Above or Below the Muscle? The Truth About Breast Implant Placement

Above or Below the Muscle? The Truth About Breast Implant Placement

December 4, 2025 · 18 min · Episode 48

About this episode

The episode discusses the differences between above and below muscle breast implant placement and its implications for recovery and aesthetics.

Where your implants go—above or below the muscle—actually makes a big difference. It can change how your breasts look and feel, and how you recover. Most people go under the muscle because it gives a more natural look and lowers the risk of capsular contracture. Dr. Koehler, Dr. Gardner and Kirstin explain how your body type, fitness level, and goals all play into what’s best for you. Above the muscle can work great for some athletes or people with enough natural tissue, but for most, under the muscle just makes sense. They also clear up a few myths, like needing new implants every 10 years, and talk honestly about complications like animation deformity and capsular contracture. Bottom line: there’s no one “right” answer. Have an open chat with a surgeon you trust, listen to your body, and make the choice that fits your lifestyle. Read more about breast augmentation Follow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardner Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss…

People in this episode

Hosts: Dr. James Koehler, Kirstin

Guest: Dr. Gardner

Topics covered

Keywords

Mentioned in this episode

Organizations: Eastern Shore Cosmetic Surgery

Places: Fairhope, Alabama

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