The majority of women wishing to have bigger cleavage are somewhat intimidated by the thought of their implants looking fake like those of Pamela Anderson. But in today’s advanced world of cosmetic surgery, this should not be a concern at all. Specialists employ various approaches to ensure that patients get the breast size they want without it looking unnatural and as long as you go to the right one, you should not worry about it either. You’ll just have to make several decisions, one of which will be on the breast implant placement.

We are pretty sure that your attending doctor will explain everything in much more detail than us, but just to give you a preview of your options, here is more info about implant placement. Read on.

Types of breast implant placement methods

male breast surgeon demonstrating breast implant incision type

First things first, before we give you a definitive answer on the most preferable implant placement technique, we should talk about the different options that experienced surgeons stick to. This is important. You need to understand that they both have their pros and cons. So, the choice of method is based on a plethora of factors and not just on someone’s preferences. On that note, natural-looking breast augmentation also depends on various things. Let’s dive into it.

Subglandular implant placement (over the muscle)

With subglandular plane during breast augmentation surgery, the implant is positioned on top of the pectoralis major muscle and behind the glandular tissue. It works for patients with a good amount of natural breast tissue because this is what ultimately gives the prostheses support. The procedure is easier on the patient and surgical team alike as compared to the other placement technique. Plus, it can be performed in less time.

A great positive of this approach is that the chest muscles are not manipulated in any way during the process which means there will be less postoperative pain and discomfort, not to mention the recovery will be significantly shorter. It can also give your breasts a slight lift.

Now, subglandular plane placement is not short of disadvantages. One of the most obvious downsides is it can make for more palpable implants. This is when the prostheses can be seen through the natural breast tissue (mammary gland) and some rippling occurs. Another problem with placing breast implants over the muscle is that it makes it difficult to get a mammogram. As a result, detecting lumps becomes challenging.

Submuscular, or subpectoral, muscle placement (under the pectoral muscles)

The name is tricky but you will hear it mentioned by your medical team a lot. It implies that the implant is placed under the muscle but which one? Well, actually, it’s in between the two chest muscles. It basically sits above the pectoralis minor but underneath the pectoralis major muscle on the chest wall; however, the latter muscle is short so it doesn’t fully cover the prosthesis. Hence, a small part of the lower end of the implant remains exposed. Despite that, the implant is heavily compressed between the two chest muscles which could make its shape more round instead of teardrop-like.

This one is perfect for patients with little breast tissue as the implants are supported by the breast muscle itself. What happens is the pectoral muscles camouflage the ripples and edges for a more natural shape. Plus, breastfeeding is not restricted. It is not recommended to use this method for sagging breasts, though.

The benefits of using the submuscular technique for natural-looking breast augmentation surgery are as follows. First of all, it adds to more natural-looking breast implants. What is more, since the implant is positioned slightly far away from the soft breast tissue, it does not get in the way of mammogram scanning, which makes the results more accurate.

Complication Rates for Under and Over-the-muscle Implants

Subglandular placement could result in capsular contracture formation more often than submuscular placement. On the other hand, submuscular placement can cause double bubble deformity, animation deformity, bottoming out deformity, and even implant displacement. Additionally, breast pain and breast implant illness could occur. There is a risk of breast implant-associated anaplastic large cell lymphoma associated with teardrop-shaped gummy bear breast implants.

It is worth noting that major complications are rare and generally occur in around 5% of the cases. For instance, implant malposition affects 4.7% of patients and the rate for asymmetry is 6.9%. Sometimes complications like capsular contracture formation and bottoming out deformity happen regardless of the operator’s skills; however, it is always a safer bet to go to an experienced plastic surgeon for this and other surgical procedures. What seems to have limited the risk of complications is the reduction in skin contact (with the chest skin), the use of textured implants, and submuscular placement.

At the end of the day…

Which Breast Implant Placement gives the most Natural Results?

Given all the data from above, the submuscular technique (under the muscle) proves to be the best option, as it creates a smoother transition between the breast and the implant. This makes everything look more natural. Besides, it offers more tissue coverage. However, not all women will be eligible for this approach. Certain requirements must be met first.

Another thing to remember is that everyone’s case is different. There are other decisions to make in addition to breast implant placement that will influence the end result such as implant size, projection, texture, shape, material, etc. Last but not least, you need to keep in mind that even though you have a say in this, it is the medical team that guides you into the process of breast enhancement. They have more knowledge than you and are better at handling such cases.

What is the Dual Plane Technique?

This is a variation of the two main muscle placement methods designed for more natural-looking breast augmentation. Because they are not perfect, the dual plane approach tends to combine the best of both worlds. It entails covering the upper pole of the prosthesis with muscle and leaving the rest exposed so it meets the tissue that is naturally found there.

In other words, it is partially over the muscle and under the muscle at the same time. It does not let the implant show through the chest skin. Sometimes you can hear the term subfascial implant placement option to refer to it, or subfascial plane.

