If you had implant over the muscle, can you have them redone under the muscle?

Doctor Answers 7

Breast implant pocket exchange during revision surgery

when having revision surgery for breast implants it is very common to switch the pocket from above the muscle to below the muscle or vice versa. The breast implants can also be switched to textured or smooth and a size change too. It depends on why you are having the revision in the first place.

Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 37 reviews

Change in implant placement

You can definitely have new implants under the muscle. This will have a lower likelihood of capsular contracture or rippling.  Sizing would have to be evaluated based on the individual circumstances.  

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 36 reviews

Switching from over to under

Usually, yes, this can usually be done successfully, as long as the implants aren't excessive large and the tissues in the pocket are normal.  There are a number of reasons why revision augmentation patients should consider having this procedure.  Best to speak with an experienced plastic surgeon in regards to your case.

Thomas Fiala, MD
Orlando Plastic Surgeon
4.9 out of 5 stars 79 reviews


You can exchange subglandular implants for subpectoral implants.  This will require the use of special techniques like marionette sutures or the use of acellular dermal matrix to ensure the implants stay in the subpectoral pocket. 

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 49 reviews


implant pocket position can be moved from under to over muscle and vise versa. Depends on surgeons preferred technique, the soft tissue quality/quantity the patient has amongst other factors. 

Nathan Eberle, MD, DDS
Weston Physician
5.0 out of 5 stars 6 reviews

Implant exchange from sub glandular to sub muscular position

Yes, you can have breast implants moved from over the muscle to under the muscle, and this is what I do in all of my implant revision cases if they are not already submuscular.  There are a number of advantages to having your implants under the muscle, including a decreased risk of capsular contracture (scar tissue around the implants), better visibility of breast tissue on mammograms, and an improved cosmetic appearance to the upper portion of the breasts.  Best wishes.

Nina S. Naidu, MD, FACS
New York Plastic Surgeon
4.7 out of 5 stars 13 reviews

Over to under muscle implants

Yes you can have over muscle implants moved to under the muscle and this is a commonly done revision procedure. Typically it is considered when better coverage is needed for the upper part of the implant, or with implant exchange for capsular contracture.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 50 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.