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Breast Augmentation - Above or Below the Muscle? Visit us online at http://goo.gl/xC8gFb or call 808-201-0540. Dr. Larry Schlesinger, a board certified plastic surgeon for more than 30 years answers a common question about breast implants - should implants go above or below the muscle? Dr. Schlesinger explains the anatomy of the breast, why the implant should be placed partially below the muscle and why an experienced board certified plastic surgeon places part of the implant below the pectoral/above the muscle to create a tear-dropped effect and a more natural looking breast. Visit us online at http://goo.gl/xC8gFb or call 808-597-8835 Video Transcript: Hi, I'm Larry Schlesinger and I'm a board certified plastic surgeon from Honolulu, Hawaii and the question of the day is "Where should my implants be placed, above or below the muscle?" The answer is of course it depends on who you are and who's doing the surgery and so on. But I have some strong opinions so I'm going to give you my strong opinions. I think that breast implants should be put partially but not completely under the muscle. The muscle, your pectoralis muscle ends at your fifth rib. All women, even women with A-cups have their nipples below that area so if it's completely sub muscular, the implants are going to ride too high. Good plastic surgeons will take the muscle off the fifth rib and lower the inframammary fold below that position, depending on where they want the fold to fall. So breast implants should never be placed in front of the muscle because when you do that, you have an increased chance of hardness, they look really inappropriate because there's a shelf on top of them, it is the old way to do things and not really appropriate in today's world. Visit us online at http://goo.gl/xC8gFb or call 808-201-0540. Facebook: / hawaiibreastimplants