In most of the cases, Dr. Pino recommends the submuscular or under the pectoralis muscle placement of the implant. Muscle coverage is an important issue. It is our experience that if only a layer of skin and thin fat covers the implant, when the swelling disappears the breast is more likely to look and feel like an implant.

When the implants are placed in subglandular position or on top of the muscle, the implants may interfere with cancer detection through mammography.

Submuscular Placement Possible Results	Subglandular Placement Possible Results
Surgery may be longer	Surgery may be shorter
Recovery may be longer	Recovery may be shorter
Less Capsular Contracture rate	More Capsular Contracture rate
Less palpable implants	More palpable implants
Easier imaging in mammography	More difficult imaging in mammography