Subglandular Breast Implant Placement
Breast Implants Over the Muscle
Subglandular placement means that the breast implant is placed just behind the breast tissue.
Advantages of Subglandular Breast Implant Placement
Placing the breast implants above the muscle is a pretty easy and straightforward surgery.
One advantage of getting breast implants over the muscle is a shorter recovery time. Since the muscle does not need to be dissected in any way, recovery is much easier, not to mention quicker.
Women wanting breast implants that are too large to fit underneath the muscle may find that having them placed above the muscle will allow them to get the size they want. Over the muscle placement allows for larger implants (to a degree).
In cases where ptosis (sag) is an issue, placement over the muscle may alleviate the need for a lift, thus resulting in less expense and recovery. However, if ptosis is an issue, the avoidance of a lift will only be temporary, as you will likely need one at some point in the future.
Disadvantages of Subglandular Breast Implant Placement
Subglandular breast implants do have their drawbacks. Because overall health is paramount, breast implant interference with mammography should be strongly considered. All breast implants interfere with mammography to a degree, but subglandular placement causes the most interference.
Women with little breast tissue or thin skin will find that ripples may well be visible and palpable with both saline and silicone breast implants, in addition to being able to feel the "edge" of the implant. This is because of the lack of tissue to help camouflage the implant. The one caveat to this is that when using smooth gummy bear breast implants, rippling is not an issue. However, textured implants, including the textured gummy bear implants, do not guarantee that you won't have ripples. This is because all textured breast implants can cause traction rippling of the skin.
Sublandular breast implants are supported only by the skin and breast tissues. If your tissues are weak, regardless of how much breast tissue you have, bottoming out can result. Bottoming out can only be corrected by surgery.
Capsular contracture rates appear to be higher in women with breast implants placed over the muscle.
Women without much breast tissue are at risk of having a "bolted on", or fake look since there may be more upper roundness in subglandular breast implants.