Is it necessary to attach the muscle to the chest wall when removing an implant that was placed under the muscle? (photo)

I think the deformity you are experiencing is only partly related to repairing the pectorals major muscle back to the chest wall. What you have is scar tissue still attached to the bottom part of the breast and skin. You can wait until the scar soften over time which can take about a year. Or, if the scar tissue is scar capsule, you will need to have your breast tissue released from the scar which may be still attached to the chest wall. In other words, you need a scar release. I have a lot of experience with this problem. Please be assured that it can be corrected.

Implant removal can lead to breast deformity due to the implants effect on the surrounding tissues over time. It is hard to make a comment without a physical exam.  Hopefully a capsulectomy was perfumed. The pec major muscle could have run inferior to the nipple areolar  and by attaching it to the chest wall resulted in tenting the breast up under the NAC in a standing position that is hard to detect in the OR. Simple release of this attachment might correct the whole issue. Most definitely discuss your situation with your PS and state your concerns.

It is possible that the muscle is causing this deformity through action on the capsule that is attached to subcutaneous fat.  Does the deformity worsen with muscle contracture?  If so, then a muscle release may be necessary.  Either way, a lift would be necessary to correct your breast shape and nipple position. 

Leave that reattaching your pectoralis major muscle to the chest wall has nothing to do with your breast deformity.  I would recommend just a normal breast reduction to improve the size and shape of your breasts

Removing breast implants is unpredictable in terms of how the tissues heal around it.  Best to give it time to settle down. Good luck.

It is hard to tell you exactly what is occurring without a formal examination.  Muscle activity could be causing this in addition to changes in your breasts where the lower portions have lost tissue secondary to implants.  I would recommend a formal examination and would envision that your deformity could be improved by releasing a combination of scar, suture, and muscle and then performing a mastopexy (breast lift) to reorient and rearrange your remaining breast to get a youthful appearance.  Good Luck

If the sutures placed internally are causing the shape issue that you are showing simple suture removal will reverse the process.  This can likely be done under local anesthesia.  A breast reduction/breast lift appears to also be potentially beneficial.  This can be done later or at the same time as your suture removal exploration.All the best,Dr. Remus Repta

When your surgeon said reattaching your muscle, he meant sewing the pectoralis muscle straight back down.  It would be unusual that your muscle was so low that it ended up causing this deformity.  If it did and you don't want to get a reduction/lift to improve the contour, those stitches need to be removed.  It's impossible without knowing what your anatomy was, but I would also be a little concerned.