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

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.

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.

Hi and welcome to our forum!
Subglandular breast augmentation involves placing the implant under the breast and over the pectoralis muscle. As the muscle remains intact, there is less postoperative discomfort.
Subglandular augmentation may increase the difficulty in interpretation of mammographic findings. However, newer techniques have resulted in more accurate interpretation.
There is an increased risk of capsular contracture with subglandular positioning. Subpectoral implants have a lower rate of capsular contracture.
There is a greater chance of implant "rippling" in patients with lax skin and small breasts with subglandular placement.
Subglandular placement allows for cleavage accentuation by placing implants closer to midline as there is no overlying muscular restraint.
Submuscular placement may rarely cause an animation deformity associated with contraction of the overlying pectoralis muscle.
The choice of implant positioning is up to the patient's desire. We usually place the implant under the muscle unless there is a minimal degree of sag present in which case we will go subglandular.
As there are no photos, I cannot comment upon your current appearance. The source of your pain must be determined and treated.
Best wishes...