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

asked 3 months ago by Zsuzsika26 in St Pete,fl
Latest answer by Armando Soto, MD
Question viewed 227 times
Tags: comparison, opinion, subfascial, 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!

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

Sub-Facial Breast Augmentation

Hello Zsuzsika26, Subfacial breast augmentation has not shown to be any different than subglandular breast augmentation in terms of risks, benefits, or appearance. Some women could potentially be good candidates for subglandular breast augmentation and therefore also subfacial augmentation. However, subpectoral breast augmentation with properly sized implants will lead to the best aesthetic results for the majority of women. Best of luck!

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Subfascial Breast Augmentation has Short term Benefits...

Hi there- The idea with sub-fascial breast augmentation is to combine some of the best aspects of sub-glandular (above the muscle) placement- namely less pain in the postoperative period without the risk of muscular distortion during exercise- and subpectoral (under the muscle placement (lower rate of capsular contracture and visible rippling. Just like so many other ideas in the history of plastic surgery (the thread facelift, teardrop shaped implants...), the logic and reasoning... more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

SUBFASCIAL VS. SUBPECTORAL

I use the subfascial approach only in patients who fulfill the following criteria: only in patients who want gel implants and have at least a pinch test of one inch in the upper aspect of the breast. There is a greater risk of developing rippling with saline implants or if there is not enough tissue to cover the implants. This approach allows the breasts to settle more quickly so that you will reach your final result faster. There is much less pain postoperatively with... more

Todd B. Koch, MD
Buffalo Plastic Surgeon

www.toddbkochmd.com

Subfascial breast augmentation

I do not perform subfascial breast augmentation. The fascia over the muscle is paper thin and does not afford any benefit in my opinion over a standard subglandular pocket dissection.

Steven Wallach, MD
Manhattan Plastic Surgeon

"Sub-fascial" Breast Augmentation?

Thank you for the question. At this point in time, I do not use the “sub–fascial” space for breast augmentation surgery; I believe that it is essentially equivalent to using the sub glandular space. Placing breast implants superficial to the pectoralis muscle layer does have significant disadvantages. The sub muscular posiutioning of breast implant allow for more complete coverage of the breast implants leading to generally more natural... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Subfascial breast implant placement is 1 of 4 options

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... more

Richard Baxter, MD
Seattle Plastic Surgeon

Subfascial?

I too don't believe that there is enough fascia over the pectoralis muscle to dissect under and to place an implant there. The implant either goes over the muscle or partially under. It is not a real operation just a con. I have been doing this surgery for over 30 years and teach residents and fellows and dont believe in this procedure.

William B. Rosenblatt, MD
New York Plastic Surgeon

Subfacial breast implants

Many feel that subfacial breast implants, those placed under the thin filmy covering tissue on the chest muscle, are an illusion, and the pocket is actually subglandular in structure and performance. We too feel that is true and subfacial is more of a marketing technique than a surgical one. Still, there is a time a place for a subglandular augmentation and it might be the right one for you. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

If you buy into "Subfascial Breast Augmentation" there's a bridge in Brooklyn you may look into buying

The ideal breast augmentation is the creation of a larger, attractive breast. Since all breat implants ripple (saline worse than silicone filled implants)they have to be covered with as much soft tissue as possible. That is the reason why most saline implants are placed under BOTH the breast gland AND the underlying Pectoralis Major muscle. The less coverage over these rippling, creased implants, the more these folds and ripples will be seen and felt at the urface of the augmented breast... more