Downsizing implants: what are the benefits of subfascial vs subglandular? (photos)

Question

53yo, 176cm, 90kg, broad chested. Space between breasts 12.5cm. 5 yrs ago I had 340/380cc implants (A/B cup to DD), subpectoral as recommended by surgeon due to breast tissue. End results are larger than I wanted, and when I use my chest muscles, my breasts look like loaves of bread on a shelf. I am SO self-conscious I avoid exercise. I want to downsize and go over the muscle. What are the benefits of subfascial vs subglandular? Is Motiva Anatomical TrueFixation recommended/used in Australia?

Daniel Barrett, MD · Answer

Dear New80085,
I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

There are pluses and minuses to each placement for breast implants.  By going under the muscle you can avoid the muscle deformity that concerns you.  Placing the implant under the muscle will help disguise the upper portion of the implant, which is especially nice for those with little breast tissue or a thin frame.  Going under the muscle also has a lower incidence of capsular contracture.  Thirdly having the implant placed beneath the muscle generally gives a more natural result.

Salih Onur Basat, MD, EBOPRAS · Answer

Hi and thanks for your question. Based on your photos. You need a breast-lifting surgery. After breast lifting you get lifted but slightly smaller breasts than now. My first recommendation is breast lifting and implant for you. With this combination you can get lifted, round and attractive breast. After this surgery you have incision around areola and from the areola to bra sulcus. The operation takes about 2.5 - 3 hours. You should use a sport bra for 6 weeks following the surgery. If you want breast lifting and implant, you should use breast band with sports bra for 6 weeks after the surgery. Sports bra supports your breast from downside and breast band supports them from the upside. By this way breast tissue and implant will be moving together.

Connie Hiers, MD, FACS · Answer

Subfascial will give more support to avoid sagging and more coverage so the "ball" is not seen. However, this is more painful. since your implants are behind the muscle, you still may have some flexing issues even with them in front of the muscle or even out.

Downsizing implants: what are the benefits of subfascial vs subglandular? (photos)

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Downsizing implants: what are the benefits of subfascial vs subglandular? (photos)

Answers (4)

Answer: Implants

Answer: Implants

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.