What are the major differences between under the muscle vs over the muscle?
Advantages of placement under the muscle. 1. Lower risk of rippling. Once again, if you have large implants the inferior and lateral portion of the implant is not under the muscle and, therefore, is more likely to have rippling regardless of placement. 2. Lower risk of capsular contracture. It is thought that the constant flexing of the muscle acts like a massage to the capsule and, therefore, keeps it softer. 3. There is less of an “implant look” at the superior aspect of the breast. The muscle softens the upper pole of the implant. This causes the implant to have more of a sloped look and less of a rounded, implant look. 4. Mammograms are slightly more accurate. Because the breast tissue is separated from the implant by the muscle the breast tissue is easier to see on mammography. Advantages of above the muscle. 1. In women with well developed pectoralis major muscles such as body builders, it is possible that the muscle will move the implant with shoulder movement. This can be very
