Slender patients with limited breast tissue may still undergo breast augmentation. Implants are generally placed below the pectoralis muscle to lower risk of aesthetic complications (for example, implant visibility, rippling, and palpability) and to give a more natural result. The pectoralis muscle provides extra coverage for the implant, which gives a more natural result. It is important to discuss your aesthetic goals when selecting implant size. Athletic patients may also be candidates for breast augmentation. Many athletic patients often have limited breast tissue in the upper pole. Submuscular implants may also be recommended based on clinical presentation. It is important to consider that submuscular implants will shift with pectoralis muscle contraction. If you are quite active in upper body work-outs or rowing, for example, you will note shifting of the implants with pectoralis contraction, which may be apparent through tight clothing.