I currently have over the muscle saline implants. I have the normal wrinkling but when I lay down one goes under my arm and is uncomfortable. Would like a more shapely round looking breast. Can I move them to under the muscle after having them over the muscle?

A: converting breast implant pockets is not easy

To convert a subglandular (over the muscle) to a subpectoral (under the muscle) position, is easier said then done.  It does depend on how long the implants have been in place.  If they have been in for several years, what happens is the pectoral muscle becomes attenuated or thinned out making it very difficult to elevate and create any type of significant muscle coverage.  When the muscle is elevated if often displays a “window-shade” phenomenon where the muscle migrates upwards, effectively not covering the implant at all.

It is possible to do, but depends on the particular patient and her anatomy and duration of current implants.

You should consult with a board certified plastic surgeon prior to scheduling this type of breast surgery.

Best wishes,

Dr. Bruno