Can you limit the muscle disruption when replacing implants under muscle?

This is a tough question without some additional background and pictures, to know what the original breast size, implant size, and current status is. In general, if you are looking to remain about the same size and already have a pocket under the muscle, likely no additional muscle needs to be released at all. If you are looking to upsize, depending on the shape currently and where the implant needs to be positioned, i would typically transition to a dual plane technique that would also avoid any additional muscle division. Hope this helps.

Dear Anonymous4545452,
if your muscles are placed under the muscle, it is most likely that your surgeon won't need to further release pectoralis muscle. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Unfortunately, you have not provided photographs. However, if your breasts are high on the chest wall then it is possible to place submuscular implants without cutting the inferior edge. This may require a simultaneous lift.

Best Wishes,

Gary Horndeski, M.D.