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Can I Get New Implants in the Same Above Muscle Plane?

asked 1 year ago by billybones in long beach california
Latest answer by Richard P. Rand, MD, FACS
Question viewed 166 times
Tags: replacement

I had my 35 year old silicon implants removed with a lift 4 months ago and I am very unhappy with the results.The left implant was rupture so the capsule was removed along with the implant.The right one was not ruptured so the surgeon removed only the top portion of the capsule. My question is can I get new implants put in the same above muscle plane?I realize that most surgeons like the unders better but I had mine for 35 years with no problems at all so I think that I should stick with overs.

8 answers to Can I Get New Implants in the Same Above Muscle Plane?

+1

Implant replacement above or below the muscle

If there were no capsular contracture, it is okay to stay above the muscle.  Otherwise it is best to go under the next time.  Your description doesn't describe what you are unhappy with - it can be the implants or the lift.  If it is the lift, going under the muscle won't help.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Changing implants

If you have adequate soft tissue coverage, you can possible have it done over the muscle, but under the muscle is believed to have a lower capsular contracture rate.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Replacing implants in the same plane

Since you have already had two surgeries on your breasts, first the augmentation and then the implant removal with mastopexy, there is a lot of scar tissue that has been created, In addition, implant rupture may cause greater inflammation in the area. It is possible to have a secondary breast augmentation performed, and insertino of the second set of implants either above or below the muscle. You should discuss the procedure and your expectations with your surgeon before surgery, so you are... more
Olivia Hutchinson, MD

New York Plastic Surgeon
+1

It is your body, so you decide!

I agree with all the other answers. It is important for you to understand that in revision surgery, and specially on breast lift surgery, it takes time before you see the final result. I recommend you to wait at least 6-9 months before you make your final decision. Also it is important to be sure you see a BOard certified Plastic Surgeon (American Board of Plastic Surgery). Good luck
Victor Manuel Perez, MD

Kansas City Plastic Surgeon
+1

OVER OR UNDER when removing and replacing

From your concerns, ti sounds as if your surgeon put them under the muscle but this is not clear in your desciription. Generally, most surgeons agree that there is a lower capsular contracture rate under the muscle and this may be the reason the surgeon was compelled to place them there. see video
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

You SHOULD have the Breast Implants put where YOU want them ss long as You accept the Consequences

There are a lot of reasons why breast implants should be put under the pectorals muscles and only a few why it should not. It is NOT the surgeon's responsibility to impose implant placement on you. I feel it is his responsibility to educate you on the risks of doing it either way and if he disagrees with your choice to refuse to operate on you rather than forcing you to have an operation you do not want to have. You have the right to make your own mistakes but neither you nor your surgeon... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

New implants in the same above muscle plane

Yes it can be done but the recommendation is to have under the muscle for better protection and results. Be careful out there. From MIAMI Dr. B
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Breast implant position may affect cosmetic outcome

There are several reasons most plastic surgeons prefer to place breast implants subpectoral (behind the muscle).  This is the best position to hide any rippling or wrinkling, especially in a patient with poor tissue coverage.  The muscle also tends to stabilize the implant over time so the weight of the implant does not cause additional breast ptosis (drooping). In your case, there may be some reluctance to replace your implants above the muscle since it is not a... more
Glen Brooks, MD

Springfield Plastic Surgeon

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