Under muscle complications - appearance and pain. Is it advisable to replace with subglandular implants?

First, implants are placed behind the pectoralis muscle only and are not completely covered by the other chest muscles. Second, the amount of breast tissue present help dictates if muscle coverage should be done. Women who have little breast tissue do much better placing the implants behind the muscle. An examination will tell if you need the implants behind or in front of the muscle.

Dear munirah97x,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Changes on breast shape and associated pain after breast augmentation, should prompt an evaluation by your surgeon. This could be associated to a capsular contracture that could require surgery. Pre-operatively, the decision about the location of the implant is based on many factors (different for every patient). In some cases, a sub- muscular location is preferable. During evaluation, your surgeon will discuss with you the need of changing that plane into a sub-glandular.