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September 15, 2026

Breast Implants Above or Below the Muscle? Scottsdale Guide

Jonathan Dang, MD discusses choosing the best breast implant placement for you.

When placing breast implants, plastic surgeons either place them above or below the pectoralis major muscle. This has been a topic of much debate among many good cosmetic surgeons who have had great results with either technique. In my opinion, choosing breast implant placement in Scottsdale that is tailored toward the individual patient is what will give optimal results.

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saline breast implant
implant under the muscle

Diagram of the under the muscle breast implant placement.

What Are the Benefits of Going Below the Muscle?

The benefits of going below the muscle are that the muscle acts as an extra layer of tissue camouflage for the breast implants, especially in the upper half of the breast. It minimizes the “fake” look by masking the edges of the implant better. In some studies, they report less incidence of capsular contracture, although that is becoming another topic of debate as well.

Dr. Jonathan Dang

Breast implant surgeon Jonathan Dang, MD holding the largest and smallest breast implants.

What Are the Downsides of Going Below the Muscle?

The recovery from going under the muscle is slightly longer. As you can imagine, the pec muscle is fairly large, so you will feel the tightness and soreness for a longer period of time as it takes time to relax. The amount of cleavage is limited by where the muscle fibers insert on your sternum. For some patients, their muscle fibers insert far apart, so the amount of cleavage is limited. Animation deformity is another potential downside, as some patients report not liking the implants moving each time the pec muscles are contracted.

Considering Breast Implant Placement Options? Your implant placement can affect your recovery and final results. Schedule a consultation to discuss which approach may be right for you.

Dr. Aldo Guerra

Breast surgeon Aldo Guerra, MD, FACS with three different sizes of breast implants.

implant over the muscle

Diagram of the above-the-muscle breast implant placement.

Who Is a Good Candidate for Above-the-Muscle Placement?

For me, the number one priority is having thick enough skin at the top half of your breast that can mask the edges of the breast implant. If that’s the case, going above the muscle means a much quicker recovery; your pec muscles are left completely alone, there is no animation deformity, and more cleavage can be obtained without being limited by muscle insertion. In my practice, I do about 80–85% under the muscle, or what we call “dual plane.” This is because most of my patients have had kids, breastfed, or gone through weight fluctuations where the skin in the upper half of the breast has thinned out or become too elastic. Like most things in plastic surgery, choose a board-certified plastic surgeon not based on a specific technique they do, but on the ability to produce good, consistent breast surgery results over a long period of time.

Find the Right Implant Placement for You. Your anatomy, skin thickness, and aesthetic goals all play a role in choosing implant placement. Schedule a consultation with Dr. Dang or Dr. Guerra to explore your options.

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I had an amazing experience with Dr. Guerra! From start to finish, he and his team were absolutely incredible so professional, kind, and attentive. Dr. Guerra explained everything clearly at every visit and made sure I felt informed and comfortable throughout the entire process. I just had my 2.5 month check-up and I am beyond happy with my results. My results look amazing! I truly couldn’t be happier and highly recommend him.

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Great doctors are hard to come by, and Dr Dang is one of them I’m so surprised he called ona Saturday to check in on me make sure I am doing alright after my surgery on Friday. You can tell he really cares. He’s very compassionate and soft spoken and tells you what you need to know and answers all your questions. He’s very gentle and just all around a great doctor!!!! I hope more people tell him how much they appreciate Dr dang. Thank you again.

Dr. Jonathan Dang and Dr. Aldo Guerra

Breast Implant Surgeons in Scottsdale Dr. Dang and Dr. Guerra.

Need help choosing which breast implant placement technique is right for you?

Contact us today for a personal consultation at Guerra Plastic Surgery Center. We specialize in breast implants in Scottsdale, Arizona. Call (480) 568-2523 or schedule your breast implant consultation online today.

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Scottsdale Location

AZFoothills Best of Our Valley 2026 - ASAPS member - ASPS member - Phoenix Magazine Top Doc 2011

Dr. Aldo Guerra’s professional memberships and awards

Servicing the Phoenix metro area, including Phoenix, Scottsdale, Paradise Valley, Mesa, Tempe, Gilbert, Chandler, Glendale, Anthem, Cave Creek, Peoria, Buckeye, Avondale, and surrounding communities.

* All appointments require a credit card on file.

Board-certified plastic surgeon Aldo Guerra, MD, FACS offers one (1) free consultation for new qualified patients with a credit card on file who are interested in the following procedures: Primary (first-time) Breast Augmentation, Breast Lift, Breast Reduction, Tummy Tuck, Mommy Makeover, Body Lift, Thigh Lift, and Arm Lift.

Double board-certified plastic surgeon Jonathan Dang, MD offers one (1) free consultation or one (1) free virtual consultation for new qualified patients with a credit card on file who are interested in: Rhinoplasty, Facelift/Necklift, Brow Lift, Eyelid Surgery, Ear Surgery, Chin Implants, Gynecomastia, Labiaplasty, Liposuction 360, Liposuction, Tummy Tuck, Mommy Makeover, Body Lift, Thigh Lift, Arm Lift, Breast Augmentation, Breast Lift, Breast Implant Exchange, Breast Revision, Breast Implant Removal, Breast Reduction, and Minimally Invasive In-Office Procedures (including Labiaplasty, Neck Liposuction, Upper Lid Blepharoplasty, Dimpleplasty, and Fat Transfer to the Face).

Dr. Dang also offers revision surgery consultations for a $100 non-refundable fee (charged at the time of scheduling) for the following procedures: revision rhinoplasty, revision facelift, revision tummy tuck, revision arm lift, revision eyelid surgery (blepharoplasty), scar revision, and dog-ear removal. This $100 fee may be applied toward your surgical quote if you proceed with surgery.

Cancellation / Rescheduling Policy
A minimum of two (2) business days’ notice is required to cancel or reschedule your in-office consultation or virtual consultation. Failure to provide adequate notice or a no-show will result in a $100 fee charged to the credit card on file.

If you have already used your free consultation, a $100 non-refundable fee is required for a second consultation. This $100 fee may be applied toward your surgical quote if you proceed with surgery.

Non-Surgical Procedures
A $25 non-refundable appointment fee is required for all non-surgical procedures. Two (2) business days’ notice is required to cancel or reschedule to avoid this fee.

We do not accept insurance.

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