Is it possible for the submuscular pocket to be too small?

For most patients the surgeon is able to create a pocket wide enough to place the agreed upon implant. However in some patients the anatomy can limit the pocket size created. This is sometimes seen in very petite women.

It is rare but can happen. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Dear watmoetje,
generally speaking, your anatomy can limit the size of pocket and implants. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery