Specialized in body contouring
and breast surgery

For silicone breast implant placement, the incision is usually made in one of two locations:

1. Axillary incision (in the armpit)
2. Inframammary fold incision (in the crease under the breast)

At either incision site, we use a Keller Funnel, a breast implant delivery device, to minimize direct handling of the implant and help place it through the smallest practical incision.
The incision is then meticulously closed using plastic and reconstructive surgery techniques, so the scar can heal as discreetly as possible.

Breast implants can be placed in one of three anatomical planes:
1. Subglandular: behind the breast tissue and above the pectoral muscle
2. Subpectoral/submuscular: beneath the pectoralis major muscle
3. Subfascial: beneath the pectoral fascia

At MYCLI, we most often choose either subglandular or submuscular placement, based on the patient’s tissue thickness, skin quality, and desired shape.

Subglandular placement may be suitable for patients with:

・Relatively firm or less stretchable breast skin
・Enough subcutaneous fat and breast tissue to cover the implant

Submuscular placement may be suitable for patients with:

・Soft, pliable breast skin
・Limited subcutaneous fat or breast tissue

For patients who are not ideal candidates for standard subglandular placement, a hybrid approach may be considered. This combines subglandular implant placement with fat transfer to soften the implant edges and create a more natural contour.

In selected submuscular cases, we may use a dual-plane technique. By releasing part of the lower pectoralis major muscle, the implant is less likely to shift out of position and, when appropriate, a larger implant can be accommodated.

Our planning is informed by our surgeons’ experience in breast reconstruction, where breast shape is rebuilt from the ground up. This helps us tailor the approach to a wide range of anatomies and aesthetic goals.

Minor damage to the implant shell during insertion or excessive surgical handling can increase the risk of rupture over time.
To reduce this risk, we use a Keller Funnel, which helps minimize direct handling and friction during implant insertion.

Capsular contracture risk can be influenced by implant surface characteristics, surgical technique, bleeding, infection, and each patient’s healing response.
At MYCLI, we use carefully selected Motiva implants, whose SmoothSilk surface—a low-roughness, nanotextured (4-micron) surface in a distinct category from older textured implants—is associated with a lower risk of capsular contracture. During consultation, we explain both the benefits and the limitations, as no implant removes the risk completely.

Learn more about Motiva breast implants