Types of Surgical Procedures for Breast Implants

With this placement, the implant is placed over top of the muscle, but behind the breast tissue. 

Pros

• Implants are very easy to place. Virtually all surgeons can perform this procedure with ease.

• Avoidance of a breast lift, or mastopexy, due to mild sag (ptosis), however, this is usually a "quick fix", and a lift will, many times, be needed in the future, especially when larger implants are placed. Keep in mind that the only thing supporting the implant is the skin and breast tissue.

• Less recovery time, with less post-op discomfort/pain, since the muscles are left in tact, and only skin and fat are cut.

• Larger implants may be placed, versus attempting to use a very large implant with partial or complete sub-muscular placement (during the first augment). 

Cleavage is more easily created with overs, particularly if the breasts are naturally spaced wide apart.

Cons

• Ripples are more easily seen and felt, especially in women starting with little or no breast tissue. In  these  cases,  there  is  very  little tissue to help camouflage the implant. This is especially true for textured breast implants placed over the muscle. 

• More pictures/views will need to be taken when doing mammograms, and sometimes, insurance companies will not pay for these extra images, which means you will have to pay for those out-of-pocket.  However, his can be true no matter where the implants are placed.

• Capsule contracture rates are highest in women with implants placed over the muscle.

• Some women have complained of feeling self-conscious because their implants are just "out there", due to the implant only being covered by the skin and breast tissue. Thankfully, this doesn't seem to be a common complaint. 
  
  Many women who lift weights opt for over the muscle placement. This is mostly due to the fact that when the pectoral muscles are flexed, the implant does not become distorted in shape.
  
  Overs usually, but not always, tend to give a more "fake", augmented look. There tends to be more of a pronounced "roundness" to the breasts, versus the look that unders give, which is a more natural slope. Again, this is not the case for ALL sub-glandular implants, but does seem to be truer for those who have little to no breast tissue to start with. There is nothing at all wrong with this look. It's more a matter of personal preference.