Ruptured breast implants revision - Why would a new pocket be created and placement be over muscle?

Question

My Mentor silicone cohesive gel breast implants ihaveboth ruptured,found by MRI. Implants are 16 y.o., placed under muscle, inframammary incision, 330 cc, have had a small amount of sagging (I’ll be 60 this year, so they match everything else) , but otherwise no issues and my breasts look really nice. The surgeon I’m considering says that a new pocket will be created over muscle with an internal bra (Galaflex). Why would a new pocket be created and placement be over muscle? Is that standard?

Gary M. Horndeski, MD · Answer

Ruptured implants are not an indication to create a new pocket. However, capsular contracture is an indication. If you are not having capsular contracture then you can use the same pocket. I would not recommend going in front of the muscle. The disadvantages of placing implants in front of the muscle are that it will injury the nerves and blood supply to the nipples, resulting in nipple numbness and there is a higher instance for capsular contracture. The implants are more palpable and visible in front of the muscle. Unfortunately, you have not provided photographs.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear snogirl13,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Harry T. Haramis, MD, FACS · Answer

Usually, I will keep the pocket the same, especially if you like your results after implant rupture.

Change in pocket may be an option with capsule contracture or muscle animation deformity but not for rupture unless there is a lot of breast tissue sagging possibly.

This may depend upon the plastic surgeon and should be discussed further

Ruptured breast implants revision - Why would a new pocket be created and placement be over muscle?

Answers (3)

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