What is the visual difference between subfascial and subglandular over the muscles placement? (Photos)

Many surgeons, including myself, feel that there is not much visual difference whatsoever between subglandular and subfascial.  The fascia is often tissue paper thin, and will not significantly affect how the implant looks.  Placing it under the muscle completely will decrease the "bolted on "appearance. Really, the only person who should be addressing these kinds of concerns after a surgery is the surgeon who performed it. Only he or she knows all the details of the procedure, how it was performed, your complete history, etc.  And, I'm certain he or she would want to know that you have questions that need answering.  The safest, best thing for you to do is to call your plastic surgeon and discuss your concerns and questions with them, as this is most appropriate.  I'm sure they will be happy to help!Best of luck!
Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

No, it is not.This subfascial technique places the implant under the thin lining of the muscle, which is called the fascia.  So the implant sits between the the muscle and it's superficial lining, both of which are below the breast gland.The "round" look of implants is typically due to 2 things:  1.  the muscle is too big for your chest  2.  there is not enough bulk of soft tissue padding over the implant.Hope that helps!  If you're looking for the IDEAL implant, see the link below!Good luck,In good health,Ellen Mahony, MD

Hello and thank you for your question.  There is not much visual difference between subfascial and subglandular implant placement.   However, there are several advantages
and disadvantages to over vs under the muscle.  Under the muscle has the
advantage of lower capsular contracture rates, less risk of rippling, and
better visualization with future mammograms.  Most patients say that under
the muscle also has a more natural look and feel.  The size, shape,
and profile of the implant is based on your desired breast
size/shape, your chest wall measurements, and soft tissue quality. 
This decision should be based on a detailed discussion with
equal input from both you and your surgeon.   Make sure you specifically look at before
and after pictures of real patients who have had this surgery performed by your
surgeon and evaluate their results.   The
most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

The fascia of the muscle is very thin, and therefore most surgeons don't believe there's much difference between subfascial and sub glandular implants.  There are claims that subfascial implants develop fewer capsular contractures, but this has not been born out as far as I know in too many studies.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

I do not think that a subfascial placement offers any advantage over sub glandular.  A submuscular pocket adds more coverage in the upper pole.

Thanks for your question. The sub fascial is position beneath the pectoral muscle fascia. I use that placement position when it's a secondary revision breast augmentation. I rarely use it in first time breast augmentation. My preferred placement is sub muscular. It's giving you natural shape, it's helping to prevent capsular contracture compare to subglandular. Don't hesitate if you have any other questions. Best wish. Dr Stephanie Olivier 

Thank you for the question.  I would not expect for you to see much (if any) "visual difference" between breast implants placed in the sub fascial versus sub glandular position.There are pros and cons to the placement of breast implants in the “sub muscular” position versus the "sub glandular position”.    I will try to outline some of the differences here;  you may find the attached link helpful as well. I think it is in the best interests of most patients seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position.  This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look  of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability  of the implants (which may increase with time, weight loss, and/or post-pregnancy changes). The submuscular positioning  also tends to interfere with mammography less so than breast implants in the sub glandular position. The incidence of breast implant encapsulation (capsular  contraction)  is also decreased with implants placed in the sub muscular position. On the other hand,  sub glandular breast implant positioning does not have the potential downside of “animation deformity” ( movement/ distortion of the breast implants  seen with flexion of the  pectoralis major muscle)  that can be seen with breast implants placed in the sub muscular position.    Best wishes.

Thank you for your question.  I would expect  that she was seen no difference between subfascial and subglandular breast implants.  However the seventh fascial pocket could somewhat limit the movement of the implant throughout the pocket.  If you are concerned by all means see your plastic surgeon for an examination.