It depends on how the initial surgery is performed

Richard P. Rand, MD answers: Subpectoral breast implant removal: What happens to the muscle that was cut?

I have read questions regarding breast augmentation and if you are unhappy with the results, you can always take them out. Of course, doctors warn the more your skin stretched the less youll look like your original self, but that they CAN return to normal. I however am wondering, if you get implants under the muscle and somehow or someday decided to remove them without replacement, what happens to the muscle that was cut to fit the implant underneath? Can that be fixed, or does it heal itself? Does the muscle disintegrate?


Richard P. Rand, MD
11 months ago

It is generally best to place implants in the subpectoral position because of better mammographic visualization of the breasts when compared to subglandular placement. They also look more natural and are less easy to feel because they are covered by more tissue. Finally, the capsular contracture rates seem to be less under the muscle.

That being said, there are many ways to create the pocket and how the muscle is handled will affect the answer to your question regarding the state of the muscle if the implants are removed. In addition, the size of the implant is critical because more muscle release must be done for bigger implants and larger implants will thin out the muscle more over time than more moderate sized implants.

By and large, though, "muscle issues" are not part of what a plastic surgeon ever hears from patients after explantation.

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