You have to close the original pocket

I've had the opportunity to perform the procedure where I removed implants from a sub mammary positionand placed them submuscular. The original pocket has to be closed down in order to insure that the implant won't dislodge and fall into the original pocket. I've seen that happen. Usually it requires placing some sutures into the old pocket after cutting the capsule out. It's also important to cut some of the inferior fibers of the pectoralis muscle where it attaches to the breastbone and rib cage to allow more space underneath the muscle