Breast implant placement plays a significant role in the final look, feel, and longevity of breast augmentation results. Many patients focus on implant size or type, but placement choice also affects shape, recovery, and long-term outcomes. Women considering breast augmentation with Dr. Gabriel Chiu in Beverly Hills often ask which placement option works best for their body and goals. Choosing an experienced plastic surgeon is essential for optimal results, as plastic surgeons have specialized expertise in breast surgery, including both reconstructive and cosmetic breast augmentation procedures.
Table of Contents
- Types of Breast Implants
- What Does Breast Implant Placement Mean?
- Pre-Surgical Preparation
- Subglandular (Over the Muscle) Implant Placement
- Dual Plane Implant Placement
- How Dr. Chiu Determines the Best Placement
- Recovery and Long-Term Results
Types of Breast Implants
When considering breast augmentation, patients can choose from several types of breast implants, each with unique features. Silicone breast implants are filled with silicone gel, which closely mimics the feel of natural breast tissue and is favored for its durability and realistic appearance. Saline breast implants are filled with sterile salt water and are often chosen for their lower cost and the ability to adjust volume during the breast implant procedure. Gummy bear breast implants, a type of silicone implant, are made with a highly cohesive silicone gel that retains its shape even when the implant shell is cut, providing a stable, natural contour. The choice between silicone, saline, and gummy bear breast implants depends on individual anatomy, lifestyle, and the desired outcome of the breast augmentation procedure.
What Does Breast Implant Placement Mean?
Breast implant placement refers to where the implant sits in relation to the chest muscle. Surgeons use two primary options: placement above the muscle or below the muscle. Each option offers specific benefits depending on anatomy, lifestyle, and aesthetic preferences.
Dr. Chiu evaluates chest wall structure, natural breast tissue, skin elasticity, and activity level to recommend the placement that produces balanced, natural-looking results. Individual patient risk is also assessed to ensure the safest and most effective outcome.
Pre-Surgical Preparation
Proper preparation is essential for a safe and successful breast implant surgery. Before the procedure, patients will be asked to stop certain medications, such as blood thinners, and to avoid smoking and alcohol, as these can affect healing. It’s essential to provide your plastic surgeon with a complete medical history, including any previous surgeries or health conditions, to ensure you are a suitable candidate for breast implant surgery. A thorough examination of your breast tissue and surrounding area will help your surgeon determine the best surgical approach and implant placement for your body. Open communication is key—patients should feel comfortable asking questions and discussing their expectations to ensure they are fully informed and confident about their upcoming implant surgery.
Subglandular (Over the Muscle) Implant Placement
Subglandular placement positions the implant above the chest muscle and beneath the breast tissue.
Benefits of Over the Muscle Placement
- Shorter initial recovery
- Less post-operative muscle discomfort
- Enhanced lower-breast fullness
- No muscle animation during movement
This option may suit patients with sufficient natural breast tissue to cover the implant edges. Athletes or women who heavily engage their chest muscles sometimes prefer this placement.
Considerations
Over the muscle placement may increase the risk of visible rippling in patients with thinner tissue. It also has a slightly higher rate of capsular contracture. Dr. Chiu carefully assesses tissue thickness before recommending this option.
Dual Plane Implant Placement
Rather than placing the implant fully beneath the chest muscle—which is no longer considered an optimal, modern technique—dual plane placement positions the implant partially under the pectoralis muscle while the lower portion rests directly beneath the breast tissue. This modern approach allows for a more natural shape while maintaining soft tissue coverage where it matters most.
Why Surgeons Use Dual Plane Placement
- Improves natural breast slope
- Enhances lower-pole fullness
- Reduces implant visibility
- Supports natural movement and shape
Dual plane placement is especially well suited for patients with limited natural breast tissue, mild breast sagging, or those seeking refined enhancement without a breast lift. Many surgeons consider this approach the most versatile and balanced option for aesthetic balance.
How Dr. Chiu Determines the Best Placement
Dr. Chiu does not use a one-size-fits-all approach. During consultation, he evaluates:
- Chest width and rib structure
- Existing breast volume
- Skin quality and elasticity
- Implant size goals
- Physical activity level
These factors guide placement decisions that support symmetry, longevity, and natural proportions. Proper placement reduces revision risk and improves satisfaction.
Recovery and Long-Term Results
Each placement option delivers excellent results when matched correctly to anatomy. Swelling gradually subsides over several months, and implants settle into their final position. Some patients may experience breast pain during recovery, which should be monitored. Long-term success depends on surgical precision, implant quality, and post-operative care.
Patients who choose appropriate placement often enjoy stable results for many years.
Schedule a Breast Augmentation Consultation in Beverly Hills
Choosing the right breast implant placement shapes your outcome just as much as implant size or type. Dr. Gabriel Chiu provides personalized recommendations based on anatomy, goals, and lifestyle.
To schedule a consultation, call (310) 888-8087 or complete the online consultation form at Beverly Hills Plastic Surgery®. Our team will guide you through every decision with clarity and care.