Upward Migration of the Subpectoral Implant and its Correction

After augmented mammaplasty, subtle upward migration of the subpectoral implant due to muscle contraction is not uncommon. This degree of implant movement is usually not noticeable or bothersome to the patient. However, there are rare cases of pronounced upward migration that require treatment. We report a new and simple procedure to correct this problem by (1) dividing the pectoralis major above the areola to break the spring that causes the implant migration and (2) plicating the upper end of the severed pectoralis muscle to the chest wall. This maneuver transposes the upper part of the implant from the submuscular to the subglandular position and preserves good coverage and support of the implant in the submuscular pocket of the lower pole of the breast.