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Possible to Have over the Muscle Breast Augmentation After Mastectomy?

ER girl
I am post bilateral mastectomy, after 10 years, I finally have expanders. They were placed in Nov. I am having pain 6/10 on one breast area and to the shoulder and arm.. I am afraid that after the implants I will continue having pain. Can the Breast implants be put over the muscle? Or is there an artificial muscle that can be used? My concern is how to distinguish breast pain vs cardiac pain in the future. Implant schedule is in April.

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