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?
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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