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Breast Implant Position Part II

"Over the Muscle" Breast Augmentation, a Blog by Dr. Loftus

Placing the breast implants over the muscle is also called subglandular or submammary because the implant is directly beneath the glandular tissue of the breast . Positioning the implant over the muscle leads to a faster recovery. There is less pain and swelling. Also, the shape of the breast can be improved easily because the implant is in direct contact with the breast tissue which is draped over it. Sometimes plastic surgeons describe this as the implant "molding" the shape of the breast. This is not entirely accurate. The interaction between the implant and breast tissue results in the final shape. This change is variable. However, in most patients this can help improve the shape of the breast. The improvement results from the increase in volume filling the skin and the shaping effect that the implant has on the breast tissue. The breast implant can exert this effect best in a subglandular (over the muscle) augmentation because it is in direct contact with the breast tissue. This effect is not as pronounced with the implant positioned under the muscle.

Over the Muscle Breast Augmentation Disadvantages

The down side of placing the implant over the muscle is that you may see and feel more of the implant than you would like. Think of it this way. The more of you (your breast tissue) that covers an implant, the less you feel the implant and the more you feel your own tissues. Your breast will feel more natural and look more natural the more of you that covers the implant. If there is less breast tissue covering the implant you are more likely to see breast implant rippling, and you will feel the implant more when you touch your breasts. Another disadvantage is that there is a higher rate of capsular contracture when the implant is placed over the muscle. Finally, there is more interference with mammography when the implant is over the muscle.

So who benefits from placing a breast implant over the muscle? Classically, it is women with ample breast tissue where there is enough soft tissue coverage to minimize the risk of rippling and implant visibility. You’re probably thinking, "If I had ample breast tissue I wouldn’t need a breast augmentation in the first place." We completely understand if you feel that way. Most women seeking breast augmentation do not have much breast tissue and definitely fare better with the implant placed under the muscle.

Dr. Loftus

About Dr. Loftus


Dr. Loftus is a female plastic surgeon who is considered a national authority on plastic surgery, having appeared on numerous talk shows as an expert. Her book has become a best-selling book on plastic surgery and has earned her the reputation as a vocal advocate of patient safety, satisfaction, and education in plastic surgery. No wonder her patients have such great things to say about her…
Dr. Loftus standing by staff
My results are amazing - Dr. Loftus is amazing!
My friends can't believe how natural I look!
I had no pain after surgery and recovery was so easy.
The entire experience was fabulous!
I am a nurse who has worked with many doctors, Dr. Loftus is the best!
The care was exceptional and results are incredible!
My results are better than I ever imagined!
Dr. Loftus is a rare surgeon: highly skilled, personable and compassionate!
My experience from start to finish was completely extraordinary!
Awesome results from a skilled and caring doctor.
I love love love Dr. Loftus and everyone in the office!
I've never felt so comfortable and understood in a doctor's office.
I felt so comfortable and barely had any pain at all.
I never knew I could look this good! Thank you Dr. Loftus!!!
Never met such a warm and caring staff anywhere else.
If only every doctor could be like Dr. Loftus, how very fortunate we would be.

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Cincinnati: The Christ Hospital
2139 Auburn Avenue, Suite 201
Cincinnati, OH 45219
(513) 793-4000
5 minutes from downtown Cinci,
At the Christ Medical Office Building

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Northern Kentucky
1881 Dixie Highway, Suite 300
Fort Wright, KY 41011
859-426-5000
3 minutes from downtown Cincinnati &
visible from I-71/75

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