Horrible muscle distortion post explant. How can this be fixed? (Photo)

Some breast distortion with chest muscle contraction is normal in all patients with implants placed behind the muscle. Your distortion seems significant and you have what is called "window shading" after breast augmentation. The right appears worse than the left. There are many reasons that this can occur to include the cutting or post-op tearing of the pectoralis muscle along the sternum or scar adhesions between the pectoralis muscle and the skin. Muscle repair and capsulectomy are fraught with high recurrence rates. Changing the implant from the submuscular position to the subglandular position is totally corrective and the the issue will not recur. This can also be done with less severe distortion in patients that do not want to have any visible breast changes with chest muscle contraction after breast augmentation.

Thank you for your question.  You have windowshading of the muscles after explant.  Re-attachment of the muscle with reinforcement would help to improve the deformity.

You'll most likely need to have the scar tissue removed and Strattice placed to help prevent the tethering that is going on.