Can you have muscle deformity with silicone implants over the muscle?

I just had saline implants removed from under muscle due to muscle pain and the muscle deformity. I now have silicone over muscle but am still have that deformity when I flex. Is this normal?

Doctor Answers 8

#breastaugmentation #plasticsurgery #breastimplants

HI trishagase, Congratulations on your recent surgery. Without the benefit of knowing your full health history and an in person exam it's impossible to say for certain. Your concerns are important to discuss directly with your board certified plastic surgeon.  He or she will appreciate the open communication and will want to help you.  If you decide to seek a second opinion, consult with a Board Certified Plastic Surgeon in person, preferably one who has these credentials: *Board Certified by the American Board of Plastic Surgery - the gold star symbol
*A member of the ASPS (American Society of Plastic Surgeons) - the circle symbol
*A member of the ASAPS (American Society of Aesthetic Plastic Surgeons) - the Queen Nefertiti symbol with a Triangle.   Hope this is helpful and wish you all the very best. Kind regards, Brian Coan, MD, FACS   CARE Plastic Surgery

Raleigh-Durham Plastic Surgeon
4.9 out of 5 stars 49 reviews

Muscle issue

If the implants are placed above the muscle, you shouldn't be getting this.  It may be related to scar tissue.  Hard to say without an exam.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Muscle deformity with silicone implants over the muscle.

Muscle deformity and shifting should not be an issue with subglandular implants, though you might still have some motion from the old pocket if the muscle is not firmly attached. Rest and let your doctor have a look. 

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.1 out of 5 stars 39 reviews

Can you have muscle deformity with silicone implants over the muscle?

Thank you for sharing your question.  Muscle animation should not occur with implants placed beneath the breast tissue but above the pectoralis.  That said if you had an aggressive muscle release for placement of the implants you may have some residual contraction issues.  Talk to your surgeon or if you could post representative images that would offer more information. 

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 38 reviews

Animation deformity with Over the muscle implant placement??

Thank you for your question.

Animation deformity is common with under the muscle breast augmentation especially during pectoralis major muscle contraction (i.e., flexing of the chest muscles).

However, this should not be happening with over the muscle implant placement, simply because the muscle cannot apply pressure on the implant. So this is not normal, and it may not be the muscle which is causing the deformity.

Please have your surgeon take a look to figure out the problem.

Hope this helps.

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 414 reviews

Post op

curious to see pictures.  what type of implants? textured?  is the pain gone?.........................

Jonathan Saunders, MD
Newark Plastic Surgeon
4.7 out of 5 stars 59 reviews

Breast deformity when flexing muscles

You indicated that you had a deformity when you had saline implants that were under the muscle, and that replacing them over the muscle with silicone implants failed to correct the problem. It's possible that the implants have slipped back into there old pockets, as generally this would not be the case. I am not in favor of placing implants over the muscle particularly in puts with little breast tissue, as this sets the stage for a number of future problems. I would ask your surgeon to review the results with you.

Muscle deformity

Movement of the implant with Pec major muscle contraction will happen more commonly with sub-muscular implants.  You can still get some movement of an implant on top of the muscle, just like your native breast tissue can move when you flex your muscle.

Tyler C. Street, MD
Napa Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.