Saline implants and location placement

I think under or over the muscle can and is argued over among plastic surgeons really indicating that in the right patient and in the right hands either can provide a safe and beautiful result. Saline implants, on the other hands, are better placed under the muscle. The reason for this is the inherent characteristics of the saline implant.

It tends to be firmer with a fuller and rounder upper pole. This in combination with the fact that saline implants will have “rippling” on the sides which can be felt or seen if the overlying tissues are too thin, are compelling reasons to argue that saline implants are better utilized in a sub-muscular (under the muscle) position. (Remus Repta, MD, Scottsdale Plastic Surgeon)

Implant placement

Breast implant locations for saline implants

You may consider silicone depending on what cup size you are wanting, but no question that submuscular placement is best. Capsular contracture is more likely with subglandular placement as is nipple numbness. (Michael Hueneke, MD, Nashville Plastic Surgeon)

Pocket Location for saline implants

If you have decided on saline implants, then I would definitely recommend submuscular placement of the implants for your breast augmentation. It would be much more likely that you would develop visible rippling if you have saline implants placed above the muscle (sub-glandular placement). In addition, the implants would be more palpable if they are above the muscle. Given that you are an A cup, it is even more likely that you would be at risk of rippling and/or palpability. (Laurence Weider, MD, Dallas Plastic Surgeon)

Saline implant placement

Breast implant locations image

Since saline is prone to more rippling, I generally recommend an under the muscle or dual plane placement of saline implants. The key to achieving the most natural result is camouflaging your implant. Please talk to your surgeon about his/her recommendations. (C. Bob Basu, MD, FACS, Houston Plastic Surgeon)

Implant placement

Saline implants are more prone to rippling if placed on top of the muscle in patients with little to no breast tissue. Discuss a submuscular breast augmentation with your Plastic Surgeon. (Robert E. Zaworski, MD, Atlanta Plastic Surgeon)

I usually position saline implants in submuscular position

scar under breasts

Saline implants have a tendency to exhibit palpable and sometimes even visible rippling, especially in women with little of their own breast tissue volume. Submuscular positioning provides a little more cover to camouflage the saline implants. (Bruce K. Barach, MD, Schenectady Plastic Surgeon)

Young, tall, lady, with small breast cup, in my hands, you will be an excellent candidate for high cohesive or Monoblock Silicone Under the Muscle Implants. (Ricardo Vega, MD, Mexico Plastic Surgeon)

Implants over vs under the muscle.

Breast aug

It’s more common to place breast implants under the muscle on most women. You can still have a nice result if you place the implants on top of the muscle but the implants have a higher chance of sagging and getting hard.

If your breasts are already droopy then going on top of the muscle might be the best option if you want to avoid having a breast lift. (Shaun Parson, MD, Phoenix Plastic Surgeon)

Saline Implants in A Cup Breasts and Submuscular Placement

Most patients with very little breast tissue are better served with submuscular placement to camouflage the implant.

Breast implant scar photo

The saline implants do tend to have more rippling than silicone, and again submuscular placement is a better choice for saline implants in this case. (Kenneth B. Hughes, MD, Los Angeles Plastic Surgeon)

Saline implants are more prone to become visible with rippling. An A cup woman does not have enough of her own tissue to adequately cover the implant to prevent visible rippling. If the rippling were to occur in the cleavage area you would not be happy. Submuscular placement in the right choice for you. (Todd B. Koch, MD, Buffalo Plastic Surgeon)

I usually place implants in a submuscular pocket to help minimize rippling. it is best to be seen in person to be properly evaluated. (Steven Wallach, MD, Manhattan Plastic Surgeon)