Is subfascial placement superior to subglandular in terms of reduced longterm complication rate and better longterm aesthetic outcomes? Is it true subfascial provides better coverage to the implant edge in a thin person (isn’t muscle fascia very thin)? I’ve also been told the fascia can provide more support and thus less ptosis longterm compared to subglandular - is this true? How do I decide as a thin person with mild tuberous breasts, who could get fat transfer to blend the implant edge?
Answer: Subglandular or subfascial These are different techniques and the one who should make the decision is your surgeon based on the clinical examination and your body. The subfascial plane is not for everyone since the fascia can be very thin and flimsy in some people and you won't know until the surgeon is working on it. Subglandular plane has the most complications long term.
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Answer: Subglandular or subfascial These are different techniques and the one who should make the decision is your surgeon based on the clinical examination and your body. The subfascial plane is not for everyone since the fascia can be very thin and flimsy in some people and you won't know until the surgeon is working on it. Subglandular plane has the most complications long term.
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Answer: Implant placement Dear ggreguer77664,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.
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Answer: Implant placement Dear ggreguer77664,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.
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July 15, 2024
Answer: Breasts If you are thin, I would suggest submuscular or subfascial placement for better implant support and coverage, and better upper breast fullness. Otherwise, you may see the edge of the implant and have only your skin to help support the additional weight. Some women claim they have tuberous breasts when only the breasts are just sagging. Tuberous breast has a small breast base, often does sag, often has very large areolae, and is shaped like a tuber, long and skinny.
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July 15, 2024
Answer: Breasts If you are thin, I would suggest submuscular or subfascial placement for better implant support and coverage, and better upper breast fullness. Otherwise, you may see the edge of the implant and have only your skin to help support the additional weight. Some women claim they have tuberous breasts when only the breasts are just sagging. Tuberous breast has a small breast base, often does sag, often has very large areolae, and is shaped like a tuber, long and skinny.
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June 25, 2024
Answer: Over or under? In my practice the majority of patients select to have their implants placed beneath the muscle. There are some great benefits to this choice. The muscle does provide a bit of camouflage for the upper portion of the implant, concealing the edges and rippling/wrinkling. This is particularly helpful for those with thin itissue. It also carries a lower incidence of capsular contracture. Patients also often prefer it as they feel it provides a more natural look.
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June 25, 2024
Answer: Over or under? In my practice the majority of patients select to have their implants placed beneath the muscle. There are some great benefits to this choice. The muscle does provide a bit of camouflage for the upper portion of the implant, concealing the edges and rippling/wrinkling. This is particularly helpful for those with thin itissue. It also carries a lower incidence of capsular contracture. Patients also often prefer it as they feel it provides a more natural look.
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June 25, 2024
Answer: Breasts Subfacial is synonomous with sub muscular. In a very thin individual, submuscular is preferred. With tubular breast, radial incisions in the breast tissue is required.Subglandular placement has a higher risk of capsular contraction and ptosis. Should only be done to provide lift to the breasts and in someone with thick tissue over the muscle.Hope this helps.
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June 25, 2024
Answer: Breasts Subfacial is synonomous with sub muscular. In a very thin individual, submuscular is preferred. With tubular breast, radial incisions in the breast tissue is required.Subglandular placement has a higher risk of capsular contraction and ptosis. Should only be done to provide lift to the breasts and in someone with thick tissue over the muscle.Hope this helps.
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June 25, 2024
Answer: Yes Yes, subfascial implant placement is superior to subglandular in terms of long term aesthetic outcomes in terms of overall breast shape, lower rate of capsular contracture, and fewer visible folds and ripples. There is a blinded, randomized, prospective study with 5 year followup (and MRIs at 5 years demonstrating the thickness of the capsules) showing exactly this. For these reasons, I do not perform subglandular breast augmentations and only perform subfascial or submuscular breast augmentations, depending on your goals or anatomy.
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June 25, 2024
Answer: Yes Yes, subfascial implant placement is superior to subglandular in terms of long term aesthetic outcomes in terms of overall breast shape, lower rate of capsular contracture, and fewer visible folds and ripples. There is a blinded, randomized, prospective study with 5 year followup (and MRIs at 5 years demonstrating the thickness of the capsules) showing exactly this. For these reasons, I do not perform subglandular breast augmentations and only perform subfascial or submuscular breast augmentations, depending on your goals or anatomy.
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