The surgery is done under general anesthesia, through a small, inch or so, incision concealed within an armpit crease. The implant is placed under the existing pectoralis major muscle belly to augment/enhance or reconstruct the chest. Because the pectoralis muscle is absent in Poland’s Syndrome, the implant must be placed just under the subcutaneous fascia layer. The incision is then closed in layers of dissolvable stitches. A compression garment may be applied but is usually not necessary unless liposuction was performed at the same time (eg. Gynecomastia surgery). The entire surgery usually takes an hour or two on an outpatient basis with patients able to return home that same day. Various anti-inflammatory medications, antibiotics and pain relievers will be prescribed for postop recovery and comfort.