Above or Below the Muscle? Dr. Buck Breaks Down the Myths

By Dr. Jennifer Buck

Choosing the right implant placement can feel overwhelming, especially when every friend, influencer, and forum seems to have a very loud and different opinion. Many women in the Tampa Bay and Dunedin areas walk into their consultations confused about the “best” option, only to discover that much of what they’ve heard is outdated, oversimplified, or simply a lie. A beautifully natural breast augmentation should serve you and not live up to others’ expectations. It’s about choosing the placement that fits your anatomy, your lifestyle, and your long‑term goals. Dr. Jennifer Buck, one of the most respected board‑certified plastic surgeons in the region, is known for helping patients cut through the noise with clarity and honesty.

Myth #1: “Above the Muscle Always Looks Fake”

This is one of the most common misconceptions Dr. Buck hears from patients in Dunedin and the Tampa Bay area. The truth is far more nuanced. Subglandular placement (above the muscle, under the breast gland) and subfascial placement (below the lining of the muscle, but over the muscle) can look beautifully natural when the patient has enough breast tissue to cover the implant. The key is choosing the right implant profile, size, and shape to ensure placement that better suits your body. Subglandular/subfascial  placement can also create a soft, round upper‑pole fullness that many women prefer. The “fake look” comes from poor planning and not the placement itself. Please remember, the larger implant chosen, the more the breasts will look like that implant.  The smaller implant chosen, the more the breasts will look like the patient’s natural breast, only larger.

Myth #2: “Below the Muscle Hurts More and Isn’t Worth It”

Submuscular placement (below the muscle) has a reputation for being more painful, yet most patients describe the discomfort as manageable and short‑lived. The benefits often outweigh the temporary soreness. Below‑the‑muscle placement can create a more natural slope, reduce the risk of visible rippling, and provide better long‑term support for the implant. Many women in Clearwater, Tampa Bay, and Dunedin choose this option because it ages gracefully and blends seamlessly with their natural anatomy. Recovery is smoother than most patients expect, especially with modern procedures and Dr. Buck’s delicate surgical approach.

Myth #3: “Athletes Must Go Above the Muscle”

Active women are often misinformed that submuscular placement will interfere with workouts or cause “animation deformity,” where the implant moves during chest exercises. This can happen, but it is not universal. Dr. Buck evaluates each patient’s activity level, chest anatomy, and aesthetic goals before recommending a placement. Many athletes do exceptionally well with submuscular placement, especially when they want the most natural appearance possible. Others benefit from a dual‑plane technique, which offers the best of both worlds. 

Myth #4: “One Placement Is Always Better Than the Other”

Many people have their opinions, yet there is no universal “best” option. Every woman’s anatomy is different, and every result should be personalized. Dr. Buck considers several factors when determining implant placement:

This is why consultations at Dunedin Plastic Surgery feel more like a collaborative design session than a lecture. Dr. Buck takes her time to explain the pros and cons of each placement in a way that makes sense, helping you visualize how your results will look not just today, but years from now.

Why Choose Dr. Buck?

Dr. Jennifer Buck is a board‑certified plastic surgeon with more than two decades of experience in breast surgery. Her credentials include membership in the American Board of Plastic Surgery (ABPS), ASPS, ASAPS, and FACS, and AMA,  as well as her role as  past President of the Tampa Bay Society of Plastic Surgeons. Patients throughout Dunedin, Clearwater, and the Tampa Bay area describe her as warm, honest, and exceptionally skilled. Her approach is grounded in education and empowerment. She takes her time to understand your goals, explain your options, and design a plan that feels right for your body. Her results are known for their natural shape, balanced proportions, and long‑lasting beauty. Many patients say they chose her because she made them feel understood, supported, and confident from the very first conversation.

Schedule Your Consultation

Your beauty and your peace are not just for aesthetics. Your breast augmentation should feel like a celebration of your body. If you’re ready to explore whether above or below the muscle is right for you, schedule a consultation with Dr. Buck at Dunedin Plastic Surgery. Your journey begins with clarity, comfort, and a surgeon who believes your results should look natural and confident.

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