Subfascial Breast Augmentation

Sub glandular augmentations is the surgical placement of breast implants above the pectoral muscles. This differs from Subfascial breast augmentation where the implants are positioned on top of the pectoral muscle but under the supportive fascia.

The “Internal Bra” refers to the tough and resilient fascial layer which protects and supports the breast implants in a Subfascial breast augmentation

High-riding implants are associated with Submuscular breast augmentation and occur when the implants are held in an abnormally high and unnatural position by the contracted chest muscles

Animation deformity is associated with Sub muscular breast augmentation. It occurs when muscles temporarily displace breast implants to abnormal positions on the chest wall. Active woman with subpectoral implants who regularly exercise and work out frequently experience distorted movements of their implants with any flexing activity of their chest muscles.

Subpectoral implant placement decreases superior pole palpability and visible rippling by increasing the soft-tissue implant cover. This benefit comes at the price of muscle contraction–induced deformities.

Muscle induced irregularities and deformities, including wide and separated cleavage, asymmetries, implant migration and movement, activity distorted muscle tension lines, breast contour deformities, and upward implant displacement that often create a waterfall breast deformity with pseudoptosis.

Sub muscular augmentations, are less predictable than subfascial augmentations, because of muscle induced contracture deformities that require frequent reoperations.

In most submuscular breast implants the muscle covers only the top 1/3 to 1/2 of the breast implants. This occurs because the surgery involves cutting and detaching the muscle from the rib cage. Once cut, the pectoralis muscles retract several inches upward. This leaves the bottom half of the breast implants with little support and only breast and fatty tissue coverage.

Subfascial breast augmentation is similar to traditional breast augmentation except that the implants are placed under the fascia layer covering of the chest muscles . This tough fibrous fascial layer serves to protect, conceal and support the underlying breast implants much like an internal brassiere,

Both absorbable mesh support and fat grafting can be combined with Sub-facial breast augmentation. These will simultaneously provide additional internal support as well as restore breast volume and contour.

For a breast augmentation, the first two planes are the traditional submuscular and subglandular planes. Now SubFascial breast augmentation is becoming increasingly utilized due to superior risk profile and results

In a sub fascial breast augmentation, the implant is placed underneath the Fascia of the Pectoralis Major muscle

Typically, with sub fascial breast augmentation, there is no need to wear a breast band post operatively, as there is no muscle stopping the implant from descending into its natural pocket

The incisions for breast augmentations are placed in natural creases to hide them. Patients have a 4-5cm scar in the crease on the underside of their breast, also called the inframammary fold

After a sub fascial breast augmentation, In the long term, breast implants do not affect movement, strength or physical activities

The size of implants you choose depends on a number of factors, including your ultimate appearance goals and your individual frame. Just as the same bra or even a T-shirt may fit different individuals completely differently according to their chest size and shape, the same size implant may look completely different from patient to patient. During the consultation the implant size and placement will be carefully chosen to fit each patient individually.

The chance of losing nipple sensation is quite low after a sub fascial breast augmentation, estimated to be around 1%

Most breasts will be “lifted” at least moderately with the placement of a breast implant. The degree to which this happens is quite variable and depends mostly on the individual characteristics and stretch of a woman’s skin and the size of the implant that’s placed.

After Breast Augmentation Surgery , You may shower 24 hours after surgery, but it is advisable to wait 48 hours to prevent wetting the incision area. After 24 hours, you may remove the dressings except for any skin tapes or steri-strips covering the incisions. Any stitches or steri-strips can be gently washed over and will eventually fall out on their own. Be sure to shower, not bathe for the first two weeks following your procedure. You should also take care to blot dry your breasts and the incision area with a clean towel after they get wet.

After Breast Augmentation Surgery , It is recommended to avoid bathing for at least three weeks after the surgery. This is to allow the skin at the incision to become waterproof again

After Breast Augmentation Surgery , It is recommended to avoid all bodies of water, including swimming pools, hot tubs, oceans, lakes, etc. for at least three weeks after the surgery. This is to allow the skin at the incision to become waterproof again

While most women are very pleased with their results, just like any other surgical procedure, there are some potential risks involved with breast augmentation including:nnCapsular contracture. Occasionally, scar tissue around the implant forms and hardens. It can cause the breast to feel firm, and change the shape of the breast. It may also be painful. Sub Fascial technique has the lowest rate of capsular contracture nnLoss of feeling in the nipples or breast tissue due to nerve damage. Often this is temporary, but it may be permanent in some women. nnnChanges in the implant. Normal activity or an injury to the breast can damage the implant, causing it to leak, deflate, or rupture. Over time, the implant may harden, develop ripples, shift position, or change shape. nnInfection (not common). This can occur at any time, but it typically occurs during the first week after surgery. In some cases of infection, the implant may have to be removed for several months and then replaced. nnBlood collection under the skin, or hematoma (uncommon). nnAbnormal scarring (uncommon).

Breast augmentation is a one-hour surgery. You will return home the same day. It is recommended to be up and walking around the house that afternoon or evening. For a desk job, most patients can return to work in 48 hours. We want you back to the gym for cardio in three weeks. For weight training; yoga training; or any sort of course, training, or strengthening exercises that involves the chest muscles (such as bench pressing), we recommend waiting six weeks.

Nicotine causes the tiny blood vessels in your body to clamp down. When they do, healing wounds don’t get enough blood flow. If you smoke around the time of surgery, you have a significantly increased risk of wound-healing problems and infections associated with the surgery period. Because of this, we require all of our patients to be nicotine-free for four weeks before the surgery and for six weeks after the surgery.

After Breast Augmentation Surgery, you should be able to breastfeed normally after your breast augmentation surgery.

Hormones of pregnancy, combined with the weight fluctuations of pregnancy, will cause your breasts to potentially increase significantly in size. When those hormones go away, the breast tissue may or may not shrink down, depending upon your skin elasticity. If it does, then you should continue to have a fantastic result from your breast augmentation.