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

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.

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

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.

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.