Does breast augmentation under the muscle look better years later than one on top of muscle?

About the same: Breast implants under or on surface of the muscle, assuming there is no capsular contractions do about the same. Certain types of implants are favored to be placed on the surface, and some submuscular. Seek counsel of your md as to which option is best suited for your implant style, materials, size, and character of your own skin envelope which will cover the augmentation.

Snoopy vs RockinSock: A variety of names have been used to describe the long term appearance of breasts with implants which have not "aged" as desired. When placed under the muscle, implants tend to be held in place by the muscle (gross generalization) while the breast tissue falls off the muscle causing the "snoopy" look. Under the muscle implants age and fall with the breast tissue causing the "rock in the sock" look.

Complicated question: There is a wide variety of opinion among plastic surgeons on this question. There are a number of individual factors that impact on the aging of breast implants, including skin quality, heredity, age at augmentation, and relation of implant size to adequacy of soft tissue cover. I don't think it is possible to answer your question accurately for any individual patient (it is predicting the future).

Subpectoral Approach: Generally, placing an implant under the muscle will allow it to assume a more natural shape, protect the implant from bacteria in breast tissue from the milk ducts, allow better visualization of breast tissue during mammography, and may lead to fewer complications in the long run such as capsular contracture. For these reasons we favor a submuscular approach in our practice.

Under maybe better: There are plusses and minuses to implants under the muscle. Usually there will be a more natuiral look in the upper part of the breast where the muscle conceals the outline of the implant. However, there is the potential for what are called animation deformities which are shape changes when the pectoral muscle is flexed. See a board-certified plastic surgeon for expert guidance.

Yes- under is better: Yes- under the muscle looks better. Because of this opinion, it is a very rare exception that i perform breast augmentation over the muscle.

Under Muscle: Although not universally agreed upon, i think that breast implants placed in the sub pectoral position ( dual plane) do better with time then implants placed in the sub glandular position. Implants in the sub muscular position tend to be less visible and palpable and are associated with a lower incidence of breast implant encapsulation. Also, interference with mammography is less in this position.