What pinch-threshold does the speaker give for preferring on-top (subglandular) placement?

Name: Where Are Breast Implants Placed?
Uploaded: 2025-05-01T12:13:22+00:00
Duration: 44 s
Channel: Dr. Charles Mok
Description: Short educational segment (YouTube) by Dr. Charles Mok explaining when implants are placed under the muscle versus on top of the muscle. The speaker…

Dr. Charles MokOwner at Allure Medical

Where Are Breast Implants Placed?

1 May 2025 · 1 min

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0:44

Short educational segment (YouTube) by Dr. Charles Mok explaining when implants are placed under the muscle versus on top of the muscle. The speaker states that on-top (subglandular) placement is now often preferred for patients who have enough native breast tissue (he gives a verbal threshold of being able to "pinch more than an inch" of tissue) because it causes less motion-related distortion, less postoperative pain, and less bleeding and can look more natural. Submuscular placement may still be required when breast tissue is very limited.

Questions this video answers

If the patient can pinch more than one inch of breast tissue, the surgeon will generally place the implant on top of the muscle.

Chapters

What's the advantage or disadvantage of underneath the muscle or on top of the muscle? The on top of muscle is typically a better surgery now, not 10 years ago. Now it's a better surgery because there's less motion when you're moving your muscles. So if a woman has implants on the muscle, she works out, the implants kind of distort the surgery. Hurts more, it's got a little bit more complication rate, a little bit more pain afterwards. On top of the muscle hurts less, less bleeding, they look a little bit more natural in most cases if there's enough tissue. So the determination for under or over the muscle is made by your surgeon based on how much tissue that you have. If you can pinch more than inch of breast tissue, general going to go on top of the muscle now again, not 10 years ago, they wrinkled too much. The current ones they're good for on top of the muscle. For women have a reasonable amount of breast tissue. If your breast tissue is very, very limited, there's almost nothing there, then yes, it does have to go underneath the muscle.