In this episode of Plastic Surgery Untold, Dr. Franco breaks down one of the biggest questions patients have when planning a breast augmentation or implant exchange: Where should your breast implants go?

Placement options like under the muscle, above the muscle, or subfascial have come a long way as implant technology and surgical techniques improve. Dr. Franco explains how your unique anatomy, the type of implant you choose, and your goals for shape, cleavage, and feel all play a role in finding the best option for you. From older saline implants to today’s highly cohesive gels, knowing the differences can help you get a natural result and protect your natural muscle and tissue.

Key topics covered:

• How under the muscle, dual plane, and subfascial placement each affect cleavage, shape, animation deformity, and recovery time

• Why newer implants and cohesive gels have changed what’s possible and why more patients are considering above the muscle placement

• The role of the pec major muscle, natural ligaments, and internal bras to support your results and help with rippling or implant show

• What to know about breast preservation techniques and next-generation implants that are on the way in 2026

This episode will help you ask the right questions and understand the real pros and cons so you and your surgeon can choose what works best for your body and your goals. See the anatomy visuals and hear the full breakdown on YouTube.

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