Do the pectoral muscles need to be stiched back down during explant with lift?

hello kate91169  Chest wall (rib and breast bone) and shoulder / back asymmetries that exist before will not be corrected from the surgery and will affect the breast shape and position. Neopectoral pocket: This is sometimes used as a technique to provide a stronger better
space.  In this case, the implant is removed and the capsule is
dissected from the muscle, creating a new or neo pocket on top of the
old capsule. #pectoral #stitches

    The animation deformity is the result of the placement of the implant in the submuscular position.   Without the implant, the ability of the muscle to generate that defect is altered.

You typically cannot get the chest muscle back to a normal position.  I have done many of these types of cases and it is not possible to get the chest muscle back to its normal position.

Practices will vary.  In my practice, I individualize the breast implant removal procedure depending on the patient's physical examination, concerns, and goals. For example, if the patient does have significant (bothersome) flexion deformity, then restoration of normal pectorals major muscle attachment to the chest wall makes sense.  However, in most cases of breast implant removal surgery, I have not found the need or benefit of  re attachment of the pectoralis muscle. Best wishes for an outcome that you will be very pleased with.

I always repair the pectoralis muscle when I remove a submuscular implant.  When your implant is removed, the stretched, partially detached muscle can jump and look abnormal even with the implant out.  I have not seen that this improves with time.  This is especially true if you already have a significant muscle flex deformity.  I have found that repairing the muscle at the time of removal prevents this, and the repair holds up beautifully long term.  You should also consider internal lift and fat grafting at the time of your removal to help repair the stretching and thinning that occur with an implant.  Good luck!