Where are the implants placed over or under the muscle? Why?
One of the undesired complications of this procedure is too tight an encapsulation of the insert. Capsule formation is the body’s natural response to any implant. We have found that by placing the implant under the pectoral major muscle, there is less chance of the capsule contracting too much. In addition the prosthesis stays in a higher position for a longer time. This is not to say that over the muscle placement is in any way a bad technique, it is not our preference based on our own and most other plastic surgeons’ experience.