In order for it to work, the pectoralis major muscle has to be detached from the chest wall after which the lower part is separated. And so, naturally, it slides upward a tad bit more than usual. This way, the implant is only partially compressed, ideally at the upper pole which had better remain hidden so that rippling doesn’t occur. And this creates a teardrop shape that is considered to appear more natural. The method is quite customisable as it grants the specialist plastic surgeon control over the final shape of the breasts.

What Other Factors Are There to Get More Natural Results After Breast Augmentation Procedures?

Preparation for breast surgery

Truth is that there are many things that contribute to the outcome of a boob job like implant type and whatnot. Body proportions are essential too. It is not just the muscle placement technique that matters for plastic surgery of the breast. On the contrary, a combination of factors is at play here. A natural breast has a slope, it doesn’t just point straight ahead. The breast mound points towards the side to a slight extent and the bottom is rounded. So, how do you achieve such a look and still have beautiful breasts? By taking into account several aspects of breast surgery. Check this out:

  • Type of incision. There are four main types of surgical incisions for breast augmentation with implants, or boob job.
    • Periareolar incision (also known as nipple incision). This is without a doubt the most popular option since it creates no visible scarring. it is made along the edge of the areola (the darker breast skin around the nipple) and is suitable for submuscular, subpectoral and subglandular beast placement. While this incision is great, it should be noted that it can cause loss of nipple sensation in some breast augmentation patients.
    • Inframammary incision. This one does create a visible scar but it remains hidden away under the breast crease, or breast fold (inframammary fold). When inserting deflated saline implants, the inframammary incision is around 1.5 inches (appr. 3.80 cm) long. It can be longer for pre-filled implants.
    • Transaxillary incision. With this one, there is no scar anywhere in the breast tissue; instead, the surgical incision is carried out in the armpit, or within the axilla. Of course, that means the scar will be positioned around the underarm region.
    • Umbilical incision (TUBA). This one is not used a lot these days because it’s restrictive and impractical. The reason for this is that the umbilical region is positioned too far away from the breasts which means the implant has to go a long distance before it reaches the desired destination. The surgical incision starts at the belly button and goes all the way to the breasts.
  • Types of implants. You are already familiar with the silicone type of implant but you may not know that there also is a saline implant kind, which comes with a silicone outer shell and a filling of sterile water and salt. Silicone-gel implants are the types of breast implants that can be dangerous if they rupture. On the other hand, saline implants are considered safe if they rupture and the contents are spilt out into the soft tissue. However, they don’t create a natural breast shape the same way that silicone implants do. Then, there also are gummy bear implants, which are a type of silicone breast implant. Cohesive silicone gel implants can retain their shape better but they don’t provide natural results. In most cases, you arrive at a decision about this together with your breast surgeon. Do take their advice. They will figure out which implant will suit your body type best based on the breast base so it enhances your body shape.
  • Shape of the implant. Some silicone breast implants are round. There are teardrop-shaped implants as well, which give a more natural-looking result. They are called anatomical implants.
  • Texture of breast implant. There are two types here: a smooth implant and textured implants. The latter are rough to the touch, just like the feeling you run your hands through sandpaper. These cannot move freely in the breast pocket.
  • Size of breast implant. A lot of women want larger implants than their breasts can accommodate. This results in poor results and breasts that don’t look natural. The breast surgeon should step in and suggest better alternatives. If you want your breasts to retain their natural shape, perhaps you should consider going up by one cup size only, two at most.
  • Fat transfer breast augmentation (fat grafting, fat grafts). Even though fat transfer breast augmentation is not exactly the topic of this post, it should be mentioned because the procedure achieves natural results, as it adds more breast volume. An individual patient’s anatomy might benefit better from fat grafting if there is no sagging and excess skin. The only problem is, it cannot give you a big cleavage just like cohesive gel implants and it’s not suitable for people who are looking for a breast lift in addition to larger breast.

Why Choose a Board Certified Plastic Surgeon?

There is no denying the importance of sticking with a top professional when it comes to breast surgery. The placement of implants requires lots of skills and knowledge. Choosing a board-certified plastic surgeon for your breast enlargement and any other cosmetic treatment should be your priority. It will give you the confidence that your case is addressed by someone qualified and experienced, which in turn will ensure the best results, especially for tuberous breast types.

Aside from assessing the width of the breast base, skin elasticity, and amount of breast tissue available, they will consider your body proportions and look at the bigger picture. Every renowned specialist will do their best to create beautiful breasts and breast symmetry.

Health-wise, you should never leave it to chance. Taking the time to find a specialist who has the right expertise and background goes a long way, as it will lower the risk of complications and the need for additional surgery.

On a final note, you want to visit three different plastic surgeons before you undergo breast implant surgery. It never hurts to hear different opinions about your breast situation. Whatever you choose to do from that moment on, you will go into it with a heart full of peace.

References

Complication rates: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409896/#:~:text=Other%20major%20complications%20(>5%25),BIA-ALCL)%20was%20reported.