I had my submuscular implants (250 cc) removed two months ago and I suffer from flex deformity. The muscle was released at the inferior-medial border, but the capsules were left in. My surgeon says it can't be fixed because he doesn't know what to sew the pectoralis muscle back to. I understand the problem. Can the pectoralis muscle actually be fixed? Some doctors say yes, others say no. I've heard of girls who tried a repair, but it was not successful.
After the removal of sub-pectoral breast implants, the pectoralis major muscle can be restored to its original anatomical position. The reconstruction of the muscle can improve its function and, in some cases, reduce abnormal contractions that may persist after implant removal. This procedure is typically performed under general anesthesia, with the use of muscle relaxation. The muscle is mobilized from the overlying breast tissue, and its dis-inserted border is advanced towards the sternum (breastbone). It is then carefully sutured into place using strong suture material. The muscle and any remaining breast capsular tissue are secured to the periosteum of the sternum and rib cartilage in that area. After the surgery, the patient must carefully follow post-operative instructions to allow the muscle to heal in its restored position.
It is possible to create a pocket for a breast implant immediately after a wound has been made, such as in the case of immediate breast reconstruction. However, it is not possible to create a pocket for an implant placed under the muscle.
During pectoral muscle repair, when removing implants placed under the muscle, the muscle is sewn down to the capsule or the rib periosteum if the capsule needs to be removed. This helps the muscle function more normally. However, repairing muscle issues can be challenging, and placing implants over the muscle can be a viable option.
Animation deformity can occur in patients who have undergone the dual-plane procedure for breast augmentation. Repairing the detachment of the pectoralis muscle by suturing it to the posterior capsule can help resolve the distortion. Consulting articles and videos on the topic can provide more information.
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