Implants can be placed either on top of the pectoralis muscle but under the breast tissue (this is known as sub-glandular insertion), or partially beneath the pectoralis muscle (sub-muscular insertion). There is also the option of using the ‘dual plane’ method in which the implant sits behind the muscle in the upper breast and tissue in the lower breast. As for size, implant size has a much more significant bearing on breast size than surgery type. We have a range of options and approaches available, accounting for patient type, what the patient wants (shape, size) and what method is best suited to them.