What is the risk of trauma to the muscle after removal of breast implants?

Dear mirceateo1,I tend to prefer the periareolar incision because its the most well hidden. There is a natural border between the areola and the rest of the breast skin the hides the incision extremely well. You have to be completely naked to see it vs other incisions like transaxillary and inframammary are visible in clothing such as sleeveless shirts and bikini tops when extending your arms up. I've also noticed increased rates of bottoming out with inframmary incisions that is not reported. Transaxillary implants are always wide in appearance because the surgeon is not able to dissect medially enough to provide better cleavage. Ultimately, I can perform any of the incisions but I recommend the periareolar. There is no difference in sensation because the nerves that control nipple sensation come in laterally from the back and injury to them occurs when surgeons dissect to far laterally which is why transaxillary incisions have the highest nipple sensation disruption. There is no difference in breast feeding ability. One study did show a slight increase in capsular contracture with use of periareolar but that study was small and did not incorporate modern techniques such as below muscle placement, keller funnel usage and triple antibiotic irrigation. Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It is hard to advise you specifically without knowing more information but, assuming you have chosen your plastic surgeon carefully, the risk of "trauma to the pectoralis muscle" is minimal. Either incision will likely "work". In my practice, I lean towards the use of a inframammary incision for breast implant removal surgery.  This approach may help to minimize risk of nipple/areola "depression" (breast contour problems) once breast implants are removed. Best to communicate your concerns/questions directly with your chosen plastic surgeon; I think you'll find that this additional communication will help alleviate your anxiety.
 Best wishes.