Placement of the implant depends on the anatomy of the individual. I like to place the implant where it will do the most good. If a person has no breast tissue, then the implant is placed under the pectoralis muscle so as to cover the implant with more than just skin. This placement is best because the patient literally has a breast created for her that will never droop since there was no original breast tissue to begin with. In most cases the patient does have some breast tissue or even a fair amount of breast but wishes to enlarge. This situation is best approached with placement of the implant under the breast but above the muscle. Here we are trying to enlarge an already existing breast and even possibly lift it. The best results are achieved when the implant is placed as close to the breast tissue as possible. This gives the most natural appearance.