Do pockets need to be tightened when changing planes?

Thank you for your question! While one has to be careful in both removing the implant and make a fresh pocket in a different plane, tightening with sutures is not usually required. It will be best if you can have your Plastic surgeon examine you and discuss your concerns with him and his technique for the procedure. All the best!

Dear Feelinglost16,
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

If the first pocket is good, then only the space above the muscle is opened and the rest is left alone. Your surgeon is the best one to tell you what specifically he/she will do.

If your implants are not in the correct plane (i.e.: Too lateral), then yes the pockets should be plicated. Moving the implants from under the muscle to over the muscle does not require suturing of the pocket.
Dr. Taranow