Can You Change Implants from Over the Muscle to Under the Muscle?

To convert a subglandular (over the muscle) to a subpectoral (under the muscle) position, is easier said then done.  It does depend on how long the implants have been in place.  If they have been in for several years, what happens is the pectoral muscle becomes attenuated or thinned out making it very difficult to elevate and create any type of significant muscle coverage.  When the muscle is elevated if often displays a "window-shade" phenomenon where the muscle migrates upwards, effectively not covering the implant at all.

It is possible to do, but depends on the particular patient and her anatomy and duration of current implants.

You should consult with a board certified plastic surgeon prior to scheduling this type of breast surgery.

Best wishes,

Dr. Bruno

Thank you for the question.Generally, it is possible to replace implants under the pectoralis muscle (dual plane). However, the major issue of concern is the overlying breast tissue and skin and whether further surgery will be necessary to achieve the aesthetic results desired. For example, some patients who have implants replaced into the sub pectoral space may benefit from breast lifting to achieve the desired goals. This conversion of breast implant positioning is especially helpful in the event of capsular contracture or severe breast implant rippling.This type of surgery does require some level of experience. It would behoove you to seek consultation with well experienced board-certified plastic surgeons well-versed in revisionary breast surgery.I hope this, and the attached link, helps.

Yes.  This is done for a variety of reasons.  The advantages of under the muscle include a more natural look as there is more tissue coverage, and less capsular contracture.  If you have large implants on top of the muscle, you may have redundant skin that may need to be addressed with a breast lift pattern technique.  As far as your implant moving.  the creation of a new pocket may help this.

As with any procedure, especially a "Re-Do" or revision, there are benefits and risks.

Best to see a board certified plastic surgeon for evaluation and possible treatment.