08/10/2026
Implants above the muscle, six months on.
This patient, in her late twenties, had 340 cc round nanotextured implants placed subfascially: above the muscle, beneath its thin covering layer. For someone with enough breast tissue of her own, that position gives a natural slope and keeps the breast still when the chest muscle works, with a quicker and less painful recovery than placing the implant under the muscle.
It is not the right plane for everyone. With too little cover, an implant above the muscle can look fuller at the top and carries a higher risk of visible rippling. Implants of any kind can develop capsular contracture and may need further surgery in time. The assessment at consultation decides the plane, not a preference.
Photographs taken six months after surgery, unretouched apart from blurring, shared with her written consent. This result is typical of the operation. Results vary between individuals and depend on anatomy, healing and other factors.
Consultations are with the surgeon who operates.