If you’re considering a breast augmentation surgery, you probably have a number of questions relating to breast implants that you would like to ask your surgeon. One of the most asked questions is: “Where should my breast implants be placed?”

Under the muscle, over the muscle, or a bit of both?

First off, let’s take a look at the different possible locations where your breast implants can reside inside the breast pocket, and the pros and cons for each.

*Image for reference

1. Over the muscle, also known as sub-glandular placement

The implant is placed directly behind the breast tissue and on top of the muscle.


- Less movement of your implants during physical activity

- Less complicated procedure, with usually less pain and quicker recovery

- Can provide a little uplift for women with slight sagging


- Over time your tissues can thin and the implant could possibly be seen (check out our exclusive MotivaHybrid® procedure to see how you can help combat tissue thinning)

- While having a mammography, this placement can make reading and obtaining scans tricky


2. Under the muscle, also known as subpectoral/submuscular placement:

The implant is placed under your chest (pectoralis major) muscle.


- Less risk of implant visibility

- Breast tissue is less obstructed for mammography imaging


- May cause muscle distortion during exercise

- Can be more painful and longer recovery time, as the procedure is more invasive


3. A little bit under the muscle and a little bit over the muscle, also known as a dual plane:

The breast implant is placed partially under the chest muscle. 


- Lower risk of implant visibility

- Less muscle distortion during exercise

- Less obstruction during mammography imaging


- Can be more painful as the procedure is more invasive

- May cause rippling at the bottom of the implant

*Remember to fully discuss all advantages and disadvantages with your doctor.

Choosing your implant placement

We now know some of the pros and cons. So how do you choose where to place your breast implants? Well that depends on:

- Your desired size and shape of your breast implants: Using a position with less coverage can provide a more youthful look. However, if you are concerned about tissue thinning, you could consider opting for the exclusive MotivaHybrid® which provides extra coverage of the implant with unwanted fat from other areas of the body!

- Your anatomy: How much breast tissue you have (pre-existing breast volume or PBV) and the size of your chest muscle can affect your implant placement choice. Women with larger chest muscles are more likely to get muscle distortion, and women with little breast tissue are more likely to get implant visibility. This can be discussed in length with your surgeon.

- Your lifestyle: How active you are, and the required recovery time can help determine implant placement.


Want to know more about breast implant options?



*The content provided herein is for informational and educational purposes only, and is not intended as medical advice or as substitute for a consultation with a physician.

Motiva Implants® are not yet commercially available in US and are undergoing clinical investigation pursuant to US Food and Drug Administration (FDA) regulations for investigational medical devices.

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