Option for subfascial breast implants after a prophylactic double mastectomy in a thin patient with weak pectoral muscles?

Good afternoon,
Subfascial is not really a good option in a breast reconstruction. However, I do recommend pre-pectoral implant reconstruction (above the muscle) in almost all patients unless there is a specific reason, even with thin tissue. You should see a plastic surgeon with experience in pre-pectoral breast reconstruction. Best of luck!

Hello madamSubfascial implantation after breast sparing mastectomy is an option which should be considered carefully since you will have a very thin skin-fat and fascia(is a thin fibrous tissue) in front of the implant. That means that implants can be easily palpable, visible and open to capsular contraction complication much more then an implant placed under the muscle. Polyurethane implants reduce capsular contraction risks. Also using alloderm like scaffolds in front of the implant is another option. On the contrary i would prefer polyurethane implant under the muscle(even if the muscle is weak).Since the case is about prophylactic mastectomy i assume that there is no plan about radiotherapy. In cases which need radiotherapy, other reconstructive methods shoul be considered