Does a subfascial breast augmentation give instant results?

The implants will still need to settle some and swelling from surgery will need to subside. Plus, your tissues have been stretched and will need to relax.

Dear siihii22,
breast implants will always need some time to settle. Implant placement doesn't play a significant role.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Implant settling in my opinion is an older phenomenon that we don't see as much of anymore. Most of the times we still see it is when a very large implant has been used.

The question then becomes what causes implant settling and why aren't the implants in the correct position to begin with. We used to see long times for implant descent quite a long time ago because the implant was always placed under the muscle and the muscle was released from the chest wall to allow for the implant to get into the correct position, but because we didn't release the muscle all the way to the middle of the chest the muscle kept the implant in a higher position and it required time for the muscle to stretch to allow the implant to come down ('settle').

Today we release more of the muscle and that's why implant settling is kind of a thing of the past. Of course ALL implants, regardless of their position of placement, will settle a little bit--that's just the natural course of healing but these are more subtle changes also related to swelling and healing.

The reason is most of us have been dividing more of the pectorals major muscle so that the implant is in the correct location from the beginning. For a subfascial augmentation there is no dividing of the pec major muscle, because the implant sits on top of the pectoral major muscle so there is really no settling to do at all and patients usually look very good very quickly after a subfascial or sub glandular augmentation.