Dr. Eric Barker
August 28, 2025
Dr. Barker earned his medical degree at the Medical College of Wisconsin in Milwaukee, WI. He then completed his combined training in General Surgery and Plastic and Reconstructive Surgery at Rush University Medical Center and John H. Stroger, Jr. (Cook County) Hospital in Chicago, IL. Dr. Barker was able to train under distinguished breast reconstructive surgeon Dr. Anuja Antony, and prestigious cosmetic surgeon Dr. John Q. Cook.
At Peak Plastic Surgery, we know that deciding to undergo breast augmentation is a deeply personal choice. One of the most common and important questions we hear is: Should breast implants be placed above or below the muscle?
When considering breast implants, the placement significantly impacts the final look and feel. Here’s how it breaks down:
Above the Muscle: The implant sits on top of your pectoralis major muscle, beneath the breast tissue.
Below the Muscle (Dual Plane): The implant is partially covered by the pectoralis major muscle at the top, while the lower part of the implant is covered by natural breast tissue.
Both techniques can deliver beautiful results, but the right choice depends on your unique anatomy, aesthetic goals, and lifestyle.
What Factors Should You Consider?
1) Your Natural Anatomy.
During consultations, Dr. Barker carefully evaluates your skin quality, breast tissue density, and where the majority of your breast tissue is located. For example:
If you have dense, thick breast tissue, you may achieve a smooth, natural look even with implants placed above the muscle.
If you have minimal upper breast tissue—common after pregnancy, aging or significant weight loss—you might notice more of the implant’s upper contour if placed above the muscle. In such cases, placing the implant below the muscle often provides a more natural transition.
2) Natural Look.
If you’re aiming for a soft, natural appearance with a smooth upper breast slope, implants below the muscle are often recommended. The extra coverage from the muscle helps create a more subtle contour of the upper breast. Enhanced Upper Fullness: If you prefer a more noticeable, rounded upper breast (sometimes referred to as a “high-profile” look), placing the implant above the muscle can often achieve that effect.
3) Potential Risks & Complications.
One common concern with breast augmentation is capsular contracture, where the body forms a tight, thick capsule around the implant, leading to discomfort or changes in breast shape. Research shows that implants placed below the muscle have a lower risk of capsular contracture compared to those placed above the muscle. However, surgical technique, implant handling, and operating room sterility also play vital roles in minimizing this risk.
Why Customized Care Matters
At Peak Plastic Surgery, we believe in personalized treatment plans, because no two patients are the same. Some surgeons only perform implants above or below the muscle, however limiting your options can limit your results. Dr. Barker is experienced in both techniques and will recommend the best approach based on your goals and anatomy.
We approach each patient with empathy and respect, ensuring that you feel heard and supported throughout the process. Your self-image is at the heart of what we do. Whether you want a natural enhancement or a more dramatic transformation, our goal is to help you achieve the confidence and appearance you desire.
Final Thoughts
So, should your implants go above or below the muscle? The answer is as unique as you are. It comes down to understanding the expected aesthetic results, knowing your body, and working with a surgeon who prioritizes your goals with the skills necessary to achieve them.
If you’re considering breast augmentation and want expert guidance tailored to your needs, schedule a consultation at Peak Plastic Surgery with Dr. Eric Barker. We’re here to answer all your questions and help you feel confident in every step of your journey.
Have more questions? Dr. Barker is always happy to provide insights on this or any other topic related to plastic surgery. Follow us for more expert advice and tips!
