Where would the place saline breast implants in a patient with a Pacemaker/ICD? Submuscular or subglandular?

Question

I'm 25 years young, 5' 10" and lost about 20 lbs (currently 118) so my device is sitting uncomfortably on my ribs (implanted in my breast tissue) so I was told I'll probably need a pocket revision on the ICD, so where would you put it? So would the breast implants be placed sub muscular or sub glandular, as well as the pacemaker...? Thanks in advance

Gary Lawton, MD, FACS · Answer

I typically would place the implants in the sub muscular plane since the AICD is in the sub glandular plane. I have operated on many patients with pacemakers and defibrillators.  This is the common solution.

Anthony Deboni, MD · Answer

I have had a few patents with ICDs and have placed the ICD itself below the muscle to better hide it.  With the addition of and implant, I would be concerned with placing both ICD and implant in the same pocket.  Movement of the implant could affect ICD leads, and conversely, ICD could damage implant. Likely best compromise is implant sub muscular,and ICD sub glandular The above information is never meant to be a substitute for an examination and discussion with a board certified plastic surgeon.

Darryl J. Blinski, MD · Answer

In my 36 years in practice I have only had this issue 2 times and in both I placed the implants submuscular. Best tp have a full cardiac clearance also ...

Where would the place saline breast implants in a patient with a Pacemaker/ICD? Submuscular or subglandular?

Answers (3)

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Where would the place saline breast implants in a patient with a Pacemaker/ICD? Submuscular or subglandular?

Answers (3)

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