How is the subfascial breast augmentation with Keller funnel technique?

Using a Keller funnel for implant placement in a subfascial BA has several advantages: 1- The incision to place the implant is shorter, hence your scar is shorter. 2- Less trauma to the implant while placing it. 3- Implants will have less (little to no) contact with breast tissue or skin, which reduces contamination and infection. 4- Implants have less contact with the surgeon’s and assistants’ gloves, which also reduces contamination and infection. Hope this is helpful.

It is very difficult to claim that subfascial augmentation is very different from subglandular since integrity of fascia is so variable. In both cases implant is placed on top of the muscle underneath the breast tissue. This technique preserves muscle insertion and full function which may be important in selective patients (body builders, etc. ). Use of funnel to place an implant, without touching it with gloved hand and implant touching the skin surface, to avoid bacterial contamination of the implant capsule, is one of the measures to decrease capsular contracture. After many years of studies of cause and nature of capsular contracture around breast implants we still do not have a clear answer whether sub facial/subglandular implant placement vs submuscular is producing better result, more natural looking breasts, lower incidence of capsular contracture. The same can be said for funnel vs gloved hand implant insertion. Hope this helps.