Subfacial Placement Vs Under/Over Muscle

The sub-fascial approach has been presented at the Plastic Surgery meetings over the last few years.  To me, it's hard to understand how effective a very thin (less than 1 mm) layer of collagen - the muscle fascia - is going to make a difference compared to subglandular placement of the implant.  


The science behind the subfascial technique, proving some long-term advantages, is just not there yet.  As such, I would not recommend it to you (or anyone else) at this time....not until better long-term data comes in.




 




Best wishes,

The pectoralis muscle is covered by a fascia, which is sort of fibrous sheet separating it from surrounding tissues. In the subfascial plane, the pectoralis muscle fascia is dissected off the underlying muscle and the implant can be placed in this plane.  However , this plane is very thin and I do not think it makes any difference from suglandular plane. I have not performed suglandular/subfascial breast azugmentation in 10 years. Not because I cannot do it (it is simpler than under the muscle ) but because submuscular plane have lots of advantages even in skinny girls. Firget about subfascual!….