Where are breast implants placed: in front of or behind the pectoral muscle?

Many patients do not know that there are several options when it comes to placing the implant, in front or behind the pectoralis major muscle. There are different factors that can help select the placement plane:

  • Your anatomy
  • The volume of the implants
  • Patient’s own wishes

It is important that the surgeon you choose is able to recommend the placement plane of the prosthesis that conditions an optimal, lasting and natural result. Both options are technically correct, although each plane has its pros and cons, we will see them below.

Subglandular plane:

In this case the prosthesis is placed behind the mammary gland and in front of the pectoral muscle.

Advantages:
Patients suffer less movement of the implants during their physical activity and the discomfort is somewhat less during the 2-3 days after surgery.

Disadvantages:
– May make interpretation of mammograms somewhat difficult.
– Increased risk of capsular contracture.
– Increased risk of palpation of the prosthesis or noticeable small folds (rippling), especially in thin patients.

Submuscular plane:

In this case the prosthesis is placed behind the mammary gland and also behind the pectoral muscle.

Advantages:
– Allows for easier interpretation of mammograms.
– Reduced risk of capsular contracture.
– Less risk of palpation of the prosthesis or small folds (rippling) due to the fact that it is also covered by the pectoral muscle.

Disadvantages:
The surgery usually generates more discomfort or pressure sensation during the first 2 – 3 days

En general solemos recomendar el plano submuscular, puesto que reduce el riesgo de determinadas complicaciones con la única desventaja de ser algo más molesto en los primeros días del postoperatorio. No obstante, es esencial que el cirujano que escojas haga una correcta valoración de tus características anatómicas, desarrollo muscular, cantidad de glándula mamaria … además de entender cuáles son tus deseos y expectativas, para así poder lograr resultados óptimos, naturales y duraderos.

However, it is essential that the surgeon you choose makes a correct assessment of your anatomical characteristics, muscle development, amount of mammary gland … as well as understanding what your wishes and expectations are, in order to achieve optimal, natural and lasting results.