Do solid silicone pec implants need to be replaced every 10-20 years like breast implants?

If your implant is truly displaced, which can be confirmed only on the basis of in person exam, the only option is to close the space in the lower pole of implant capsule and lift implant in more symmetric position. This will require scar in the pectoral crease to perform lower pole capsule...

Based on these photos, you are good candidate for correction with transfer of latissimus dorsi muscle from the back to anterior chest. This will improve appearance of the chest, including nipple areola position and size. There is no noticeable deformity on the back. Muscle stays innervated and...

Why would you want to get an implant and gynecomastia surgery performed? One is debulking you and another putting the bulk back. I would recommend you consider creation of the armour chest plate which we perform with a combination of gynecomastia surgery and building up of your medial chest...

Although I understand your line of thinking, this would not be a good idea as the breast implant will create more of a breast shape projection and not a masculine pectoral muscle contour. Although the average pectoral implant is not quite as soft as muscle, hardness is usually not a complaint...

Because the pectoral muscle has a fixed length and its origins along the sternum are very broad, effectively changing its position on the sternum is not possible.

You have the classic male Poland's syndrome with the lower half of the pectoral muscle missing. Fortunately your nipple on that side is not highly positioned. The best treatment approach is to make a custom pectoral implant that replaces the missing muscle and fits up under the muscle you do ...