Breast augmentation surgery performed with the help of implants is one of the most desired plastic surgery procedures. Women from all over the world get breast implants every day to improve their appearance and get rid of the emotional complexes associated with small breasts. The procedure entails a complex surgical plan that should always be customized in accordance with the anatomy of the patient and the desired outcomes. No plastic surgery is a one size fits all, but when it comes to breast implant surgery, we can truly see the extent of this saying. The procedure can be performed in different ways using different types of incisions and placement of the implants to help the patient achieve the breasts of her dreams. For breast implant placement we have three options available: – Subglandular placement – Submuscular placement – Dual plane placement The subglandular placement positions the breast implant under the mammary gland and over the pectoral muscle. When submuscular placement is used, the breast implant is inserted in a pocket behind the pectoral muscle. The dual plane placement is a modern technique that entails the placement of the implant partly under the mammary gland and partly under the pectoral muscle. With so many choices available, it is normal for patients to wonder what the suitable option for them might be. It is only after a thorough medical assessment that the plastic surgeon can indicate the right type of placement and this will be a decision that you will take together with the plastic surgeon during the pre-operative consultation. However, there are a few general rules that you should be aware of. The subglandular placement is often preferred for women who are performing sports on a professional level. Getting an implant positioned under the pectoral muscle when you exercise those muscles intensely on a daily basis can create implant shifting due to the constant pressure on the implants. Hence the subglandular placement might be preferred, if the anatomy of the patient allows it. Generally speaking, to be able to get a subglandular implant, the patient should have enough mammary gland tissue to provide coverage for the implants. Otherwise, the implant might become visible through the skin. The submuscular or dual plane position are preferred as they provide better coverage when the breast tissue is not sufficient. The dual plane method is recommended as it benefits from the advantages of the two placements combined. On the upper part, the implant is positioned under the pectoral muscle and this means less probability to be seen. On the lower part, the implant is under the glandular tissue, and this means fewer chances of implants bottoming out, as well as a special fullness on the lower pole of the breasts. Subglandular placement is also associated with less post-op pain and a shorter recovery period compared to the submuscular placement.