Is Breast Augmentation Done Above or Below the Muscle?


Breast augmentation is a procedure in which the size of your breasts is increased. This is done by inserting implants, which can be tailored to you depending on how big of a size increase you’re looking for. There’s more than one type of breast implant, which a lot of patients aren’t aware of before they come to us. The way the implant is placed is also a highly debated topic, with many people suggesting it’s over the muscle, while others are saying it’s under. At El Paso Cosmetic Surgery, we want to give you all the information needed to educate you prior to your breast augmentation procedure.

Breast Augmentation Implant Types

All breasts are different, which is why it makes sense to have a different variety of breast implants. We currently have two options, all of which are FDA-approved:

  • Saline implants – these consist of a silicone shell filled with a saltwater solution. They’re inflated to your desired size and tend to provide a shorter scar. However, they don’t look as natural.
  • Silicone implants – El Paso Cosmetic surgery uses the latest generation of silicone implants. These implants are filled with silicone gel, giving them a more natural appearance and feel. The age requirement for this type of implant is 22, while saline implants are approved for anyone above the age of 18. 

Above or Below the Muscle? It Depends!

The placement of your breast implants largely depends on the type you have chosen. 

The general consensus among plastic surgeons is that above the muscle (subglandular placement) is best for silicone implants. This is merely because they offer a more realistic and firmer feel than saline implants. Thus, saline ones tend to go under the muscle (submuscular placement), relying on muscle tissue to add some firmness to the implant. 

Of course, the amount of breast tissue you already have will come into consideration as well. Again, when you have a decent amount of existing breast tissue, the above-muscle placement is preferred. Don’t worry about making this decision on your own, the optimal breast implant placement for your case will be discussed at length by Dr. Sozer during your consultation. The El Paso Cosmetic Surgery team is well-equipped to help you realize which option will be best for your breasts. 

Benefits of Breast Augmentation

Having small breasts is a massive concern for a lot of women. While it doesn’t matter to anyone else, it can matter a lot to you. It makes you feel less confident in your body, often causing you to avoid wearing bikinis or other types of clothing. So, breast augmentation surgery can help you increase your breast size and instantly feel more confident. This can change many different aspects of your life as you no longer feel self-conscious and withdrawn!

Am I a Candidate for Breast Augmentation?

Breast augmentation surgery is suitable for women over the age of 18 – or 22 if you want silicone implants. If you’re unhappy with your breasts and would like them to be bigger, then you are a good candidate. You should also have realistic expectations about the results. Dr. Sozer use Vectra 3D imaging to preview the expected results before any surgery has been conducted so you can feel confident and realistic about your results.

Take the Next Step

Interested in trying out breast augmentation for yourself? Schedule a consultation at El Paso Cosmetic Surgery in El Paso, TX today! (915) 351-1116.

Disclaimer- Any price mentioned in blogs are indicative prices of the period the blogs were posted and not binding to our current pricing. Please call or text us for our current pricing.


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