Choosing the Right Implant Placement for You

Breast augmentation surgery is highly customizable. In addition to choosing the type, profile, shape, and size of your implants, you can also select how the implant is placed. Dr. Bruce Hermann is an experienced and highly trained plastic surgeon at North Texas Breast & Plastic Surgery Center in Denton, TX, who uses the latest and best techniques for breast implant placement. He can help you choose between the two available implant placements: submuscular and subglandular. While both are safe and can offer exceptional results, each method has unique positives and negatives. Understanding the difference between the two can help you make an informed decision about your augmentation procedure.

illustrations of a breast before surgery, after subglandular placement, and after subpectoral placement
Dr. Hermann can assess your candidacy for each placement type and help you decide which is right for you.

Understanding Your Choices

There are generally two approaches to placing breast implants:

  • Submuscular – The implant is placed under both the breast tissue and chest muscles.
  • Subglandular – The implant is placed under the breast tissue but above the chest muscles.

Your unique needs will determine which of these techniques is the best for you. Dr. Hermann will make a recommendation based on your desired outcomes and your natural features, as well as your lifestyle. By using our advanced BodyLogic® system, he can make your decision a little easier. This unique program allows you to visualize the different surgical outcomes you can achieve.

Submuscular Placement

The best candidates for this technique are typically thinner women. Dr. Hermann can use submuscular placement for both the saline and silicone implants, so you can choose either. 

Advantages: This approach produces a more natural-looking result. The deeper implant placement means there is less chance of rippling which involves the appearance of ridges or wrinkles on the implant showing through the skin. There is also a lower risk of capsular contracture, an uncomfortable side effect of improper implant healing.

Disadvantages: Since Dr. Hermann must alter the muscle tissue in the breast, submuscular placement takes more time to complete and requires a longer recovery period.

Subglandular Placement

This technique is best suited for athletic women who want to avoid surgery that involves their chest muscles. It is also a better choice for women who are interested in a less invasive option.

Advantages: This approach produces a more dramatic and rounder effect. In addition, subglandular placement is less invasive and typically results in fewer surgical complications. The surgery itself is also faster than submuscular placement and involves a shorter recovery time.

Disadvantages: The subglandular approach has a higher likelihood of breast implant rippling. In addition, studies have shown that there is a higher incidence of capsular contracture in women receiving implants using this approach. Finally, the more pronounced effect that implants placed with this technique produce tends to create a less natural look.

Why Choose Dr. Hermann?

Dr. Hermann's single professional focus is simply doing what is best for his patients. He personally performs all surgeries, from start to finish, and he devotes much of his practice time to educating patients before they choose a procedure and caring for them during post-operative recovery.

Having trained under world-renowned reconstructive breast surgeon Dennis C. Hammond, Dr. Hermann is well-versed in the most advanced techniques for cosmetic and reconstructive breast surgery. He has extensive experience with different implant placement methods and takes pride using his training and skills to help patients improve their appearance and self-confidence. 

Implant Safety Improvements

New developments in the safety of silicone breast implants have eliminated the problems of earlier implants. For example, there are now "gummy bear" implants filled with a safer silicone gel. During your consultation, Dr. Hermann will help you choose the right implant.

Learn More Today

Dr. Hermann understands what a big decision breast augmentation surgery is and will work with you to determine the right implant placement for your unique needs. Contact our office online or call (940) 387-4900 to speak to a member of our team today. You can also learn more by reviewing our breast augmentation FAQ.

Dr. Hermann

North Texas Breast & Plastic Surgery Center

Dr. Bruce Hermann has trained under world-renowned plastic surgeons and implements the BodyLogic™ system to achieve optimal surgical outcomes. We accept financing so every patient can access our advanced treatments:

  • CareCredit®
  • United Medical Credit

To speak with the North Texas Breast & Plastic Surgery Center team about your cosmetic goals, request an appointment online or call (940) 387-4900.

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"Dr. Hermann is one of the finest plastic surgeons in the city of Denton. Dr. Hermann recently removed my breast implants and gave me a beautiful lift." Kathy

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