Subfascial Breast Augmentation

Contents


Subfascial Breast Augmentation: A Comprehensive Guide

Have you been dreaming of fuller, more contoured breasts but worry about the look or feel of implants?

Then subfascial breast augmentation might be the perfect option for you!

This innovative technique is gaining popularity for its ability to deliver natural-looking results with a faster recovery time.


What is Subfascial Breast Augmentation?

Imagine your breast tissue like a delicate fabric.

Subfascial augmentation places the implant beneath a thin layer called the fascia, which acts like a supportive sling around the chest muscle.

This placement offers several advantages:

  • Natural appearance: The fascia provides a smooth, supportive layer for the implant, mimicking the natural support of breast tissue.
    This can lead to more natural-looking breasts that move and drape beautifully with your body.
     
  • Reduced animation deformity: Traditional techniques sometimes cause the implant to become visible when the chest muscle contracts (like when you raise your arms).
    Subfascial placement minimizes this effect by separating the implant from the muscle movement.
     
  • Potentially faster recovery: Since the fascia is already a supportive layer, there's less disruption to surrounding tissues during surgery, potentially leading to a quicker and more comfortable recovery.


How Does it Differ from Other Techniques?

There are two main traditional methods for breast implant placement:

  • Submuscular: This technique places the implant directly beneath the chest muscle.
    While it offers good coverage, it can disrupt the muscle and lead to a longer recovery and potential animation deformity.
     
  • Subglandular: Here, the implant sits above the chest muscle, directly behind the breast tissue.
    While recovery is often faster, it may not be suitable for all patients, and the implant edges might be more noticeable in thinner individuals.

 

Subfascial augmentation offers a middle ground by combining the benefits of both:

  • Natural results like submuscular placement.
     
  • Potentially faster recovery and reduced animation deformity like subglandular placement.

woman_with_breast_surgery_guideline_on_boobs

 


Understanding Subfascial Breast Augmentation

Now that you've learned about the basics of subfascial breast augmentation, let's delve deeper!


What is the Fascia?

Think of the fascia as a thin, supportive sheet of tissue that acts like a built-in bra for your chest muscles.

It surrounds the pectoralis major muscle, the large muscle that makes up the chest wall.

This layer plays a crucial role in subfascial augmentation:

  • Provides a natural pocket: The fascia creates a smooth, defined space for the implant, mimicking the natural support and shape of breast tissue.
    This can lead to more natural-looking results with a rounded, contoured appearance.
     
  • Minimizes implant visibility: By placing the implant beneath the fascia, animation deformity (the rippling or rippling of the implant when you move) is significantly reduced.
    This is because the fascia acts as a barrier between the implant and the muscle, preventing it from being directly affected by muscle movement.

Candidacy and Consultation

Now that you understand the ins and outs of subfascial breast augmentation, the next step is to consider if it's the right choice for you.


Ideal Candidates: Who is Subfascial For?

While subfascial augmentation offers numerous benefits, it's not suitable for everyone.

Here are some factors that might make you a good candidate:

  • Desire for natural-looking results: If achieving a smooth, contoured appearance that blends seamlessly with your body is your top priority, subfascial might be a great option.
     
  • Concerns about animation deformity: If you're worried about the implant being visible when you move, the subfascial approach can significantly reduce this risk.
     
  • Good overall health: As with any surgery, being in good physical and mental health is essential for a safe and successful outcome.
     
  • Realistic expectations: It's crucial to have realistic expectations about the procedure and its results.
    Subfascial augmentation can enhance your breasts, but it won't drastically change your overall body shape.

healthy_woman (2)

 

Remember, this is not an exhaustive list.

The best way to determine your candidacy is to schedule a consultation with a board-certified plastic surgeon.

 

Consultation Process: Unveiling Your Dream Breasts

The consultation is your chance to explore your options and ask any questions you may have.

Here's what you can expect:

  • Discussing your goals and expectations: Be open and honest about what you're hoping to achieve with breast augmentation.
    The surgeon will listen carefully to your desired outcomes and discuss whether subfascial or another technique is the best fit.
     
  • Thorough examination: The surgeon will carefully examine your breasts and assess your anatomy to determine the suitability and feasibility of subfascial augmentation for your specific case.
     
  • Exploring different implant options: Together, you'll discuss different implant options such as size, shape, and surface texture to find the one that best complements your body and desired results.
     
  • Understanding the risks and recovery process: Every surgery comes with potential risks and complications.
    The surgeon will discuss these openly and honestly, along with the typical recovery timeline for subfascial augmentation.

 

Don't hesitate to ask questions!

