Where your implants go—above or below the muscle—actually makes a big difference. It can change how your breasts look and feel, and how you recover.

Most people go under the muscle because it gives a more natural look and lowers the risk of capsular contracture.

Dr. Koehler, Dr. Gardner and Kirstin explain how your body type, fitness level, and goals all play into what’s best for you. Above the muscle can work great for some athletes or people with enough natural tissue, but for most, under the muscle just makes sense.

They also clear up a few myths, like needing new implants every 10 years, and talk honestly about complications like animation deformity and capsular contracture.

Bottom line: there’s no one “right” answer. Have an open chat with a surgeon you trust, listen to your body, and make the choice that fits your lifestyle.

Read more about breast augmentation

Follow Dr. Gardner on Instagram @drvincentgardner and TikTok @drgardner

Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.

Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.

Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.

To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com 

Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis: theaxis.io

Theme music: Never Need a Reason, Guy Trevino and Friends