Implant behind muscle. Can my new implants be placed over the muscle?

Question

I’m a female 5’4” 153lb and had a breast augmentation in 2006 but I’m looking to find the right surgeon in Portland,OROne of my questions is, my previous surgeon had put the Saline implants behind the muscle, which caused the breasts to severely fall to the side when laying down. When I get my next surgery augmentation from 36C to D and a lift I’m guessing… can my new surgeon put the new implants over the muscle? Is there going to be saggy skin on the side or will the new implant fill that in?

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. I think you have your physiology a little off when describing your issue. Lateral malposition of breast implants is a common scenario both on top of the muscle and below the muscle. The best surgey is an Internal bra, otherwise known as capsulorrhaphy surgery. I wrote the very first paper on this topic over 20 years ago. A large portion of my practice is dedicated to breast revision surgery, and I have been in practice over 28 years. I have a whole gallery of chronic changes associated with implants on top of the muscle. Ultimately, these do not look good and this is not your fix. Based on what you have stated, you have a very straightforward problem Best wishes to you.

Daniel Barrett, MD · Answer

Dear Tiffany688,
I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You did not post photos, so I cannot be specific. If you are thin or have little breast tissue, keeping the implants behind the muscle will be best. Your lateral pockets can be tightened so that the implants don't fall as much to the sides. Mesh can be used to add more strength if needed.

Mats Hagstrom, MD (license on probation) · Answer

Sub petrol augmentation is the gold standard and changing implant position makes little sense. Plastic surgeons typically do not do implants above the muscle in conjunction with the breast lift. Doing so increases the risk for tissue necrosis and severe complications.Before speculating and trying to reinvent the wheel, I suggest having a few in person, consultations with plastic surgeons in your community.
Best,
Mats Hagstrom, MD.

Implant behind muscle. Can my new implants be placed over the muscle?

Answers (4)

Answer: Implants positioning

Answer: Implants positioning

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

Implant behind muscle. Can my new implants be placed over the muscle?

Answers (4)

Answer: Implants positioning

Answer: Implants positioning

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.