Breast Augmentation – Over the Muscle - Absolute Cosmetic

Over-the-Muscle Breast implants

Over-the-muscle breast augmentation refers to implant placement above the pectoral (chest) muscle and beneath the natural breast tissue. At Absolute Cosmetic in Perth, this technique is also known as subglandular or subfascial placement, depending on whether the implant is placed directly under the breast tissue or beneath the thin fascia covering the muscle.

Dr. Glenn Murray (MED0001196978) carefully considers individual anatomy, tissue coverage, and implant selection when recommending this approach.

Subglandular

The implant is placed directly behind the breast tissue

Subfascial

The implant is placed beneath the fascia (a thin layer of connective tissue that covers the muscle) but still above the muscle itself

Who Might Be Suitable for Over-the-Muscle Placement?

Over-the-muscle breast implant placement may be an appropriate option for certain patients based on their anatomy, goals, and surgical history. This technique may be considered for those who:

Have sufficient natural breast tissue to provide adequate coverage over the implant, reducing the likelihood of visible edges or rippling
Prefer a fuller, rounder appearance in the lower and central areas of the breast
Have a strong and intact chest wall, with no history of trauma or previous complications involving the pectoral muscle
Are undergoing revision surgery, particularly when the previous implants were placed under the muscle and led to complications such as movement, discomfort, or animation deformity
Are not involved in high-intensity upper-body sports, where muscle strain could otherwise impact the under-muscle placements

A personalised consultation with Dr. Glenn Murray (MED0001196978) will determine whether this placement technique aligns with your anatomical features and aesthetic preferences.

Benefits of Over-the-Muscle Placement

Shorter Recovery Time

Because this approach does not involve manipulating or cutting through the pectoral muscle, the initial recovery period may be shorter compared to submuscular or dual plane techniques. Many patients report being able to resume light activities sooner, with less discomfort during the early stages of healing. This can be particularly appealing for individuals with work or lifestyle commitments that require a quicker return to routine.

Reduced Post-Operative Discomfort

Over-the-muscle placement avoids stretching or separating the chest muscle, which often leads to a lower level of post-operative tightness and pain. Patients who are more sensitive to muscular tension or who have had discomfort following prior submuscular procedures may find this approach more comfortable during recovery.

No Implant Distortion with Muscle Contraction

No Implant Distortion with Muscle Contraction because the implant is positioned above the pectoral muscle, it remains unaffected by muscle movement. This eliminates the risk of animation deformity—a condition where implants shift or distort visibly when the chest muscles are flexed. This can be particularly advantageous for those involved in fitness, weightlifting, or occupations that require frequent upper-body use.

May Be Suitable for Patients with Adequate Tissue Coverage

Patients who have a moderate to full volume of natural breast tissue may achieve favourable outcomes with over-the-muscle placement. The existing tissue helps to provide coverage and shape without relying on muscle support. This option may also help avoid the slightly flattened appearance that can sometimes occur in the upper breast with under-the-muscle techniques.

Patient Support at Every Step

Choosing breast augmentation is a significant decision. At Absolute Cosmetic, we support patients through:

A comprehensive in-clinic consultation with Dr. Glenn Murray (MED0001196978) (MED0001196978)
Access to sizing tools and implant samples
Surgery in a licensed day hospital setting
Next-day follow-up and access to a 24-hour on-call line
Ongoing nursing support for dressing changes and post-operative monitoring

Each procedure is tailored to the individual, with careful planning to support both surgical outcomes and long-term comfort. If you are interested in the over-the-muscle technique, we encourage you to book a consultation at our Perth clinic, where Dr. Glenn Murray (MED0001196978) can assess your suitability and discuss the most appropriate implant placement for your goals and anatomy.

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Dr. Glenn Murray (MED0001196978) Medical Director | MBBS | FRACGP | MIT AI (Health) Cert. (AHPRA Registration MED0001196978) Registered Medical Practitioner,... Specialist General Practitioner (specialist registration in general practice). General disclaimer: Patient outcomes can vary due to factors such as genetics, diet, age, exercise, lifestyle, weight, and overall health. It’s essential to understand that all invasive surgeries come with inherent risks and require a recovery period and specific care regimen. Detailed information regarding surgical risks and complications is available here, but it is advisable to conduct thorough research and obtain a second opinion to ensure you are able to make an informed decision. Please note that the information provided is general in nature and does not constitute medical advice or establish a doctor-patient relationship. For real patient images, please visit our Before and After page. Please be advised that surgical outcomes vary, from patient to patient, and comprehensive research is crucial before making any decisions. This website contains imagery which is only suitable for audiences 18+.