Subglandular vs Submuscular Breast Implants: Key Differences
By Partington Plastic Surgery on August 18, 2025 in Breast Augmentation, Breast Implants, On Top

When choosing breast implants, one of the most important decisions becomes the placement. Should the implant be placed above the muscle or below it? The choice between subglandular vs submuscular breast implant placement can greatly affect the look and recovery. Your objectives and physical characteristics should guide your decision. Your surgeon’s level of skill has a significant impact on the final result as well.
At Partington Plastic Surgery, Dr. Partington offers an advanced method for subglandular placement – the ON TOP® Technique. This approach delivers a natural look and improved comfort. This method provides long-lasting results.
Let’s explore the differences between submuscular vs subglandular breast implant placement. We will analyze the pros and cons of these methods. Why the ON TOP® Technique has become a game-changer for many women will be described.
Subglandular Implant Placement
In subglandular vs submuscular breast implant comparison, the former means the following: the breast implant sits above the chest muscle. But they are located under the breast gland tissue.
The implant is placed directly behind your breast tissue. The muscle is not cut and lifted.
This position allows the implant to move more organically with the breast. It can create a rounder and fuller look in the upper pole of the breast.
Subglandular placement often works best for women with enough native breast tissue to cover the implant edges.
Submuscular Implant Placement
Comparing submuscular vs subglandular breast implant placement, the former means the following: the implant is put under the pectoralis major muscle.
This technique positions the implant behind both the breast tissue and the muscle. This can give a more gradual slope to the breast. It also helps hide implant edges for women with less of their own tissue.
Submuscular placement may also reduce the danger of visible rippling.
Main Differences – Exploring Submuscular Implant vs Subglandular
Let’s analyze submuscular implant vs subglandular options. The main differences include:
· Location– Subglandular is above the muscle; submuscular is below.
· Recovery – Subglandular usually has faster recovery since the muscle is not cut.
· Movement– Subglandular implants move more naturally with the breast. Submuscular implants may move slightly when chest muscles flex.
· Look– Subglandular gives more fullness at the top of the breast. Submuscular provides a softer slope.
· Pain level – Subglandular is generally less painful in the early days after surgery. Submuscular can be more sore due to muscle stretching.
Your surgeon will help you opt for the better method according to your anatomy and goals.
Breast Implant Subpectoral vs Subglandular – Discovering Pros and Cons
Subglandular Placement – Pros:
· Shorter recovery time.
· Less initial pain.
· Fuller upper breast shape.
· No distortion when flexing chest muscles.
· Works well with Dr. Partington’s ON TOP® Technique for natural results.
Subglandular Placement – Cons:
· Slightly higher risk of visible implant edges in thin patients.
· May have a higher risk of capsular contracture in some cases.
Submuscular Placement – Pros:
· More implant coverage for women with little breast tissue.
· Can reduce the risk of visible rippling.
· Often chosen for very lean women.
Submuscular Placement – Cons:
· Longer recovery.
· More discomfort early on.
· Implants may move when chest muscles are flexed.
The ON TOP® Technique by Dr. Partington
Natural Look
Confident Beauty
24 Hour Rapid Recovery, Muscle Sparing.

For women who choose subglandular placement, Dr. Partington offers the exclusive ON TOP® Technique.
This is not standard subglandular breast augmentation surgery. The ON TOP® Technique is designed to give a natural look, minimize complications, and improve comfort.
Dr. Partington focuses on precise implant placement that works with your anatomy. The breast fold is reinforced for long-term support. The implant is shaped to blend with your natural curves. This helps to avoid the “stuck-on” look that some subglandular surgeries can create.
Patients often report the following: breasts feel soft and move naturally, and they look youthful for years after the procedure.
Subglandular vs Submuscular Breast Implant – Discovering Which Looks More Natural?
The answer depends on your body type.
With enough existing breast tissue, subglandular placement can look incredibly natural – especially with the ON TOP® Technique. The implant follows the natural movement of the breast, giving a soft feel and balanced shape.
For women with very little tissue, submuscular placement can create a smooth transition from the chest to the breast. This hides implant edges and gives a gentle slope.
The choice between subpectoral vs subglandular breast implant placements should be based on your tissue coverage, desired fullness, and lifestyle.
Recovery Time: Submuscular Implant vs Subglandular
Recovery is often quicker with subglandular placement.
Since the muscle is left untouched, patients usually experience less swelling and less pain in the first few weeks. Many women return to light activities within a few days.
With submuscular placement, recovery can take more time. The muscle needs time to heal after being lifted and stretched. Patients may feel tightness and discomfort for some weeks.
Dr. Partington’s ON TOP® Technique for subglandular implants is designed to make recovery smoother and more comfortable.
Exercise and Lifestyle Considerations
When comparing breast implant subpectoral vs subglandular placement, lifestyle is an important factor.
Women who do heavy chest workouts often prefer subglandular placement. This avoids animation deformity — the unnatural movement of implants when the chest muscles flex.
Some women do not engage in intense chest exercise and want extra coverage. Submuscular placement may still be a good choice.
Dr. Partington considers your life habits to recommend the best approach.
Preservation and Durability
Both locations could remain for a long time. However, maintenance needs can differ.
With subglandular placement, especially with the ON TOP® Technique, results can remain stable for a long time when proper support is maintained. A well-reinforced fold helps keep implants in place.
With submuscular placement, the muscle offers support. However, they can change with age and physical activity.
For submuscular implant vs subglandular, regular check-ups with your surgeon help save your results.
Dangers and Complications
Any breast augmentation carries threats.
With subglandular placement, there is a slightly higher chance of visible edges or rippling in thin patients. Capsular contracture rates may be slightly higher without proper surgical technique.
With submuscular placement, there can be movement of the implant when the chest muscles flex. Recovery may also be more uncomfortable.
Dr. Partington’s ON TOP® Technique for subglandular placement minimizes risks through precise implant positioning and tissue support.
Choosing Between Subglandular and Submuscular
When deciding between subglandular vs submuscular breast implant, consider:
· How much natural breast tissue you have.
· How active you are with chest-focused exercise.
· The breast shape you want.
· Recovery time preferences.
· Your tolerance for possible muscle movement effects.
Talking to a qualified surgeon like Dr. Partington can help you make the best choice.
Why Many Women Choose ON TOP®
The ON TOP® Technique offers the benefits of subglandular placement while addressing its traditional drawbacks.
It is ideal for women who want:
· A natural look.
· Shorter recovery.
· Upper breast fullness.
· Long-term implant stability.
Dr. Partington customizes implant position and reinforces support. In such a way, beautiful, lasting results are delivered.
The choice between subglandular vs submuscular breast implant placement will become personal. Both options can look organic with the right technique.
So, you consider subpectoral vs subglandular implant surgery. In such a case, you are advised to think about your anatomy and goals. The ON TOP® Technique by Dr. Partington makes subglandular placement a powerful option for many women.
In skilled hands, whether you choose submuscular implant vs subglandular placement, you can achieve results that feel natural, look beautiful, and last for years.
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