Does a subfascial breast augmentation give instant results?

Question

Does subfascial breast augmentation give you instant results, or do the implants settle and drop with time?

Daniel Barrett, MD · Answer

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

Karl William Schwarz, MD · Answer

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.

J. Timothy Katzen, MD, FACS · Answer

Hello SIIHII22,
Thank you for your inquiry about subfacial breast augmentation and whether it provides immediate results. When we talk about subfacial placement in breast augmentation, it usually refers to placing the implant beneath the fascial layer, which covers the muscles. This is different from submuscular placement, where the implant is placed under the pectoralis muscle.
Subfacial breast augmentation indeed offers immediate visible results post-surgery. The implants are positioned just beneath the fascial layer, offering a natural look and feel while avoiding some of the issues associated with submuscular placement, like muscle contraction affecting the implant's position.
However, like any surgical procedure, some initial swelling and settling of tissues are expected. While you can see the change in breast size and shape right away, the final results and the exact settling of the implants might take a few weeks to fully materialize. This settling period allows the breast tissues and skin to adjust to the new implants.
It's important to have realistic expectations and understand that while the change is immediate, the full outcome of the surgery might evolve slightly as your body heals and adapts to the implants.
I hope this information helps clarify your understanding of subfacial breast augmentation and its immediate impact. Consult with your plastic surgeon to discuss any specific concerns or questions you may have about the procedure.
Sincerely,
Dr. Katzen

Camille Cash, MD · Answer

All breast augmentation procedures will have some degree of instant results as the volume from the implants will be present.  Regardless of the implant placement there will be some degree of settling as swelling is common and expected after surgery.  I encourage you to discuss your concerns with your surgeon.

Payman Danielpour, MD, FACS · Answer

Thank you for your question
Yes the nice thing about a subfascial aug is that you get immediate results with no animation deformity.  It is an excellent methoid for breast augmentation and I have been doing it for the last 15 years.

Does a subfascial breast augmentation give instant results?

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Does a subfascial breast augmentation give instant results?

Answers (9)

Answer: Instant results?

Answer: Instant results?

Answer: Subfascial breast augmentation

Answer: Subfascial breast augmentation

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Recommended reading

Everything you need to know about Breast Augmentation

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