The two most common breast implant pocket positions are either submuscular or subglandular. There is a third pocket position that is considered subfascial. The subglandular pocket placement is a reasonable approach for women with a lot of soft tissue coverage over the implant. The advantage to subglandular placement is often less painful than a submuscular pocket placement. It also avoids animation deformities with pectoralis muscle flexion. However, studies suggest a higher risk of capsular contracture, symmastia, and rippling in this position. The advantage of a submuscular pocket is it provides more soft tissue coverage over the implants, less risk of rippling in the upper pole, and a lower rate of capsular contracture. Still, there is often more discomfort after surgery, and there is a higher risk of animation deformities with pectoralis muscle flexion. Both approaches have similar rates of implant palpability in the lower pole. A subfascial method, in my opinion, does not add any more soft tissue coverage than a subglandular approach, and has similar advantages and disadvantages as the subglandular approach.