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Which Breast Implant Placement Gives a More Natural Appearance?
In our Bay Area practice most of my patients have implants placed under the muscle. Creating a natural looking augmentation has many factors, all of which need to be addressed. Some of these include (in order of typical importance): Implant size Implant shape (high profile, moderate profile, low profile) Implant position (over, under the muscle) Implant material Incision placement Your plastic surgeon should assess many factors including: your desired outcome and size breast volume skin excess breast diameter skin quality chest wall asymmetries All of these (and more!) must be considered in creating a natural looking breast augmentation that will meet your expectations.
Clinical Context
Implant placement affects how the augmentation blends into your chest, not just its size. Submuscular placement often creates a softer, more gradual transition at the upper pole, which can help when there is less natural breast tissue to cover the implant. Subglandular placement sits the implant closer to the skin, which can show more edge definition in thinner patients but may allow slightly more projection. Your surgeon considers your tissue thickness, breast shape, and goals when recommending placement, alongside implant size and shape decisions made during your consultation.