The consultation is your opportunity to gather information and feel confident about your decision.

woman_holding_two_implant_options


The Subfascial Breast Augmentation Procedure

So, you've decided to explore subfascial breast augmentation and are eager to learn more about the process itself.

Let's delve into the pre-operative preparation, the surgical technique, and what to expect during recovery.


Preoperative Preparation: Getting Ready for Your Surgery

Before your surgery date, you'll embark on a journey of preparation to ensure a smooth and successful experience.

Here are some key steps:

  • Medical history review: Your surgeon will thoroughly review your medical history to assess any potential risks or considerations.
     
  • Blood tests and imaging: Certain blood tests and imaging studies may be recommended to ensure your overall health and suitability for surgery.
     
  • Medications: You may be advised to stop taking certain medications or supplements that could interfere with anesthesia or bleeding.
     
  • Smoking cessation: Smoking can significantly hinder healing and increase the risk of complications.
    If you smoke, quitting well in advance of surgery is crucial.
     
  • Choosing the right support: Finding a comfortable post-surgical bra that offers gentle compression and support is essential for optimal healing.

no_smoking_sign

 

Remember, open communication is key.

Don't hesitate to ask your surgeon any questions you may have about the preparation process or the surgery itself.
 

Surgical Technique: A Glimpse into the Procedure

While the specifics of the surgical technique are best discussed with your board-certified surgeon, here's a simplified overview of the subfascial approach:

  1. Anesthesia: General anesthesia is typically used to ensure your comfort and relaxation throughout the procedure.
     
  2. Incision: A small incision is made, typically in a discreet location like the crease beneath the breast, around the nipple, or in the armpit.
     
  3. Pocket creation: The surgeon carefully dissects a pocket between the fascia and the chest muscle, creating a space for the implant.
     
  4. Implant placement: The chosen implant is then inserted into the pocket and meticulously positioned to achieve the desired size, shape, and symmetry.
     
  5. Closure: The incision is then carefully closed with sutures or surgical glue.


It's important to remember that this is a simplified explanation.

The actual procedure may vary depending on your individual needs and the surgeon's technique.


Recovery and Aftercare: Nurturing Your New Look

The recovery process after subfascial breast augmentation typically involves some swelling, bruising, and discomfort, which is normal.

Here's what you can expect:

  • Initial discomfort: You may experience some pain and soreness, which can be managed with medication prescribed by your surgeon.
     
  • Swelling and bruising: Expect some swelling and bruising around the breasts, which will gradually subside over the following weeks.
     
  • Wearing a surgical bra: Your surgeon will advise you on wearing a post-surgical bra for support and compression during the healing process.
     
  • Limited activity: You'll likely need to restrict strenuous activities for a certain period to allow for proper healing.
     
  • Follow-up appointments: Regular follow-up appointments with your surgeon are crucial to monitor your progress and ensure optimal healing.

patient_scheduling_followup_appointment

 

Remember, everyone heals at their own pace.

Be patient with yourself, follow your surgeon's instructions carefully, and don't hesitate to reach out if you have any concerns or questions during your recovery.


Results and Longevity

Now that you've explored the different aspects of subfascial breast augmentation, let's discuss what you can expect in terms of results and their longevity.


Expected Results: Your Vision, Brought to Life

Subfascial breast augmentation aims to achieve natural-looking, beautiful breasts that complement your unique body.

Here's what you can expect:

  • Enhanced size and volume: The implants will add volume and fullness to your breasts, bringing you closer to your desired size.
     
  • Improved shape and contour: The implant selection and placement can create a more rounded, contoured appearance that blends seamlessly with your body.
     
  • Enhanced symmetry: Through careful planning and meticulous technique, the surgeon strives to achieve optimal symmetry between your breasts.

 

It's important to remember that the specific results will vary based on several factors:

  • Your individual anatomy: Your starting breast size, shape, and skin elasticity will all play a role in the final outcome.
     
  • Chosen implant size and shape: The size, shape, and surface texture of the implants will significantly impact the final look and feel of your breasts.
     
  • Surgeon's skill and experience: A board-certified plastic surgeon with extensive experience in subfascial augmentation is crucial for achieving the best possible results.

 

During your consultation, your surgeon will discuss your desired outcome in detail and explain what you can realistically achieve.

They will use computer imaging technology to help you visualize the potential results and ensure you're aligned with the expected outcome.

surgeons_doing_an_intervention


Like any cosmetic procedure, the results of subfascial breast augmentation are not permanent, but they can be long-lasting.

Here's what you can expect:

  • Many patients enjoy their results for 10-15 years or even longer.
  • Several factors can influence the longevity of your results:
    • Maintaining a healthy weight: Significant weight fluctuations can put stress on the implants and surrounding tissues, potentially affecting their shape and position.
       
