In breast augmentation, the implants can be placed either under the pectoral muscle (submuscular), on it (subglandular) – ie between the mammary gland and the pectoral muscle – or under the muscle fascia (subfascial). All surgical techniques have their own advantages and disadvantages. For example, implants placed under the pectoral muscle are well protected. Moreover, their position makes it harder to feel and to see. The latter is particularly important in slim women with a small breast, because here the edges of a subglandular implant under the skin can be seen.
On the other hand, the position below the mammary gland is more like the natural shape of the female breast. Since these implants do not move when tensing the chest muscles, they also do not interfere with sports. Exactly this can be a problem with the submuscular situation. In addition, in women with subglandular implants, the breasts usually hurt less after surgery. This is not least due to the fact that the doctor does not have to cut through the breast muscle in this variant. The subfascial position of the implant should reduce the capsular fibrosis, but long-term results are still lacking.
As with the choice of access, the decision for the “right” method depends on individual factors. In particular, shape, thickness and size of the breast are essential. All this is discussed by the doctor and the patient in the preliminary talk, in order to then jointly select the appropriate surgical procedure.