Breast Implants on Top of the Muscle

Submitted by Daniel A Sterling, MD, FACS

How do saline breast implants look if placed over the muscle?

Breast implants placed over the muscle, also known as subglandular augmentation, is only indicated in a limited number of patients.  Body builders and women who pose flexing the upper body musculature request subglandular implants so that there is no distortion of the implants and breast appearance when they flex or lift weights.  If there is an adequate amount of breast tissue to cover the implant a saline implant may be indicated over the muscle, however, silicone implants are recommended.  Any augmentation over the muscle is associated with a higher risk of capsular contracture; however, it is still relatively low and somewhere in the 10% range.

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