Dr. Rachana Tataria

Under or Over the Muscle? A Deep Dive into Breast Implant Placement Techniques
Blogs
November 14, 2025
10 min read
2.4K views
Breast Reconstruction Options

Breast augmentation results depend on much more than size and implant type. Where the implant is positioned plays a major role in the final look, feel, comfort, and long-term outcome. The two most common breast implant placement options are submuscular implants (under the chest muscle) and subglandular implants (over the muscle). A personalized evaluation with an experienced breast surgeon consultation in Mumbai helps determine which approach is best suited to each body type and aesthetic preference.

Under the Muscle (Submuscular Implants)

Here, the implant sits partially or fully beneath the pectoral muscle.

Advantages

More natural look in slender women with less breast tissue

Reduced risk of visible rippling

Better support for the implant over time

Lower risk of capsular contracture

Considerations

Recovery may take longer due to muscle involvement.

Movement of the chest muscle may slightly affect implant position during exercise

This is often recommended for patients seeking subtle, natural results.

Over the Muscle (Subglandular Implants)

In this placement, the implant is positioned just under the breast tissue.

Advantages

Shorter recovery and less discomfort initially

Ideal for women with good natural breast tissue coverage

Implants stay stable during muscle movement

Often used in revision cases

Considerations

Higher chance of visible edges or rippling if tissue is thin

More risk of capsular contracture compared to submuscular placement

TThis technique works well for patients looking for more defined cleavage and volume.

Dual-Plane Breast Augmentation: A Balanced Option

Dual-plane placement combines the advantages of both techniques.

The upper part of the implant sits under the muscle, while the lower part sits under the breast tissue.

Benefits include:

Natural slope at the top of the breast

Fuller lower pole shape

Better solution for mild breast sagging

This approach has become a popular choice for achieving both a natural feel and enhanced volume.

Which is better—over or under the muscle implant placement?

There is no single “best” option. Submuscular implants are ideal for women with less breast tissue who want a natural look. Subglandular implants may suit those with more tissue who want a fuller upper pole appearance and quicker recovery. A specialist will assess what aligns best with body structure and cosmetic goals.

Does implant placement affect recovery time?

Yes. Submuscular placement typically leads to more post-operative soreness and a slightly longer healing period. Subglandular implants usually allow a faster return to daily activities. Recovery also depends on implant size, surgical technique, and individual healing speed.

Conclusion

Choosing implant placement is a key decision in breast augmentation. The right position enhances the appearance, comfort, and long-term durability of the results. Whether patients prefer over- or under-muscle implants or choose a dual-plane technique, a thoughtful plan with a qualified surgeon ensures results that look confident and feel natural. A detailed consultation helps every woman move forward with clarity and excitement about her transformation.