Can a Torn Pocket Under my Breast Implant Be Repaired... My Surgeon Says No.. Really?

Thank you for your question. The lateral tear in your breast implant pocket can certainly be repaired with internal sutures.

This procedure should restore the fullness that you have lost due to the lateral displacement of the implant.

See a Board Certified Plastic Surgeon for a second opinion.

Capsule repair (capsulorrhaphy) can certainly be performed, though the thickness and tensile strength of your capsule may be quite limited. As surgeons, we strive to obtain a thin, soft, pliable capsule so you end up with a soft, natural feeling breast. When capsule surgery is necessary (symmastia, implant malposition, or in cases such as yours), then having enough scar for the sutures to "hold" becomes an issue. Still, wearing a bra during the healing process easily helps healing in this (lateral) location, so I would ask your surgeon again, or "read between the lines" and understand that he or she does not want to help you with this issue, perhaps out of concern that "perfect" repair may not be feasible.

Seek other advice from an ABPS-certified plastic surgeon if necessary. Good luck and best wishes!

Not sure why your surgeon gave you the impression that implant displacement cannot be corrected or improved.  Be sure your implant is not ruptured.  If it is, replacement is definitely indicated, and pocket can be fixed at that time.  Capsulorrhaphy, capsulotomy, and use of acellular dermal matrix are all popular techniques for restoration and improvement of post surgical abnormalities in implant positioning.