Does the muscle need to be repaired during an explant?

Question

I am seeking information about breast implant removal with implants under the muscle. I am concerned about my muscle not being the same. This question assumes the capsule will be removed. Some doctors are saying the muscle will heal itself back down to the chest wall. Others say you must suture it down. Then others say muscle is too fleshy to suture and could tear and bleed if flexed during healing. Please give me insight into muscle healing and what to expect during healing as well as how long.

Daniel Barrett, MD · Answer

Dear SSLacey,
generally speaking, most plastic surgeons remove implants are leave the muscle to heal on its own. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Most of the time, the muscle itself does not need to repaired once the implant is removed. If too muscle muscle was detached in the original procedure, then an attempt to tack the muscle to the sternal edge can be made. It does not always work.  You still may notice some movement of your breast when you flex.

Does the muscle need to be repaired during an explant?

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