Los Angeles Breast Augmentation under the muscle: Should I get my breast implants under the muscle?

Posted By: Dr. Dennis Dass | Published On: May 5, 2019 | Breast Augmentation
Breast implants can be placed either on top of the pectoralis muscle or under the muscle. The location of the implant is usually referred to as the “pocket” or “plane.” In the subglandular plane, the implants are placed under the breast tissue, but on top of the muscle. When implants are placed on top of the muscle, the breasts typically appear rounder at the top of the breast. This is because there is less tissue covering the implant, and you begin to see the shape of the implant. Often times, better cleavage can be achieved with this technique. The implants are perfectly placed and do not need to settle, or drop into place. This technique is used to create the illusion of a breast lift. The recovery is also very quick. The drawback is that you are more likely to see or feel the edges of the implants, which is more common in very petite women. In the submuscular or retromuscular plane, the implants are placed under the pectoralis major muscle. This is also referred to as the partial submuscular plane because the muscle only covers the top part of the implant, whereas there is no muscle covering the bottom and side of the implant, and in this region the breast tissue will cover the implant. Placing the implant under the muscle improves the coverage over an implant. Hence you are much less likely to see or feel the edges of the implant, particularly at the top or in the central cleavage region. The upper part of the breast is more likely to have a natural slope. Women are typically less likely to see rippling and the rates of capsular contracture are lower. The recovery is slightly longer. Initially, the implants will sit higher on the chest; it takes time for implants to settle when they are under the muscle.
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A combined technique was developed to maximize the benefits of each plane; this is called the “Dual plane” breast augmentation. The technique places the implant partially under the muscle and partially under the breast tissue. This is beneficial in women with a small amount of breast ptosis, or droopiness. You still get the benefit of a smooth contour at the upper part of the breast, but also get a small lift because the implant sits lower on the chest. To get the best results, it is important that you chose a breast augmentation surgeon that understands your desires and customizes your surgery. Dr. Dennis Dass is a plastic surgeon in Los Angeles specializing in breast augmentation, he performs hundreds of breast augmentations each year, and he individualizes the surgery for each patient. Make an appointment for your consultation today.
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About Dr. Dennis Dass

About Dennis Dass, MD, PharmD

Dennis Dass, MD is a top Beverly Hills plastic surgeon, focusing on boosting the confidence of his Los Angeles, California patients with natural and beautiful results. He provides a range of surgical procedures for the body, laser skincare, and non-surgical procedures. As a Board-certified plastic surgeon, he performs hundreds of cosmetic procedures every year.

Dr. Dass earned his Medical Doctor degree from the University of New Mexico School of Medicine in Albuquerque, NM and his Doctor of Pharmacy qualification from the University of New Mexico College of Pharmacy. He underwent a six-year Integrated Plastic and Reconstructive Surgery Residency at the University of Kansas. He is a Diplomate of the American Board of Plastic Surgery, a Member of the American Society of Plastic Surgery, California Medical Association, and Los Angeles County Medical Society.

Dr. Dass has received numerous accolades including Top Plastic Surgeon designation from many reputed organizations. Connect with Dr. Dennis Dass on Linkedin.
Maria Lopez
Highly recommend! wouldn't go to anyone else. 6 Months post BBL and I seem to LOVE my body more by the day! Dr. Dass truly did an amazing job shaping my body. I'm very petite and was concerned I wouldn't have enough fat to transfer, however Dr. Dass exceeded my expectations. I'm 5'2 range from 123-128 lbs He gave me the curves I dreamed of! His staff was very helpful, answered every question I had and took well care of me during the whole procedure. The recovery went smooth, did everything he instructed me to do and was back at work in 8 days! Highly recommend! wouldn't go to anyone else. Right off the bat you can tell how professional and knowledgeable he is.
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Christina Skinnell
My truSculptflex experience was incredible. My truSculptflex experience was incredible. I did as many areas as possible; quads, abs, obliques, hamstrings, buttocks. I continued to see a difference in both fat loss around the muscles and muscles increasing in size. The skin was tighter and firmer around treated areas too. 4 treatments and the results continued to improve 3 months later! Life Changing!! I’m blown away by this technology and would recommend DrDass and his office for the most effective, up to date technology in all of the services he offers. He takes pride on being young, on the cutting edge of the best and most effective treatments/surgeries/procedures to attain to your goals. Whatever they may be!
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Katrina Arredondo
Dr. Dass and his amazing team made me feel so comfortable and safe. I couldn’t be more satisfied with my decision of choosing Dr. Dass. I was afraid of going through this journey but Dr. Dass and his amazing team made me feel so comfortable and safe. From the consultation leading up to the day of the procedure, everyone made sure to answer any questions I had and throughly walked me through what was to be expected. I truly appreciate the entire team and Dr. Dass. My results are incredible and I did not have a single complication. When choosing your doctor please do not let the cost be the deciding factor. This is an investment for yourself and it is important to remember your health comes before all else.
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Maria Velloso
I just have to say thanks to him I had my BBL with Dr. Dass and was the best decision that I made. He did exactly what I wanted and my recovery was very fast and no painful at all. I was a bit worried because I live in another state and needed to travel, but it took a short time for me to go back to my normal life. I just have to say thanks to him..
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Priscilla Yudico
Doctor Dennis Dass is simply the BEST I had my BBL and extended tummy tuck approximately around 8 weeks ago and i couldnt be more grateful, I was fortunate enough to had work done by such a skilled surgeon. Doctor Dennis Dass is simply the BEST, he's a Master in the Art of Plastic Surgery I look better then when i was in my 20's. He put color back into my life giving me the courage to do the things I once was too overly conscious and afraid to do and for that I'll forever be grateful for.
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Amy Toscano
professional! His work is amazing Dr. Dass is a soft spoken, respectful, courteous professional! His work is amazing, had BBL done on August 24, 2018 and I love my resutls. I dont regret it one bit and would go back to Dr. Dass for any future procedures. He is the Da'Vinci of BBL's. Dass's nurse's and staff are friendly and treat you with respect. You never get that feeling like you dont matter! kuddos to you all!
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