We are offering Virtual Appointments for new patient consultations as well as some follow up care for existing patients. Our office remains open for Urgent Care. Our plastic surgeons are available for appointments if you have a laceration, facial injury, or hand injury. Please call ahead to our office at (203) 656-9999We want to make sure you receive the care you need when you need it.

Understanding the Placement of Breast Implants

Dr. David Passaretti is a skilled plastic surgeon who will customize your breast augmentation surgery using a variety of different techniques. One of the choices you will need to make concerning your surgery is whether your implants will be placed above or below the pectoral muscle of the chest. While Dr. Passaretti can deliver beautiful results with either type of placement, there are a few important differences for you to understand between the two techniques. To learn more about how the placement of breast implants can affect your appearance and other considerations, contact our Darien office and schedule a consultation today.

Customizing Your Treatment

The breast augmentation procedure is performed by placing either silicone or saline implants under their breast tissue or chest muscles to augment the appearance of their bust line. Each implant and surgical option will be chosen based on the patient's individual needs.

Factors to Consider

One of the most important steps in any plastic surgery is your initial consultation. During this time, you will speak with Dr. Passaretti about your goals and learn more about what options are available to you. When it comes to breast augmentation, you have many choices, including the:

These factors can be combined in several various ways that ultimately produce different end results. Whether you choose submuscular or subglandular implant placement will affect both the final look of your newly enlarged breasts and your healing time.

Illustration of breast implant placement
Your breast implants can be placed in front of or behind the pectoral muscle.

Submuscular Placement

Many patients and doctors alike believe submuscular breast implants look and feel more natural than subglandular implants since the chest's natural muscle covers some of the implant. This way, the implant adds volume while still being partially concealed with natural tissue. Dr. Passaretti can place either saline or silicone implants using this technique.


While they may look and feel more natural, the recovery for submuscular implant surgery is longer than subglandular implant placement, as Dr. Passaretti will need to manipulate a greater amount of tissue during the surgery.


Submuscular implants generally have a lower occurrence of capsular contracture than subglandular implants. Capsular contracture occurs when scar tissue grows around an implant, constricting it and causing pain and a variety of other symptoms. Submuscular implants also have a lower rate of "bottoming out," in which the implants sit too low on the chest and make the nipples look high.

Recommended by Our Patients

“I am so thankful to have found Dr. Passaretti! My outcome is beyond better than I thought was possible. I can't recommend him highly enough.” Kari DeAngelis

Subglandular Placement

Subglandular breast implants heal much faster than submuscular implants. They are placed above the pectoral muscle and beneath the skin and fat of the breast. 


Many patients feel subglandular implants look more artificial, although a skilled surgeon such as Dr. Passaretti can still create a very natural look with this type of placement. Women with a greater amount of natural breast tissue, for example, may be good candidates. This type of placement generally results in more dramatic cleavage than submuscular implants. And if you require revision surgery for your implants, this type of implant is easier to access in the future. 

Dr. Passaretti Creates Flattering Results

Before breast augmentation
After breast augmentation

Dr. Passaretti worked with this patient to determine the best implant placement for her goals.

Contact Us to Learn More

Whether your implants are placed above or below the muscle, Dr. Passaretti will ensure that you are pleased with beautiful, natural-looking results. He will show you examples of both types of placement so you can feel fully confident in your decision. To learn more about how you can benefit from breast augmentation, contact us today.

Dr. Passaretti

Trust Your Care to a Board-Certified Surgeon

Dr. David Passaretti is a distinguished plastic surgeon who is:

  • Board-certified
  • Recognized as one of the "Top Doctors" by multiple publications
  • Dedicated to excellence

Schedule your consultation by contacting us online or calling us at (203) 656-9999.

Contact Us Today

"Thank you for making me look like a work of art! I sincerely appreciate everything that you’ve done for me."

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