Breast Implants: Q&A

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What Are the Advantages and Disadvantages of Subfacial and Submuscular Placement? (photo)

Which would you recommend on a thin woman to get the most natural result?

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14 Doctor Answers | Asked by dlandazuri

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Subfascial breast implants preferred when possible

I'll disagree with my colleagues somewhat and point out that it's a matter of tradeoffs. It is the general thought by most plastic surgeons world wide that subfascial or subglandular implants offer a more natural result with less morbidity then submuscular implants. When you listen to the most experienced surgeons in the world who have done this operation for 30-40 years and have literally "seen it all, twice" , they by and large describe a personal shift toward... more

The myth of Sub-fascial Implant Placement

Hi there- The superficial pectoral fascia under which implants are placed in the subfascial approach is so thin that over the long term there is little difference between this technique and subglandular placement. In other words, the average woman desiring breast augmentation is best off with sub-pectoral placement. Even when the immediate outcome of subglandular or subfascial augmentation is pleasing, it is not as long lasting, and inevitably deteriorates much faster due to... more

Location of Breast Implants

Thank you for the question. In my opinion, there are numerous advantages of sub muscular (dual plane) breast augmentation. This implant positioning will give you the best long-term aesthetic results and reduce the chances of complications such as significant rippling/comparability/ encapsulation and interference with mammography. Best wishes.

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Submuscular breast implants

This may be a somewhat controversial statement, but in my opinion there currently is really only one acceptable position for breast implants in an elective cosmetic surgery patient: behind the pectoralis major muscle (sub-pectoral augmentation). There are a number of very compelling reasons to place implants behind the pec major, and the most compelling one of all is the fact that radiologists report that the mammographic imaging of breasts for the purpose of breast cancer screening tends to... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Breast Implant Placement Above or Below the Muscle for Augmentation

A below muscle placement of a breast implant is a somewhat different technique then a decade ago. Below the muscle usually refers to "dual plane" placement where the upper portion is under the pectoralis and the lower is under the breast gland. The muscle gives more tissue cover to camoflauge implant characteristics. This gives a more natural appearance. A submuscular implant also causes less compression of breast tissue, making it easier to read... more

What Are the Advantages and Disadvantages of Subfacial and Submuscular Placement? (photo)

Much differing opinions. It is a personal decision. Most in US use sub muscular or sub fascial placement. I would also point out on your posted photos you have an asymmetry that also should be discussed. Best of luck.

Breast Implant Placement - Subgglandular/Subfascial VS. Submuscular

There is NO ideal breast implant. All of them are essentially sophisticated silicone bags in various shapes and sizes filled with either salt water or silicone gel. When placed on end (the way they sit in your chest) - THEY ALL RIPPLE (gel-filled less than saline filled). As a result the more tissue we can put on top of the implant and cover the ripples, the more attractive the result. Since the vast majority of women have an augmentation because they do NOT have a large amount of breast... more

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

Subfascial and subpectoral breast implant placement

The answer to your question is subpectoral. This is based on decades of experience and has not been significantly altered by subfascial implants compared to standard subglandular placement. The pectoralis muscle provides padding, protection, and naturalness for the upper half of the breast. It does not cover the lateral side or the inferior half of the breast (if properly released). This improves the look of the breast both short term and long term and has little downside or trade-off if... more

Pocket position for breast implants

In general there are two choices: partial submuscular( dual plane) or subglandular. Subfascial is really similar to subglandular because the fascia is extremely thin and I believe that it does not offer any added benefit to the subglandular approach.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Breast Implant Placement

I personally find no difference whatsoever in sub-muscular and sub-fascial implant placement. In very thin people in whom pinch of the tissue over the muscle an inch or so above the nipple is less than an inch, sub-muscular placement tends to hide the implant better. In most people, however, I prefer sub-glandular placement. The implant does not move with arm movement, there is somewhat less chance of displacement of the implant and there is less risk of implant rupture. Proponents of... more

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