Pectoral implant surgery involves placing a silicone implant under the chest muscle to give a more muscular appearance to the chest. A small incision is made in the armpit and the pectoral muscles are localized through the incision. A cut is then made in the fascia (outer covering of the muscle). Next, a pocket is created below the fascia of the pectoral muscles. The implants are inserted in the created pocket under the pectoral muscle. The muscle lining is then sutured close with absorbable sutures. The procedure takes 1-2 hours to complete.