Breast implants placement – Under the muscle vs over the muscle

While most people focus on the size and type of breast implant, implant placement is equally crucial. The placement influences:

• The final shape and feel of the breast
• The level of post-surgical discomfort and the length of recovery
• The visibility of implant edges or rippling under the skin
• Risk of complications such as capsular contracture

Understanding your breast implant placement options will help you to make an informed choice in consultation with a plastic surgeon like Dr Adnan Tahir.

Choosing the right breast implant placement is essential for achieving your desired look and feel.

Breast implants over the muscle (Sub-glandular placement)

In subglandular placement, the breast implant is positioned above the pectoral muscle, directly behind the natural breast tissue. 

Since the muscle is left untouched, this technique is less invasive and often leads to a quicker recovery period. The muscle beneath still provides some internal support, and the implant mimics the natural breast shape.

Benefits of sub-glandular implant placement:

• Enhanced breast projection, particularly with larger implants
• More defined cleavage, as the implant is positioned closer to the skin surface
• Faster recovery and less post-op discomfort
• Can visibly lift mildly sagging breasts without requiring a lift procedure

This implant placement is best suited for those who:

• Have more natural breast tissue or fuller breasts
• Prefer a more pronounced or augmented appearance
• Are opting for larger implants
• Prefer a shorter downtime after surgery

Breast implants under the muscle (Sub-muscular placement)

The submuscular technique involves placing the implant beneath the pectoral muscles, specifically between the larger and smaller pectoral muscles. 

This method offers enhanced coverage for the implant, especially in patients with less natural tissue, helping to achieve a more subtle and natural-looking result.

Benefits of sub-muscular placement:

• Lower risk of capsular contracture (scar tissue formation)
• More soft-tissue coverage over the implant for a smoother appearance
• Strong muscular support that helps maintain implant position
• Reduced visibility of implant edges—ideal for lean or petite individuals
• Reduced the likelihood of visible breast rippling

This implant placement is best suited for those who:

• Have naturally smaller breasts and less breast tissue
• Desire a more natural-looking enhancement
• Are concerned about implant visibility or rippling

Dual plane placement is an advanced technique that blends the advantages of both submuscular and subglandular implant placements. 

In this approach, the implant is positioned partially beneath the pectoralis major muscle (upper portion) and partially behind the breast tissue (lower portion).

Benefits of dual-plane implant placement:

• Better implant coverage than subglandular, especially in thinner patients
• Enhanced projection and cleavage without looking overly augmented
• Improved correction of mild sagging (ptosis) due to a subtle lifting effect
• Smooth transition from chest wall to implant, minimising step-off appearance

This implant placement is best suited for those who:

• Have mild breast sagging or slightly loose skin
• Desire a natural-looking result yet noticeable enhancement
• Have moderate breast tissue but want more fullness in the upper pole
• Prefer a balance between a natural feel and a prominent shape

There’s no one-size-fits-all solution when it comes to breast implant placement. Dr Adnan will help guide your decision based on several key factors:

• Your body type and existing breast tissue – Determine how well the implant will be covered and which placement will look most natural.
• Desired aesthetic outcome – Whether you want a subtle enhancement or a fuller, more projected appearance.
• Natural vs. augmented look – Your preference for a soft, natural contour versus a rounder, more dramatic silhouette
• Lifestyle and activity level – Athletes or highly active individuals may benefit from a specific placement to minimise muscle strain.
• Type and size of implant chosen – Larger implants or certain shapes may perform better in one placement over another.
• Risk factors and medical history – Prior surgeries, skin quality, and healing tendencies can influence what’s safest and most effective.

If you’re considering breast augmentation and want results that are beautifully balanced, natural-looking, and tailored to you, look no further than Dr Adnan Tahir. With over 12 years of experience and a reputation as one of the best plastic surgeons in Dubai, Dr Adnan is known for his personalised, conservative approach to aesthetic surgery.

Whether you’re unsure about implant placement or ready to take the next step, Dr Adnan will guide you through your options with honesty, expertise, and care.

Book your consultation today.

What is the best placement of breast implants?

There is no one “best” placement—it depends on your body type, existing breast tissue, and desired results. Dr Adnan will recommend the most suitable option: over the muscle, under the muscle, or dual plane.

How are breast implants placed?

Implants are inserted through a small incision and positioned either above the chest muscle (subglandular), below it (submuscular), or partially under the muscle (dual plane), depending on your needs.

Does implant placement affect recovery?

Yes. Subglandular placement usually allows faster recovery, while submuscular and dual plane placements may involve more discomfort initially but can offer more natural results.

Which placement looks more natural?

Submuscular and dual plane placements typically offer a more natural slope, especially in women with less natural breast tissue.