Over Vs Under Muscle Implants: A Comprehensive Guide

When considering breast augmentation surgery, one of the most significant decisions you’ll face is whether to opt for over the muscle implants or under the muscle implants. Both options have their unique benefits and drawbacks, and understanding these differences is crucial for making an informed choice. This guide will explore the key distinctions between over the muscle and under the muscle implants, helping you decide which option aligns best with your aesthetic goals and lifestyle. Learn more about our breast augmentation services.

Understanding Breast Augmentation Surgery

Breast enlargement involves the use of breast implants, which are medical devices designed to enhance the size, shape and fullness of the breasts. They consist of a silicone outer shell filled with either saline (saltwater solution) or silicone gel. During a cosmetic surgery procedure, a surgeon places the implants either above or below the pectoral muscle, which can affect the look, feel and overall outcome of the augmentation.

The Basics: Over the Muscle vs. Under the Muscle

Over the Muscle Implants

Placement: As the name suggests, over the muscle implants are placed on top of the pectoral muscle, directly beneath the breast tissue. This technique is often preferred for those who desire a fuller appearance, as it allows for more projection and can create a dramatic effect. Silicone implants are commonly used for this technique due to their natural feel, softness and lower likelihood of wrinkling compared to saline implants.

Aesthetic Result: This technique typically creates a more rounded and fuller look, particularly beneficial for women seeking a pronounced cleavage. Over the muscle implants may give the appearance of larger breasts with a more defined upper pole, making them an attractive choice for women looking for a noticeable enhancement.

Surgery Recovery: Many patients report a shorter recovery time since the muscle isn’t manipulated. However, this can vary based on individual health and the specifics of the surgery. Patients often find that they can resume normal activities relatively quickly compared to those who undergo under the muscle placement.

Ideal Candidates: Women with sufficient breast tissue or those seeking a more dramatic augmentation may find this option more appealing. It’s also often chosen by women who desire a quicker recovery, making it a popular choice for those with busy lifestyles. If you’re considering over the muscle implants, schedule a free phone consultation with our experts to explore your options further.

Under the Muscle Implants

Placement: Under the muscle implants are positioned beneath the pectoral muscle, providing additional coverage. This placement can help achieve a more natural contour and feel, as the muscle provides a layer of tissue over the implant. Silicone breast implants, known for their soft texture and natural feel, are often used in this placement. They also have an excellent safety record, supported by FDA and international testing approvals.

Aesthetic Result: This placement often results in a more natural appearance, as the muscle can create a softer transition from the chest to the breast. It can also be advantageous for women with less natural breast tissue, as it can help create a more seamless look.

Surgery Recovery: Recovery may take longer, as the surgery involves manipulation of the muscle. Patients might experience more discomfort in the days following the procedure. Pain and swelling are typically more pronounced initially, which can affect the return to regular activities.

Ideal Candidates: This option is typically recommended for women with less breast tissue or those who desire a subtle enhancement. Athletes or those engaged in physical activities might also prefer this option for its more secure placement. To see if under the muscle implants are right for you, book a free phone consultation with Linia Cosmetic for personalised guidance.

Pros and Cons of Over the Muscle Implants

Advantages:

Shorter Recovery Time: Many patients find that recovery is quicker with over the muscle implants since the muscle isn’t disturbed. This can be a significant factor for those with demanding jobs or active lifestyles.

Enhanced Cleavage: This placement can create a more pronounced cleavage and an overall fuller look. Women who desire a more dramatic silhouette often find over the muscle implants to be more satisfying.

Less Risk of Animation Deformity: Patients with over the muscle implants may experience fewer issues with implant movement during physical activities. This can be particularly beneficial for women who engage in sports or fitness routines.

Disadvantages:

Visible Edges: In some cases, the edges of the implant may be more visible, especially in women with less breast tissue. This can lead to a less natural appearance, particularly in thinner patients.

Less Natural Feel: Depending on the amount of natural breast tissue, some women may feel that over the muscle implants don’t provide the same natural feel as their counterparts. The firmness of the implant can sometimes be more pronounced.

Higher Risk of Capsular Contracture: There is a slightly higher risk of developing capsular contracture with over the muscle implants, which is a condition where the body forms excess scar tissue around the implant, causing it to feel hard or distorted. Additionally, implant rupture is another potential complication that should be monitored closely.

Pros and Cons of Under the Muscle Implants

Advantages:

Natural Appearance: Under the muscle implants can provide a more natural look, as they are covered by muscle and tissue. This can be especially appealing for women looking for a subtle enhancement rather than a dramatic change.

Less Visible Edges: The muscle helps to camouflage the edges of the implant, reducing the likelihood of visibility. This can lead to a smoother contour and a more organic feel.

Lower Risk of Capsular Contracture: Some studies suggest that under the muscle placement may lower the risk of capsular contracture, a condition where scar tissue forms around the implant. This could result in a more stable long-term outcome.