    • Pregnancy and breastfeeding: While possible after subfascial augmentation, these life events can also impact the size, shape, and firmness of your breasts.
       
    • Age and natural aging processes: As we age, our skin naturally loses elasticity, which can affect the appearance of your breasts.
       

Open communication with your surgeon is key throughout your journey.

Discussing your expectations and lifestyle factors will help you make informed decisions and maximize the longevity of your results.


Benefits of Subfascial Breast Augmentation

So, you've learned everything from the nitty-gritty of the procedure to the anticipated results and longevity.

But what truly sets subfascial breast augmentation apart?


Let's unveil its key benefits:


Natural Look and Feel

One of the most sought-after advantages of subfascial augmentation is the potential for a more natural look and feel.

Here's how the technique achieves this:

  • Mimicking natural support: The fascia, acting like a supportive sling, provides a smooth and natural platform for the implant, replicating the support offered by breast tissue.
    This translates to breasts that move and drape beautifully with your body, avoiding the "unnatural" look that can sometimes occur with other techniques.
     
  • Reduced implant visibility: By placing the implant beneath the fascia, the animation deformity (the rippling or rippling effect when you move) is significantly minimized.
    This allows your breasts to maintain a natural appearance even with movement.
     
  • Softer feel: The fascia acts as a buffer between the implant and the skin, potentially contributing to a softer, more natural feel compared to other placement methods.

 

Remember, achieving a natural look is not just about the technique.

Choosing the right implant size and shape in consultation with your surgeon is crucial for achieving results that complement your body and maintain a natural aesthetic.


Reduced Risk of Capsular Contracture

Capsular contracture is a potential complication where the scar tissue around the implant hardens and tightens, causing the breasts to feel firm and potentially change shape.

While no technique can completely eliminate this risk, some studies suggest that subfascial placement might offer certain advantages:

  • Reduced friction: Placing the implant beneath the fascia potentially reduces friction between the implant and surrounding tissues, which is thought to contribute to capsular contracture formation.
     
  • Natural barrier: The fascia may act as a natural barrier, potentially limiting the formation of excessive scar tissue around the implant.


It's important to note that these are potential benefits, and individual results may vary.

Consulting with a board-certified plastic surgeon experienced in subfascial augmentation is essential to understand the risks and benefits specific to your case.

natural_looking_boobs


Comparison with Other Techniques

Now that you've delved into the details of subfascial breast augmentation, you might be curious about how it compares to other implant placement techniques.

Let's explore the key differences:


Subfascial vs. Subglandular

Subglandular placement involves positioning the implant behind the breast tissue but above the chest muscle.
While it often offers a faster recovery and is generally a less invasive technique, it might not be suitable for everyone:
 

  • Potential for implant visibility: In thinner individuals, the implant edges may be more visible or palpable, especially with larger implants.
     
  • Limited support: The breast tissue alone may not provide sufficient support for the implant, potentially leading to changes in shape or drooping over time.


Subfascial placement, on the other hand, addresses these limitations by offering:

  • Enhanced support: The fascia provides a supportive layer for the implant, potentially leading to better long-term shape and stability.
     
  • Reduced implant visibility: Placing the implant beneath the fascia minimizes the risk of seeing or feeling the implant edges, even in thinner individuals.


Ultimately, the best choice for you depends on your individual anatomy, desired results, and expectations.

Discussing your options with a board-certified plastic surgeon is crucial for making an informed decision.


Subfascial vs. Submuscular

Submuscular placement involves placing the implant directly beneath the chest muscle.
This technique offers:

  • Excellent coverage and support: The muscle provides a strong barrier that effectively hides the implant and prevents it from being visible or palpable.


However, it also comes with potential drawbacks:

  • Longer recovery time: Disrupting the muscle tissue can lead to a longer and potentially more uncomfortable recovery compared to subfascial or subglandular techniques.
     
  • Reduced animation: While minimizing implant visibility, the implant might not move as naturally with the body due to the muscle separation.

 

Subfascial placement offers a potential middle ground:

  • Reduced recovery time compared to submuscular placement.
     
  • More natural movement and appearance compared to submuscular placement, while still offering good coverage and support.


Remember, every patient is unique, and the best approach will be determined by your specific needs and goals.


Risks and Considerations

As with any surgery, subfascial breast augmentation comes with potential risks and considerations.

It's crucial to be well-informed before making any decisions.


Potential Risks of of Subfascial Breast Augmentation

While uncommon, some potential complications associated with subfascial breast augmentation include:

  • Infection: As with any surgery, there is a small risk of infection.
     
