20 doctors weighed in:
Which surgery is easier and safer? Breast augmentation under or over muscle?
20 doctors weighed in

Dr. Renee Burke
Surgery - Plastics
5 doctors agree
In brief: Breast augmentation
Recovery from breast augmentation over the muscle is typically easier than under the muscle due to the lack of stretch of the muscle.
Both techniques are safe, however there has been a report to state that a breast implant under the muscle may provide better ease of reading on mammogram when compared with over the muscle (although there have been reports that have shown no difference as well).

In brief: Breast augmentation
Recovery from breast augmentation over the muscle is typically easier than under the muscle due to the lack of stretch of the muscle.
Both techniques are safe, however there has been a report to state that a breast implant under the muscle may provide better ease of reading on mammogram when compared with over the muscle (although there have been reports that have shown no difference as well).
Dr. Renee Burke
Dr. Renee Burke
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1 comment
Dr. Sharon Ann Clark
There is evidence of less risk of capsular contracture (hardening of the breast) with submuscular placement.
Dr. Clark Schierle
Surgery - Plastics
4 doctors agree
In brief: Breast Implant Type
Both are safe and effective.
Your choice should be made with your surgeon based on your anatomy and goals.

In brief: Breast Implant Type
Both are safe and effective.
Your choice should be made with your surgeon based on your anatomy and goals.
Dr. Clark Schierle
Dr. Clark Schierle
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Dr. Francisco Agullo
Surgery - Plastics
3 doctors agree
In brief: Both
Both surgeries are easy and safe when done by a board certified plastic surgeon.
You will need to decide the best placement of the implant with your plastic surgeon. Above the muscle implants have a quicker recovery, but you may not be a candidate.

In brief: Both
Both surgeries are easy and safe when done by a board certified plastic surgeon.
You will need to decide the best placement of the implant with your plastic surgeon. Above the muscle implants have a quicker recovery, but you may not be a candidate.
Dr. Francisco Agullo
Dr. Francisco Agullo
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Dr. Richard Baxter
Surgery - Plastics
2 doctors agree
In brief: Safety first
Both procedures can be done safely and with good results in the right patient.
Thin women with small breasts usually get a better result under the muscle, but the initial recovery is a bit longer. More important is to see a board-certified plastic surgeon who can give an expert opinion for your specific needs. Make sure the surgery will be done in an accredited surgical facility.

In brief: Safety first
Both procedures can be done safely and with good results in the right patient.
Thin women with small breasts usually get a better result under the muscle, but the initial recovery is a bit longer. More important is to see a board-certified plastic surgeon who can give an expert opinion for your specific needs. Make sure the surgery will be done in an accredited surgical facility.
Dr. Richard Baxter
Dr. Richard Baxter
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Dr. Tito Vasquez
Surgery - Plastics
1 doctor agrees
In brief: Depends
The best results and safest method is usually what your surgeon has had the most experience with and what provides him or her with consistent results.
There are pros and cons to any choice, but always ask specific questions and make sure you feel comfortable with the answers.

In brief: Depends
The best results and safest method is usually what your surgeon has had the most experience with and what provides him or her with consistent results.
There are pros and cons to any choice, but always ask specific questions and make sure you feel comfortable with the answers.
Dr. Tito Vasquez
Dr. Tito Vasquez
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Dr. Rene Perez
Cosmetic Surgery
In brief: Subfascial
In general I find that under the muscle is slightly more difficult than subfascial (not synonymous with under the gland).
however both are safe and each has it unique advantages and peculiarities

In brief: Subfascial
In general I find that under the muscle is slightly more difficult than subfascial (not synonymous with under the gland).
however both are safe and each has it unique advantages and peculiarities
Dr. Rene Perez
Dr. Rene Perez
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Dr. Stan Castor
Surgery - Plastics
In brief: Both ways are safe
Placing implants above or under the muscle are both safe procedures.
If the implants are placed above the muscle, it is less painful and the recovery is quicker. However, it is harder to mammogram the breast and the risk of capsular contracture is higher on top of the muscle. Under muscle implants generally stay softer, but the immediate recovery is usually more painful.

In brief: Both ways are safe
Placing implants above or under the muscle are both safe procedures.
If the implants are placed above the muscle, it is less painful and the recovery is quicker. However, it is harder to mammogram the breast and the risk of capsular contracture is higher on top of the muscle. Under muscle implants generally stay softer, but the immediate recovery is usually more painful.
Dr. Stan Castor
Dr. Stan Castor
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Dr. Otto Placik
Surgery - Plastics
In brief: Over easy Under safe
There are no absolutes.
All other circumstances being the same, over is a less invasive approach that is generally less painful with a faster recovery. Under tends to require release of muscles that may involve more risk in the initial pistol period but is felt to be associated with lower overall risk of hardening and improved mammographic visualization however they may move with muscle activity.

In brief: Over easy Under safe
There are no absolutes.
All other circumstances being the same, over is a less invasive approach that is generally less painful with a faster recovery. Under tends to require release of muscles that may involve more risk in the initial pistol period but is felt to be associated with lower overall risk of hardening and improved mammographic visualization however they may move with muscle activity.
Dr. Otto Placik
Dr. Otto Placik
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