In my right breast I can feel the implant poking out. They are over the muscle and 13 years old. Can I get them under muscle?

It appears that the tissues overlying the implant have thinned. This is often a progressive problem that can ultimately lead to implant exposure and potential loss of the implant. The recommended treatment is to increase the tissue coverage and one way to achieve this is to move the implants under the muscle. This is generally the recommended approach as there of often other benefits to moving the implants under the muscle as well.I hope this is helpful and you are able to have this corrected in a timely fashion. 

Thank you for your question. This is a very common problem and revision surgery to replace the implant into a new pocket under the muscle is a very good approach that can offer excellent results. I am guessing that your surgeon said that because he has little experience with this type of surgery. I would suggest that you make sure you are being seen by a board certified (ABPS) plastic surgeon for your consultation. They can properly advise you on what needs to be done to achieve your goals.Best of luck and be safe!

Switching from over to under with implant exchange from saline to silicone is a commonly done operation. The high fill ratio implants such as Allergan's Inspira and Sientra's 106/206 series have less rippling than earlier types of silicone implants, and silicone implants in general ripple less than saline. Keep in mind that the muscle does not cover the entire implant, so you may still feel the implants on the outside and bottom of the breasts. Saline implants especially when over the muscle tend to cause more sagging over time, so a lift may be needed.

and improve your current situation.  Depending on what your anatomy is like, the technique will vary.  If your implant is poking out with a palpable tip, you really need to get this done asap.  Most experienced surgeons should be able to accommodate your needs and produce a satisfactory outcome.

 I am sorry to hear about the problem you are experiencing. Often, it is possible to perform the operation you are considering in a single stage (possible to convert sub glandular breast implants in to the sub muscular (dual plane) position). Successful results do depend, to some degree, on the surgeon's experience. Therefore, best to make sure that your plastic surgeon can demonstrate significant experience helping patients with this type of revisionary breast surgery. Sometimes, patients undergoing conversion of breast implant positioning from the sub glandular to the sub muscular space benefit from additional maneuvers such as breast lifting (depending on the position of the breast skin envelope in relation to the position of the sub muscular breast implants) and/or the use of acellular dermal matrix for lower pole support and/or additional coverage of breast implants. Closing off the existing breast implant pocket is a technique utilized to help prevent the breast implant from moving back into its previous space.I hope this, and the attached link demonstrating many relevant  cases, helps. Best wishes.