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Never above the muscle

Richard P. Rand, MD answers: Over the muscle implant placement after radiation therapy?

I have had a bilateral mastectomy. I have under the muscle silicone implants. I had radiation treatment on the right breast and the implant is uncomfortable when using my arm and my muscle is very tight. Is it best to have my implants placed over the muscle? I had gone through the expander process before the implants.


Richard P. Rand, MD
8 months ago
By Richard P. Rand, MD - Seattle Plastic Surgeon

Never in breast reconstruction should the implants be placed above the muscle. A patient who has been radiated will virtually always have problems with implant reconstructions especially from capsular contracture. Replacing the implant wont' help even if you stay below the muscle. You need to go to a seasoned plastic surgeon who can do microsurgery and discuss options in your case for replacing the implant with a reconstruction using your own tissue. This is the best way to go after radiation.

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