The breast implant can be placed either partially under the pectoralis major muscle (submuscular) or on top of the muscle and under the breast glands (subglandular). You should discuss with your surgeon the pros and cons of the implant placement selected for you.
Submuscular placement may make your surgery last a little longer, may take your recovery longer and the patient may have more discomfort, when compared to subglandular approach. The possible benefits of submuscular placement are that it may result in less palpable implants, less capsular contracture, and it will make it easier to image the breast with mammography.
Subglandular placement may take your surgery and recovery shorter, may be less painful, and may be easier to access for reoperation compared to the submuscular placement. However, subglandular placement may result in more palpable implants, more capsular contracture and more difficult imaging of the breast with mammography.
In most of the cases, Dr Ronald Pino recommends the submuscular or under the pectoralis muscle placement of the implant. Muscle coverage is an important issue. Early implants, and some placed today, have been placed under the skin but outside the pectoral muscles.
The possible benefits of submuscular placement are that it may result in less palpable implants, less capsular contracture, and it will make it easier to image the breast with mammography