Disadvantages:

Longer Recovery: Patients often experience a longer and more painful recovery due to muscle manipulation during the procedure. Breast enlargement surgery, particularly when placing implants under the muscle, can significantly impact recovery time. Initial soreness and swelling can affect mobility for several days.

Possible Animation Deformity: Some women may notice the implant shifting when they flex their chest muscles, leading to an unnatural appearance. This can be a concern for women who engage in weightlifting or other strength training.

Initial Appearance: For some, the initial appearance may seem less full as the implants may take time to settle. The fullness may improve as swelling decreases, and the tissue relaxes around the implant.

Factors to Consider When Choosing Between the Two

Choosing between over the muscle and under the muscle implants is a personal decision that should take several factors into account:

1. Your Body Type: The amount of existing breast tissue and body fat can influence which option is best for you. Women with ample breast tissue may prefer over the muscle implants, while those with less may benefit from the natural coverage of under the muscle implants.
2. Desired Look: Consider your aesthetic goals. If you’re seeking a fuller, more pronounced look, over the muscle implants might be ideal. For a more subtle enhancement, under the muscle implants could be the better choice.
3. Activity Level: If you’re an active person or engage in high-impact sports, think about how the placement may affect your lifestyle. Over the muscle implants generally allow for more flexibility in physical activities, while under the muscle implants may provide more security during strenuous movements.
4. Surgeon’s Recommendations: Linia Cosmetic’s experienced surgeons are here to evaluate your body type, discuss your aesthetic goals and recommend the best implant option tailored to you. Our experts provide personalised insights to ensure the perfect fit for your unique anatomy. Book a free phone consultation today to start your journey toward achieving your desired look!
5. Long-Term Goals: Consider how you envision your breasts looking in the future. Factors such as aging, weight fluctuations and lifestyle changes can all impact the long-term appearance of your implants. Discussing these concerns with your surgeon can help you make a choice that will continue to meet your aesthetic goals over time.

The Importance of Consulting with a Cosmetic Surgeon

Before making any decisions, it’s essential to consult with a board-certified cosmetic surgeon experienced in breast augmentation. They can assess your unique anatomy, understand your goals and help you choose the best implant placement for your needs. During your consultation, don’t hesitate to ask questions about the procedure, recovery process and potential risks associated with each option.

What to Expect During the Surgery

The breast augmentation procedure typically lasts between one to two hours, depending on the complexity of the surgery and the type of implants chosen. Here’s a general overview of what you can expect:

1. Anaesthesia: You will be placed under general anaesthesia or sedation to ensure your comfort throughout the procedure.
2. Incision: The surgeon will make incisions in a discreet location, which could be around the areola, under the breast fold or in the armpit, depending on your preference and the surgical approach.
3. Implant Placement: The surgeon will carefully place the implants either over or under the muscle, as per your agreed-upon plan.
4. Closure: Once the implants are in place, the incisions will be closed with sutures or adhesive strips.
5. Recovery Room: You will spend some time in a recovery area before being discharged. Your surgeon will provide specific aftercare instructions to ensure a smooth recovery.

Post-Operative Care and Recovery

Recovery after breast augmentation varies from person to person, but here are some general tips to help you through the process:

• Rest: Plan for a few days of rest after the surgery. Your body needs time to heal, and you may feel fatigued initially.
• Manage Discomfort: Pain medications will be prescribed to help manage discomfort. Follow your surgeon’s instructions for medication and pain management.
• Follow-Up Appointments: Attend all follow-up appointments with your surgeon to monitor your healing progress and address any concerns.
• Avoid Strenuous Activity: For the first few weeks, avoid heavy lifting, intense workouts and other activities that could strain your chest muscles.
• Wear a Supportive Bra: Your surgeon may recommend wearing a supportive bra or compression garment to help minimise swelling and support your new breasts during the healing process.

Systemic Symptoms Associated with Breast Implants

Some women with breast implants have reported experiencing systemic symptoms, such as:

• Tiredness
• Memory loss
• Skin rash
• Trouble thinking clearly
• Joint pain

These symptoms are often referred to as breast implant illness (BII). However, it’s essential to note that the scientific evidence supporting a link between breast implants and BII is limited, and more research is needed to fully understand the relationship between the two.

If you’re experiencing any of these symptoms, it’s crucial to discuss them with your surgeon or healthcare provider. They can help you determine the cause of your symptoms and develop a plan to address them. Open communication with your healthcare team is key to managing your health and ensuring the best possible outcomes.

Conclusion

The choice between over the muscle implants and under the muscle implants ultimately depends on your personal preferences, body type and aesthetic goals. Both options have distinct advantages and disadvantages, making it crucial to weigh your choices carefully.

Whether you choose over the muscle or under the muscle implants, what matters most is that you feel confident in your decision. With the right information and guidance from the qualified cosmetic surgeons at Linia Cosmetic, you can achieve the breast augmentation results you desire. Book a consultation today to explore your options and make the best choice for your body and lifestyle. Take your time and don’t hesitate to ask questions—our team is here to support you every step of the way.

Posted In: Body Treatments Blogs

Written By: Dr Azhar Aslam