  • Bleeding: Bleeding can occur during or after surgery, though typically controlled by the surgeon.
     
  • Hematoma: A collection of blood outside the blood vessels, usually treatable with aspiration or drainage.
     
  • Seroma: A collection of fluid that can develop after surgery, typically treatable with aspiration or drainage.
     
  • Capsular contracture: As mentioned earlier, while potentially reduced with subfascial placement, there is still a possibility of scar tissue around the implant hardening.
     
  • Implant malposition: The implant may not be positioned perfectly, potentially requiring revision surgery.
     
  • Changes in nipple sensation: Some women may experience temporary or permanent changes in nipple sensation.


It's important to remember that this is not an exhaustive list, and individual risks can vary.

Your surgeon will discuss these risks in detail during your consultation and address any specific concerns you may have.


Choosing a Qualified Surgeon

Selecting the right surgeon is paramount for achieving safe and successful results.

Here's why choosing a board-certified plastic surgeon with extensive experience in the subfascial technique is crucial:

  • Expertise and experience: A qualified surgeon with significant experience in subfascial augmentation will possess the skills and knowledge to perform the procedure safely and effectively, maximizing your chances of achieving optimal outcomes.
     
  • Understanding your goals: An experienced surgeon will take the time to understand your desired results and discuss them in detail, ensuring your expectations are realistic and aligned with the potential of the procedure.
     
  • Individualized care: A board-certified plastic surgeon will provide personalized care throughout your journey, addressing your concerns, answering your questions, and guiding you through every step of the process, from pre-operative preparation to post-operative care.


Don't hesitate to ask questions! A good surgeon will encourage open communication and ensure you feel comfortable and confident throughout your decision-making process.

Now that you've explored the different aspects of subfascial breast augmentation, you might still have some lingering questions.

 

Is subfascial breast augmentation suitable for everyone?

While subfascial augmentation offers numerous benefits, it's not necessarily suitable for every individual.

Here are some factors that might make you a good candidate:

  • Desire for natural-looking results: If achieving a smooth, contoured appearance that blends seamlessly with your body is your top priority, subfascial might be a great option.
     
  • Concerns about animation deformity: If you're worried about the implant being visible when you move, the subfascial approach can significantly reduce this risk.
     
  • Good overall health: As with any surgery, being in good physical and mental health is crucial for a safe and successful outcome.
     
  • Realistic expectations: It's important to have realistic expectations about the procedure and its results.
    Subfascial augmentation can enhance your breasts, but it won't drastically change your overall body shape.


Remember, this is not an exhaustive list. The best way to determine your candidacy is to schedule a consultation with a board-certified plastic surgeon.

They can assess your individual anatomy, discuss your goals and expectations, and advise you on whether subfascial augmentation is the right path for you.

 

What is the recovery process like after subfascial breast augmentation?

The recovery process after subfascial breast augmentation typically involves some swelling, bruising, and discomfort, which is normal.

Here's what you can expect:

  • Initial discomfort: You may experience some pain and soreness, which can be managed with medication prescribed by your surgeon.
     
  • Swelling and bruising: Expect some swelling and bruising around the breasts, which will gradually subside over the following weeks.
     
  • Wearing a surgical bra: Your surgeon will advise you on wearing a post-surgical bra for support and compression during the healing process.
     
  • Limited activity: You'll likely need to restrict strenuous activities for a certain period to allow for proper healing.
     
  • Follow-up appointments: Regular follow-up appointments with your surgeon are crucial to monitor your progress and ensure optimal healing.

 

Remember, everyone heals at their own pace. Be patient with yourself, follow your surgeon's instructions carefully, and don't hesitate to reach out if you have any concerns or questions during your recovery.


Conclusion

As we come to the end of our exploration of subfascial breast augmentation, we hope you've gained a comprehensive understanding of this innovative technique.

Remember, the key takeaways are:

  • Natural appearance: Subfascial placement can potentially offer a more natural look and feel compared to other techniques.
     
  • Reduced animation deformity: The implant placement beneath the fascia can significantly minimize the visibility of the implant when you move.
     
  • Potential for longevity: While not guaranteed, subfascial augmentation may offer longer-lasting results compared to other approaches.
     
  • Importance of choosing a qualified surgeon: Selecting a board-certified plastic surgeon with extensive experience in subfascial techniques is crucial for achieving optimal outcomes.


Remember, this blog is just the beginning of your journey.

If you're intrigued by the potential of subfascial breast augmentation and are curious to learn if it's right for you, the next step is simple:


Schedule a consultation with our expert surgeons at Cehre Hospital today!

Last update: 5 Mar 2024


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