What Does It Take to Lower a Sub-muscular Implant Pocket? Can It Be Done in the Office?

In general, it is easier to lower an implant then raise one.  It all depends on what is holding the implant higher.  Does the pocket simply need to be released from the inframammary area to allow the implant to sit lower?  Does the entire capsule need to be released and scored for the entire pocket to change?  These things are hard to say without seeing you in person.  Certainly this can be done in an office under sedation if your surgeon has an operating suite in their office and is comfortable with it.  I hope this helps.

It is quite straightforward to lower a breast implant pocket. However, I do everything in a fully accredited outpatient surgery center, and would not attempt this in an office setting. There are risks of implant damage, it would need to be removed and replaced for the pocket adjustment, bleeding, infection, etx, and all these risks would be minimized in an operating room. Plus, patient comfort is important!! 

Lowering the implant would most likely be accomplished with a capsulotomy after excluding the possibility of capsular contracture as the cause of your elevated implant. I would prefer performing this in an operating room or operating suite.

It sound like you may have either a capsular contracture or inaccurately developed pocket at the time of surgery. Regardless, the capsule needs to be released so that  the pocket can be reshaped and the implant repositioned. If you mean it would be performed with local anesthesia only then this is not an office procedure.

Dr. ES

I've encountered this complication, and managed it in the operating room under sterile conditions and under anesthesia. The issue is that the supporting infra-mammary fold and perhaps also the pectoralis muscle needs to be modified. To do this under direct surgical vision may require removing the breast implant. I would be wary of a surgeon that suggests doing this revisionary breast procedure under 'a little local in the office'.