Does subfascial breast augmentation sag over time? (Photo)

There are many issues that can happen with inadequate soft tissue coverage of the breast implant over time. The data also supports use of a submuscular pocket. I always recommend a properly done dual plane (submuscular pocket).

Thank you for your inquiry! Because of gravity, everything will sag overtime with proper support. Schedule a consult with a Board-Certified Plastic Surgeon to help you maximize your result time!

All breast augmentations will sag regardless of where the implant is placed. It is a common misconception that an implant placed under the muscle will sag less than one in the subfascial plane.

It is commonly thought, incorrectly, that if an implant is placed under the muscle it will hold the implant up and the breast will sag less. That sounds like it would work, but one big factor never discussed is the fact that we CUT the pectoralis muscle where it attacks to the chest to allow the implant to fill the breast and make the breast look better. In fact, in the lower one third of all sub muscular breast augmentations the implant is actually sub glandular! Yes you read that correctly. So in fact, there is not muscle to hold up the implant in a sub-pectoral breast augmentation and that's why both implant positions will droop.

So what is responsible for the droop? It's the quality of your breast ligaments and skin that bare more of the responsibility than the implant position in terms of drooping.