Breast Implants Under the Muscle? A Plastic Surgeon Explains Why It's Outdated episode artwork

EPISODE · May 28, 2026 · 20 MIN

Breast Implants Under the Muscle? A Plastic Surgeon Explains Why It's Outdated

from Plastic Surgery Advice with Dr Aric Aghayan · host Aric Aghayan

📌 Visit www.apresplasticsurgery.comAlmost every surgeon is going to tell you to go under the muscle. Forums, blogs, and family members are going to say the same thing. Most of that advice is based on outdated research and older implant technology that no longer applies to what is available today.In this episode, I'm going to walk you through five things about over vs. under the muscle placement that most surgeons never fully explain before surgery, including what animation deformity is, how Motiva implants changed the capsular contracture equation, and what the Preserve technique means for recovery.⏱️ TIMESTAMPS0:00 Why Under the Muscle Is Outdated Advice for Most Patients0:36 Why Most Surgeons Are Still Recommending Submuscular Placement3:03 Five Things to Know About Implant Placement Before Your Consultation5:17 How Motiva Implants Brought Capsular Contracture Risk to 0.5%5:55 The Downsides of Under-the-Muscle Placement Patients Never Hear6:53 Animation Deformity: What It Is and the Simple At-Home Test9:18 Why Over-the-Muscle Produces More Natural Results With Modern Implants12:38 How to Decide Which Placement Is Right for Your Body13:26 The Preserve Technique and Weekend Recovery Breast Augmentation❓ QUESTIONS ANSWEREDQ: What is animation deformity in breast implants?A: Animation deformity happens when the pec muscle, cut during submuscular placement, contracts and distorts the shape of the implant. The breast moves in an unnatural way when the chest muscle flexes. It does not happen with over-the-muscle placement.Q: Is over-the-muscle breast augmentation as safe as submuscular?A: Yes. With Motiva implants, capsular contracture rates are approximately 0.5% in five-year data regardless of placement. The concern that originally drove surgeons to go submuscular has been largely addressed by new implant technology.Q: What is the Preserve breast augmentation technique?A: Preserve uses a small incision, a channel separator, and a dilating balloon to create the implant pocket without cutting tissue. Most patients recover over a weekend and can return to lifting within one week, compared to six weeks with traditional submuscular placement.📱 RESOURCESWebsite: www.apresplasticsurgery.comInstagram: https://www.instagram.com/apresplasticsurgery/🔔 Subscribe for honest, no-BS education on plastic surgery, body contouring, and the decisions that determine whether you get lasting results from a board-certified surgeon with 14 years of practice.ABOUT DR. ARIC AGHAYAN: Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation.#PlasticSurgery #PlasticSurgeon #BreastAugmentation #Liposuction #BodyContouring

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📌 Visit www.apresplasticsurgery.com Almost every surgeon is going to tell you to go under the muscle. Forums, blogs, and family members are going to say the same thing. Most of that advice is based on outdated research and older implant technology that no longer applies to what is available today. In this episode, I'm going to walk you through five things about over vs. under the muscle placement that most surgeons never fully explain before surgery, including what animation deformit...

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Breast Implants Under the Muscle? A Plastic Surgeon Explains Why It's Outdated

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This episode was published on May 28, 2026.

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