![]() ![]() This increases the separation between the breasts. Over time, cleavage is often lost due to the repetitive contraction or flexing of the muscles, which moves the implants apart. This movement will be downward and toward the outer border of the chest. Since a woman will continue to flex her pectoralis (chest) muscle, an implant, which is under the muscle, will move when the muscle moves. So what is the downside of placing a breast implant under the muscle? In this patient, another advantage of subpectoral implant placement (under the muscle) is a decrease in the chance that any wrinkles in the implant will be felt due to the extra coverage the muscle tissue provides. The breast will not look so round or “grapefruit-like”, if the implant is placed under the muscle. Therefore, another advantage of placing the implant under the muscle in this patient would be the “softening” of the upper border of the implant so that the transition from her upper chest wall to the top of the implant will be softer and more sloped in appearance. Because she has very little breast tissue, her breast will take the shape of the breast implant, since there is minimal breast tissue to give any other shape. The main advantage of placing a breast implant under the muscle comes from increasing the amount of tissue covering the implant, which makes the augmented breast look more natural.Ī patient who is very thin with minimal breast tissue is greatly benefited by increasing the coverage of her implants. As with most decisions we make, there are trade-offs for the benefits we may choose. Placing a breast implant under the pectoralis muscle has both advantages and disadvantages. A very common myth about breast augmentation is that all breast implants should be placed under the chest (pectoralis) muscle. ![]()
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January 2023
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