Breast Augmentation: Q&A

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What is Cold-subfascial Placement?

Are there any surgeons in NY/NJ/Ct that use this for revision surgery?

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doctor referral subfascial

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9 Doctor Answers | Asked by Allie in NJ in West Orange, NJ

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Cold-subfascial augmentation: beyond dogmatically accepatble breast augmentation and revision

Several anatomic studies have been conducted and in the past 15 years demontrating the solid structural integrity of the pectoralis fascia. The morphology/shape of breast augmentations is significantly different from 'under themuscle' and 'over the muscle.' Cold- subfascial technique is indeed a modification of subfacial augmentation in which a histiocentric approach is used, avoiding electrocautery to preserve the full shaping and lasting power of the... more

"Cold-Subfascial" Implant Revision

Dear Allie, There are basically four "planes" in which a breast implant can be placed. There is the subglandular pocket with the implant in between the breast and the pectoralis major muscle. There is the subfascial pocket where the implant is placed between the fascia-a thin tissue layer on top of the pectoralis muscle-and the muscle proper. There is the partial submuscular pocket where the implant is placed between the pectoralis major and the chest... more

Understanding breast implant placement: under or over, subfascial, split

I have used variations of subfascial placement for several years and published the first article in North America on the subject. (Fascia is pronounced like "fashion.) The fascia is a thin layer on the surface of the muscle so going under does not add much in the way of "padding" but may add some support and soften the transition from the chest into the upper part of the breast. It is therefore most similar to over the muscle/subglandular. Submuscular using the... more

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What is Cold-subfascial Placement?Answer:

I don’t really know what that means, to be honest…the subfascial I get, but the cold??? Not sure. Ask for clarification and let us know!!

Cold sub-fascial placement

Sub fascial placement of implants is one way to place implants. It does not make sense to me because the fascia is a very thin layer, and does not add anymore coverage than subglandular.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Give the "Cold-Subfascial" Implant Revision - the Cold Shoulder

Breast implants are placed in the breast EITHER under the breast gland (submammary) OR under the breast gland and the muscle underneath it (subpectorally). Each location has its indications depending on patient features and surgeon's preferences. As Cosmetic Plastic Surgery has become more competitive some Plastic surgeons and a lot more non-Plastic surgeons who PRACTICE Plastic Surgeons (General surgeons, Ear Nose and Throat surgeons, OB-GYN and even Family Practice doctors) who... more

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

What is Cold sub-facial placement?

Your question is asked in reference to revision surgery. Like the responses posted ahead of mine, I am not familiar with this technique as the terminology may have been coined by the doctor you consulted with. The subfacial layer has been discussed for its role as a continuation of the muscle inferiorly or the layer that allows one to maintain muscle(and fascial) cover in augmentation rather than the typical partial muscle... more

Gimmicks in Plastic Surgery

Thank you for the question. I'm not familiar with the terminology you are using. What is its source? You should be aware that well experienced, ethical, board-certified plastic surgeons do not need to resort to gimmicky terminology to attract patients. Be careful!

Marketing in plastic surgery

Interesting how some surgeons try to name an operation differently so that they sound unique. Basically an implant can be placed above the muscle or below it. No real difference in my mind exists between the above the muscle and a subfascial procedure, and "cold" may be just not using a cautery. Mostly just marketing...

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