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

Yes, in very small women, we are limited in how much we can stretch the pocket. There is more stretching of tissue in front of the muscle than behind. Otherwise, you wind up with tight balls on your chest.

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.