is much safer than the old generation silicone implant which is easily ruptured.

If you opt for an implant made of silicone, then you might have to see your plastic surgeon frequently to ensure the implants are working properly. A scan or MRI screening can be used to assess the health of implants for breasts. Silicone breast implants have been approved by the FDA to enhance the appearance of women over 22.

Form-stable implants are often called Gummy Bear breast implants since they keep their shape regardless of whether the shell is damaged. The silicone gel in the implant is stronger than conventional silicone implant implants. The implants are also more solid than traditional implants.

Gummy bear breast implants that are shaped are more pronounced on the bottom, and they are tapered toward the top. If an implant with a shape turns, it can cause an odd appearance of the breast, which requires an additional procedure to correct it. Gummy bear implants require a slightly larger cut within the skin.

How Do Breast Implants Feel?

Close-up of happy smiling young woman holding gel implant. Cheerful medical worker looking surprised. Clinic appointment. Modern medicine and body correction concept

The breasts are typically soft and smooth after the procedure of augmentation. If you do not have any severe capsular contractures and/or a sagging breast, your implants will probably feel normal to you. Many patients say that the feeling of implant implants fades within a few months and they are then a part of you.

How your breasts feel to others is based on a variety of aspects. The most important thing to consider is the proportion between your implant’s volume and your own breast tissue. The greater volume that is absorbed through the implant greater the impact it will have on the way the breasts appear. It’s not only about the amount of breast tissue there is, but also the extent to which it is covering the implant. If you have a decent amount of tissue within your breasts, or you have breast implants that are placed in a submuscular location in which case the implants won’t be as easily accessible, and they won’t be as important.

In general silicone breast implants are more like youthful breast tissue. They are soft, yet firm. Implants made of saline are the second most natural feeling. Many people claim that they appear like water balloons, however, that’s not true. Their thick silicon shell offers the implants a bit of the elasticity of natural breast tissue. The newest gummy bears can feel less natural due to the fact that they’re much more firm. For certain women, this can be an advantage, however, If you’re looking for a natural feel it might not be for you. In your appointment, you’ll be able to experience your options to make an informed choice.

If a natural appearance is an important aspect of your goal for cosmetics, and you’re not attempting to expand your breasts overly, you could look into natural breast augmentation with this BRAVA tissue expander as well as fat grafting. It will give you a significant increase in size with only your own tissue. They feel like they are natural because they’re.

What Does The Cup Size Mean For Bras?

Close up of hands choosing bras cups size and looking light new wireless and seamless technology with red hot color and sexy bra in lingerie shop at department store. Woman shopping underwear concept

The bra sizes are a size for the band (the size in the) and the cup size (the alphabet). The size of the band represents the measurement of your rib cage in inches while the size of the cup reflects the difference in the size of your ribcage and how big your breasts are. The right size of bra is essential to get the proper support, in addition to a comfortable fitting.

There’s nothing more satisfying than wearing an outfit that is perfect. It boosts self-confidence, making you feel that you’re prepared to tackle the world. However, not all people comprehend how bra sizes function. In essence, there are two measures that you must know to comprehend the way a bra size functions: the size of your band and the size of your cup. We’ll talk more about how sizes for bras are calculated and how to ensure you’re wearing the correct size bra.

Bra Sizing Explained

Two measurements are required to determine your bra size. The measurements are the size of your band and the size of your cup. Your band size is the total while the size of your cup is indicated with the letters.

The only tool you require to determine the size of your bra is a tape measure that’s flexible. The size of your bra can be determined by measuring your rib cage as well as your bust. Find out how to calculate your bra’s size accurately.

What is Band Size?

The size of your bra is the number you can see in the bra size. For instance 30, 36, or 40. This is the measurement of your rib cage. To determine the size of your band take your tape measure and wrap it around your rib cage directly underneath your bust. It should be exactly in the place where your bra will naturally rest. It must be level and secure. The measurement in inches represents the size of your band.

This is where a lot of stores on the high street make mistakes since they are famous for adding inches to the measurement. This is due to the fact that back during the 1950s bras was constructed out of satin and silk, and was not stretchy. But, we’re now in the 21st century and bras allow for stretching, and we don’t have to add anything to the measurement.

If you take a measurement around your ribs and find it to be 32 inches, that’s the size of your band. If you find that the number is an odd one it is possible to test the size between the two sizes to determine the one that best fits your needs.

What Does Cup Size Mean?

Your cup size is the letters that you can find in the size of your bras like B, DD, or G. This is what size your breasts will be as compared to the size of your ribcage. To determine the size of your cup measure it by wrapping a measuring tape around the largest part of your bust, then level it with your nipple, and then round the measurement by inches to the closest total number. Then subtract the measurement of your band from the number.

Therefore, if the measurement of your bust is 41″ and your measurement for the band is 34″ You’ll make the math 41-34, and get left in the 6″. You can then utilize the following table in order to determine the size of your bra.

Top Plastic Surgeons In Kentucky

Top Plastic Surgeons In Kentucky

These various breast surgeries and thousands of patients are under Dr. Bernard Salameh and Dr. Sam Saba who is one of the best plastic surgeons in Kentucky, a double board accredited by the ABPS (American Board of Plastic Surgery), and are committed to taking your safety and security very seriously. Our surgeons are regarded as the best plastic surgeons in Bowling Green, KY and they’ll go to great measures to ensure that you are satisfied with the result, no matter the procedure you choose.

Salameh Plastic Surgery has been thought to be the best plastic surgery in Evansville, Indiana, and our Salameh plastic surgery Bowling Green, KY, has years of experience and has performed hundreds of surgeries on a variety of patients. The existence of two centers within Kentucky and Indiana permits it to be more accessible to those looking to undergo procedures such as Lipedema, Liposuction, and different body, breast, and facial surgeries.

The top plastic surgeons in Kentucky at Salameh Plastic Surgery Center have years of expertise in the field and have performed hundreds of surgeries on various patients. The fact that we have the best plastic surgery in Evansville, Indiana, and Bowling Green allows it to be more accessible for those who want to undergo surgery like Lipedema, Liposuction, and various breast, body, and facial procedures. 


If you’re interested in breast augmentation, as well as other possibilities you’ve thought about, you must consider where your implants will be placed. There’s plenty of debate over whether placed beneath or over the pectoralis muscle is better or not. As we’ve hopefully demonstrated, both have pros and cons for each and it is dependent on the surgeon as well as what size your breasts and the size of your breasts in general.

Talking to your surgeon can assist you in ensuring that you receive the most effective outcomes for you and your body. If you have any concerns, don’t hesitate to ask our team at Salameh plastic surgery Bowling Green KY, or  Salameh plastic surgery Newburgh Indiana where we’ll be happy to discuss your expectations for enhancement and needs. Salameh Plastic Surgery Center also offers various procedures including breast reduction implant surgery, breast reduction with implant, and breast reduction with lift and implants. 

At Salameh Plastic Surgery Center, we are plastic surgeons that accept payment plans for our patients right from consultation through different surgery. Our plastic surgeons Evansville, Indiana location also will provide you with the most effective breast implant options, and a memorable experience! We also offer breast reduction with lift and implants and body shaping liposuction. We are also plastic surgeons that accept patientfi and credit care.

Schedule a consultation with our top plastic surgeons in Kentucky by clicking this link at Salameh Plastic Surgery Center, or call us at (270) 9047791


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