Tricep implant surgery uses a special silicone implant to create a more muscular and sculpted appearance. The implants are made out of semi-solid silicone and have the firmness of natural muscle. The surgeon makes an incision in the patient's armpit and the tricep muscles are localized through the incision after which a cut is made in the fascia (outer covering of the muscle). Then, a pocket is created below the fascia of the long head of the triceps muscle. The implant is placed in this pocket. The muscle lining is sutured and sutures are used to close the skin. Over time, the implant becomes surrounded by a scar tissue pocket.