Seattle Plastic Surgeons

What's Your Opinion on the Sub-fascial Breast Implant Compared to Subpectoral?

Is it really better than sub pectoral? I am getting a full lift with small impants in April and never heard of sub fascia before. It all sounded impressive but I`m a bit sceptical. Loved the facts and the PS is highly recommended, he really explained all the facts but I wanted to hear other opinions. Thank you!

Most people think of implants as either over or under the muscle, but in reality it is a bit more complicated. Under the muscle involves cutting the muscle attachment to the rib cage and can lead to what are called animation deformities. One way to prevent that while still having some muscle coverage over the upper breast (where it is most needed) is a split muscle technique, which avoids cutting the muscle. The fascia is a thin layer on the surface of the muscle so it can add some support to the implant but not much more coverage than the usual way of placing implants on top of the muscle. So you have subglandular, subfascial, split subpectoral, and submuscular (also called subpectoral and dual plane.) I have 2 articles on the subject which I would be happy to send.

Richard Baxter, MD

Seattle Plastic Surgeon

I Have Heard About Cryolipolysis Instead of Having a Regular Surgery, What Is This?

I Have Heard About Cryolipolysis Instead of Having a Regular Surgery, What Is This?

There are a couple of nonsurgical options for reduction of localized fat including cryolipolysis and the newer option of Liposonix which uses focused ultrasound. Liposuction is still the "gold standard" but as you correctly point out it is surgery, despite marketing hype that makes it sound minimally invasive. The advantage of Liposonix is that it can be precisely targeted into a specific layer of fat. Both Liposonix and cryo are completely noninvasive.

Richard Baxter, MD

Seattle Plastic Surgeon

Should I Quit Caffeine Post-surgery Like Alcohol?

I had a breast augmentation 3 days ago. Yesterday I had a MASSIVE headache, and realized it was because of my lack of caffeine (I'm a two cans of Diet Coke a day type girl -- yes, I know it's bad, I'm trying to quit).

Here in Seattle we may be more focused on the caffeine issue, but it is not usually detrimental and probably beneficial especially if you are used to coffee. It may even help in some ways.

Richard Baxter, MD

Seattle Plastic Surgeon