Under/overs Started by: Anonymous

Just found this online…
http://www.realself.com/question/should-breast-implants-be-placed-under-or-over-muscle

Under the muscle is best for:

thin women
women with little breast tissue to cover the implant
women with little or no drooping of the breast
softer, more natural draping of the implant
concealing implant ripples
less chance of developing capsule contracture

Over the muscle is best for:

faster recovery
women with enough natural breast tissue to cover the implant
women with drooping who want larger breasts without a breast lift

Xxx

Pros: When textured implants are used, the capsular contracture rate is only 5–10%. In women with a moderate amount of breast tissue (a B cup or larger), this can be an excellent choice and produce very natural-looking breasts that age well. The recovery is usually easier than when the implants are placed in a submuscular position. End results are usually achieved in a matter of weeks.
Cons: The use of smooth implants in a subglandular position very frequently (up to 70%) results in capsular contracture. When textured implants are used in thinner women with small breasts rippling may be visible in the upper and inner aspects of the breasts. It is also easier to see the upper edges of the implants when they are placed over the muscle.
Under the Muscle (Subpectoral) Breast Implant Placement:
Pros: Using smooth implants under the pectoralis muscles reduces the capsular contracture rate to less than 10%. In thinner women, the added bulk of the muscle over the upper and inner aspects of the implants makes the edges less visible and the curve of the breast more natural. When textured implants are used, the rippling in the areas under the muscle is usually invisible.
Cons: The recovery is more uncomfortable for several days. It takes longer for the swelling to subside and for the breasts to settle. You may need several months to see the end results. When the pectoralis muscle is contracted during exercise or in some daily movements, the muscle flattens the implants and pushes them outward, changing the shape of the breast. Occasionally, an indentation over the implant is seen along the edge of the muscle. When there is a moderate amount of breast tissue that is lax or becomes lax in time, it may sag below the position of the implant that is held in place by the muscle, resulting in a double bubble deformity.

GOING UNDER THE MUSCLE

more natural look
less visible implant up top
lower risk of capsular contracture (breast implant hardening)
lower risk of implant bottoming out
more painful recovery
longer time for breasts to settle down to their final position and shape
implant and breast movement during physical activity (when flexing pectoral chest muscles)

GOING OVER THE MUSCLE

Less painful
quicker recovery
Final size and shape seen earlier
higher risk of capsular contracture
higher risk of implant bottoming out
More bubbly rounded look
Implant more visible
Implant easier to feel
Rippling more visible up top.