There is no evidence that subfascial implants have
a lower contraction rate than other forms of implant placement. I am yet
to be convinced that they confer a greater cosmetic advantage over either sub
muscular or sub glandular. I think that it is technically more difficult
to achieve a protective covering for the implant than a sub muscular approach.
I believe that it is not mainstream surgery yet and like all relatively
new techniques it takes some time before the medical literature and the surgical
community can confirm its real worth.
30 - 50% risk of encapsulation
would use textured if you have enough soft tissue
Capsular contracture rate is slightly higher in front of the muscle compared to behind the muscle. Having said that, the difference in rates is not huge. Although textured implants may reduce contracture, I do not like the results, and they have been associated with Acellular Large Cell Lymphoma(ALCL). Google it. I never use textured implants.
Breast augmentation with implants on top of the muscle should be done with textured breast implants. Use them. You will love your results.
Nana Mizuguchi, MD