This patient has subpectoral saline implants bilaterally, with no mastectomy. The placement of an implant superficial or deep to the pectoral muscle is a matter for discussion with the surgeon. Some feel that placement superficial to the pectoral muscle produces a more natural appearance (particularly for women with moderate native breast tissue), and may be less painful during recovery.

This patient has bilateral subpectoral silicone implants, with right mastectomy. Some surgeons feel that subpectoral placement is more natural in appearance, hiding the upper margin of the implant, and that this placement prevents sagging. Subpectoral placement may cause folding or abnormal contours in patients who are physically active during contraction of the pectoral muscles.