Problems With Breast Implants Under the Muscle


Disadvantages of breast implants under the muscle are well known to patients. These patients usually complain of a “tight” fit, implant sitting too high or too wide, and changing shape when using their arms. These breast implants are commonly called “motion or flexion deformities,” which are caused by deformation of the skin in the breast area as the pectoralis major muscles contract. Some patients experience chronic pain or discomfort after the surgery and are advised to stop upper-body exercises.

Disadvantages of breast implants under the muscle

Problems With Breast Implants Under the Muscle

Implants placed over the muscle have a number of advantages, but there are some downsides, too. Because they are higher on the chest, they can interfere with the natural appearance of breast tissue. They also take longer to recover from surgery. They can be uncomfortable, and they can cause the patient more discomfort if chest exercises are performed immediately after the surgery. Still, they’re worth the risk. Read on to learn more about the advantages and disadvantages of breast implants placed over the muscle.

Problems with placing implants under the muscle

Although this method of implant placement is less invasive, it may be uncomfortable and take longer to recover from. It is also associated with an increased risk of animation deformity, which describes the distortion of the breast implant during the contraction of the chest muscle. While this risk is small, you should discuss any concerns with your surgeon. If you are not satisfied with the results, you may want to find another surgeon. Alternatively, you can read on to discover the problems of placing breast implants under the muscle.


Women who experience problems with breast implants should seek out a board-certified plastic surgeon. The doctor should listen to any concerns and not dismiss them as simply normal side effects of a surgical procedure. Women should never assume that the surgeon who placed the implants is able to remove them. In some cases, problems can only be resolved with a surgical procedure. Other times, it may be possible to get a new implant if the first one causes too many problems.

Capsular contracture

One of the common problems associated with breast augmentation is capsular contracture. This problem affects 25% to 30% of patients who received saline implants. The FDA compelled breast implant manufacturers to submit a report identifying the most common complications. These include capsular contracture and rupture of the implant. Capsular contracture can occur after any type of breast augmentation procedure. The cause of this complication is unclear, but it can result in the breasts appearing uneven.

Subglandular placement

Subglandular placement

Compared to the over-the-muscle placement, breast implants placed under the muscle pose fewer risks. For example, the placement of breast implants under the muscle is less likely to cause a saggy appearance in the breast tissue. It may also result in the firmer scar tissue surrounding the implant, causing the breast to appear less natural. This deformity is not caused by subglandular placement, however. In this case, breast implants placed under the muscle are usually saline, which has a lower risk of producing firm scar tissue.


In severe cases, the rippling of breast implants under the muscle may require revision surgery. In such cases, the surgeon will insert a firmer implant. The patient will return to the theatre for another operation, in which the original implants are removed and the new, firmer ones are inserted. Recovery time from this surgery is much shorter than the one required for the original operation. Patients should follow the same postoperative instructions as those who had breast enlargement surgery. In some extreme cases, fat grafting may be a good option.

Biopsy/cyst removal

The first step in treating breast implant problems is biopsy/cyst removal. This procedure involves inserting a needle through the skin and cutting through the tissue to access the lump. The procedure may result in an internal or external hematoma, which must be removed. If the hematoma is large, the cyst may require removal. Patients must stay overnight in the hospital after the procedure.

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