Most patients will have the implant placed behind the muscle in what is called a customised dual plane position. This means that the top of the implant is overlapped by the pectoralis muscle to help with coverage in a thin patient. This is not always the case, and in patients that have good breast coverage or are body builders the implant will be placed above the muscle (but behind the breast). Both approaches work well and the decision regarding what is best for you will be determined after your examination with Dr Phoon