Breast Implant Placement Options / Techniques

An important decision to make when considering breast augmentation surgery is to decide where the implants are to be placed. Generally, the implants are placed using one of the following four techniques:

  1. Subglandular Breast Implant Placement
  2. Partial Submuscular Breast Placement
  3. Complete Submuscular Breast Implant Placement
  4. Subfascial Breast Implant Placement

In a subglandular breast implant placement, the implants are placed underneath the mammary gland but above the pectoral muscle. This may be achieved using incisions at transaxillary (armpit), inframammary (fold at the bottom of breast), areola (outer rim of the nipple) and trans-umbilical or TUBA (edge of navel).

The subglandular breast implant placement normally has less pain and discomfort as compared to a submuscular placement. The recovery time is shorter as well. Additionally, these implants are much easier for a surgeon to manipulate and place. Another important visual difference is cleavage as subglandular implants can more easily create cleavage. Lastly, this procedure is sometimes preferred by many athletes and active women.

The subfascial breast implant placement is less commonly performed.  There is a layer of tissue called fascia that covers your muscle. Dr. Davidson would separate the fascia from the muscle and place the implant below the fascia, but above the muscle.

In a complete submuscular breast implant placement, the pectoralis muscle covers the top 2/3 of implant while the fascia covers the bottom 1/3. A surgeon can access this space via the transaxillary, periareolar or inframammary fold incision. The transaxillary incision can leave the muscles and fascia intact. They do not require be cut or dissect in any way. For the periareolar incision, the muscle must be dissected in one way or another, so as to place the implant behind it.

Dr. Davidson will review every option for implant placement and during your consultation will determine the best technique for you, based on your individual body type as well as your goals, lifestyle, and expectations.