Despite its benefits, subglandular placement of breast implants has become increasingly uncommon, as it could lead to a number of complications
and unpleasant side effects. When saline implants are used, a “rippling” effect can become more pronounced with subglandular implant placement, as the wrinkles of the underlying implant are more apparent through the skin. Furthermore, there is about a 30% incidence of capsular contracture, compared to a 10% incidence in the case of submuscular placement. Capsular contracture is a post-surgical complication caused by the body’s immune reaction to foreign material, wherein collagen capsules form and squeeze the implant and surrounding tissue, often causing pain, discomfort, and distortion. Capsular contracture often requires corrective surgery and/or implant replacement
. In addition, some find subglandular placement less aesthetically pleasing than submuscular placement, as they find the roundness of the breasts looks unnatural. Because such judgements are highly subjective, before and after photos will be your best guide when determining which type of result you desire.