I had silicone implants for many years under the muscle, had them replaced with over the muscle and don't like the look. Now I want to get them put back under the muscle, but I heard that once you get breast implants over the muscle, you can't go back to under the muscle. Is this true?
Answer: Breast Implants and the Muscle
You situation is very complicated and you definitely need to be see by a board certified plastic surgeon that has experience in breast revision work. Having said that, you have been behind the muscle and now are infront and want to go back under. Easier said than done. It is not a technically difficult task but anatomically it may not be possible.
The muscle has probably window shaded up wards and you will likely not get any coverage of the implant any more. So really you are still going to be subglandular or in front. Once you go under the muscle and then go in front you are pretty much committed. This is very unusual, because in most circumstances implants are taken from a subglandular position (meaning in front) and then are put behind. This is possible and works well.
Helpful 4 people found this helpful
Answer: Breast Implants and the Muscle
You situation is very complicated and you definitely need to be see by a board certified plastic surgeon that has experience in breast revision work. Having said that, you have been behind the muscle and now are infront and want to go back under. Easier said than done. It is not a technically difficult task but anatomically it may not be possible.
The muscle has probably window shaded up wards and you will likely not get any coverage of the implant any more. So really you are still going to be subglandular or in front. Once you go under the muscle and then go in front you are pretty much committed. This is very unusual, because in most circumstances implants are taken from a subglandular position (meaning in front) and then are put behind. This is possible and works well.
Helpful 4 people found this helpful
Answer: Changing position of implants It is often possible to replace your sub glandular implants back to a sub muscular pocket. The muscle will have to be raised back off the chest wall and attached to the undersurface of the breast with sutures to close off the sub glandular pocket so the implant will remain in the sub muscular plane. This sounds easy but is not always possible if the muscle has retracted or atrophied or there is extensive scarring.
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Answer: Changing position of implants It is often possible to replace your sub glandular implants back to a sub muscular pocket. The muscle will have to be raised back off the chest wall and attached to the undersurface of the breast with sutures to close off the sub glandular pocket so the implant will remain in the sub muscular plane. This sounds easy but is not always possible if the muscle has retracted or atrophied or there is extensive scarring.
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February 1, 2016
Answer: Replace over the muscle with under the muscle There should be no problem repositioning your implant from over the muscle to submuscular (under the muscle). We frequently perform this type of surgery.
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February 1, 2016
Answer: Replace over the muscle with under the muscle There should be no problem repositioning your implant from over the muscle to submuscular (under the muscle). We frequently perform this type of surgery.
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September 1, 2015
Answer: Not True
Breast implant pocket position is changed often. I perfer under the muscle since the look more natural, in my opnion. This change shnould not be a problem
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September 1, 2015
Answer: Not True
Breast implant pocket position is changed often. I perfer under the muscle since the look more natural, in my opnion. This change shnould not be a problem
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October 14, 2011
Answer: Changing position of implants to subfascial
After multiple planes and surgeries there is only one technique that will deliver a beautiful shape and lasting result in my opinion, subfascial placement. I commonly use a technique called 'cold-subfascial placement' to correct undesirable results of multiply operated breasts with beautiful results. this technique allows the use of strong structural tissue in your body to create an internal brassiere to hold and shape the implant in a tear drop form. It also gives relative protection to the breast tissue and skin from stretching and gravity. I hope this helps!
All the best,
Rian A. Maercks M.D.
Helpful 2 people found this helpful
October 14, 2011
Answer: Changing position of implants to subfascial
After multiple planes and surgeries there is only one technique that will deliver a beautiful shape and lasting result in my opinion, subfascial placement. I commonly use a technique called 'cold-subfascial placement' to correct undesirable results of multiply operated breasts with beautiful results. this technique allows the use of strong structural tissue in your body to create an internal brassiere to hold and shape the implant in a tear drop form. It also gives relative protection to the breast tissue and skin from stretching and gravity. I hope this helps!
All the best,
Rian A. Maercks M.D.
Helpful 2 people found this helpful
August 12, 2011
Answer: Going back Under the muscle
Without examining you, it's difficult to say exactly what can/ cannot be done but generally, I would think that it wouldn't be a problem to go back under the muscle. I don't usually recommend sub-glandular (over the muscle) placement - I would be curious to see why you switched. Do your research regarding the surgeons you visit - make sure to choose a surgeon who is certified by the American Board of Plastic Surgery (not cosmetic surgery) and a member of the American Society of Plastic Surgeons. From here, you know you are selecting from qualified surgeons. Most board certified plastic surgeons would suggest sub-muscular placement for better long term results.
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August 12, 2011
Answer: Going back Under the muscle
Without examining you, it's difficult to say exactly what can/ cannot be done but generally, I would think that it wouldn't be a problem to go back under the muscle. I don't usually recommend sub-glandular (over the muscle) placement - I would be curious to see why you switched. Do your research regarding the surgeons you visit - make sure to choose a surgeon who is certified by the American Board of Plastic Surgery (not cosmetic surgery) and a member of the American Society of Plastic Surgeons. From here, you know you are selecting from qualified surgeons. Most board certified plastic surgeons would suggest sub-muscular placement for better long term results.
Helpful