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Breast Implant Surgical Placement

• Peri-areolar: Placement of the implant takes place
         through an incision most commonly placed at the bottom,
         6 o'clock,  position of the areola.

• Infra-mammary: Placement of implant occurs in the
         crease under the breast. 

• Axillary- Placement of implant occurs in the area of the
         arm pit.

• TUBA- Placement of the implant takes place through a
         small incision in the belly button area.  Then the implant
         is positioned endoscopically by advancing the implant
         and surgical devices under the loose skin of the
         abdomen. 

Under the muscle: This method provides more of a natural look and feel when walking.  However, when utilizing the pectoralis muscle, some patients note the sensation of the implant being momentarily squeezed.  Recovery from this type of implantation also is a little bit longer.  There is also a risk of symmastia.  This can result if a tearing, or improper cutting of the pectoralis muscle occurs.  Symmastia is a condition in which the breast implants cross the breast bone and touch, causing an irregularity in the cleavage.  Most of the time this must be surgically fixed. 

Over the muscle (subglandular): This is the placement under the breast tissue but on top of the pectoralis (chest) muscle.  This method  increases the difficulty of breast tissue imaging during mammography.  There is also a greater risk of capsular contraction. This method is thought to provide a quicker less traumatic "fix" for breast sag because it doesn't involve the muscle tissue. If you already have little breast tissue, this method results in the  breast appearing like a rounded implant, and also has a greater chance of the outline of the implant being felt. 

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