Breast Augmentation with Under-the-Muscle Implants

How Under-the-Muscle Implants Work

In under-the-muscle breast augmentation, the implants are placed beneath the pectoral muscles rather than directly behind the breast tissue. This technique is commonly preferred by women who desire a more natural appearance because the muscle adds an additional layer of coverage over the implant, making it less noticeable, especially in the upper chest area. It also helps to camouflage the implant edges and can give the breasts a softer, more feminine look.

This method is especially popular for women with thinner breast tissue or those who want a fuller, rounder appearance without the risk of visible implant outlines. However, the muscles used for the implant placement can cause a temporary but significant effect on how the implants appear during the recovery process.

The Importance of “Dropping and Fluffing”

After your breast augmentation surgery, you’ll notice that your implants sit quite high on your chest. This is due to muscle spasm. The pectoral muscles are tightened from the placement of the implants and can push the implants upward in the immediate aftermath of surgery. In the first few weeks following the procedure, these spasms often prevent the implants from naturally settling into their final position.

The term “dropping and fluffing” refers to two key stages in the healing process that allow the implants to soften and lower into their final, more natural position:

• Dropping: This phase occurs when the implants begin to shift downward after being initially pulled high on the chest. The muscle starts to relax, and the implants descend into a more natural-looking position.
• Fluffing: During this phase, the implants begin to soften and become rounder, taking on a more full, voluminous appearance. This stage can take several months, as the breast tissue and muscle slowly stretch and adjust to the implants.

The process of dropping and fluffing can take anywhere from 2 - 4 months or even longer in some cases, depending on the individual’s body type, implant size, and healing process. It’s important to have patience during this time as the final results may not be immediately apparent.

Why Patience Is Essential

It’s easy to feel concerned when your implants appear higher than expected or firmer in the initial weeks, but this is completely normal. The muscle is still adjusting, and the implants will settle into a more natural position as time goes on. Rushing the process or being overly concerned about the early results can be discouraging.

Furthermore, maintaining a healthy recovery routine—such as following your surgeon’s post-operative instructions regarding activity restrictions, massage techniques, and wearing supportive bras—can help speed up the process and ensure optimal results.

Elizabeth M. on Google

They’re very well organized, upscale, and made us feel very comfortable during our visit. Dr. Guerra is extremely knowledgeable. After only a few minutes into our consultation with him, we knew that we made the right choice. I am so grateful to Dr Ogley! When I did my original consult he took his time and discussed every question I had. I felt like he understood exactly what I wanted. The surgery day he put me at ease before going in. I am so happy with my results. I had a ruptured implant on my left side. We did an implant exchange breast augmentation. He helped me pick the right size for me. My post op appts he was very caring. I would 100% recommend him to anyone doing any type of breast augmentation. The office staff were also awesome. Everyone I spoke with was helpful and caring, especially Lacey. Dr Ogley is amazing! I feel confident and very happy with my results.

Jennifer H. on Google

I love Dr. Guerra and his staff. I had an implant exchange after having my implants for just over 22 years. I wish I would have done this way sooner than I did. He made this decision so easy and they look way better than they ever did from my original breast augmentation. Dr.Guerra is the best surgeon and his staff is super sweet too!

Your Dream Results Are Worth the Wait

Breast augmentation with under-the-muscle implants offers stunning results, but it’s crucial to remember that the healing process takes time. While it may take several months for the implants to fully drop and fluff, the wait is worth it to achieve a beautifully natural look. If you’re in the early stages of your recovery, take it one day at a time, trust your surgeon’s advice, and know that your final results will soon reveal themselves in all their beauty.