Breast Implant Placement and Your Chest

If you’re considering male to female (MTF/N) breast augmentation, you’re probably wondering what the final results will look like on your natural body shape and size. Many of our patients worry that their breast implants will look abnormal or peculiar, especially if they already possess naturally large pectoral (chest) muscles.

If this sounds like you, there are several surgical techniques that Dr. Mosser can use to create a more feminine chest appearance.

Choosing MTF/N Breast Augmentation: Who’s a Good Fit?

The goal of MTF/N breast augmentation is to give you fuller, more feminine breasts. Surgery can be performed at any point during your transition, but it’s important to complete some important steps in advance.

The Gender Confirmation Center uses an informed consent model to assess candidacy for all of our services. To determine if you are a good candidate for surgery, you will need to undergo a personal consultation with Dr. Mosser. If you’re an ideal candidate, Dr. Mosser will work with you to design a personalized treatment plan based on the natural contours of your body, as well as cosmetic goals.

Implant Placement: Above or Below the Chest Muscle

An important decision that you will need to make in advance of surgery is breast implant placement. Breast implants can be placed above (subglandular) or below (submuscular) the chest muscle. If you have naturally large chest muscles, Dr. Mosser may recommend that your implants be placed above them to conceal the more masculine contours of your chest.

There are several advantages to subglandular placement, such as a shorter, less painful recovery period. Patients with subglandular placement also experience less implant movement during physical activity. However, it is important to note that your implants will be closer to the surface, which means that they will probably be more visible and more easily felt. Silicone implants are preferred for this placement because they offer a more natural appearance when compared to saline implants.

With submuscular placement, the implants are placed below the pectoral muscles and breast tissue. This placement often requires a more extensive recovery, but it offers patients a lower rate of capsular contracture, rippling, and downward placement. It is important to carefully consider the advantages and disadvantages of each placement before making your final decision. Dr. Mosser will work with you to ensure the best results possible are achieved.

Additional Options

If subglandular implant placement isn’t for you, there are other options that can minimize a naturally large chest. Dr. Mosser will be able to determine if certain surgical techniques such as “scoring” the chest muscles can create softer, lower breasts. The best way to determine which technique is right for you is to meet with Dr. Mosser for physical exam.