Subfascial Breast Augmentation in San Diego
Breast augmentation has long been one of the top requested plastic surgeries for women. Over the years, the technique and technology has evolved to provide patients with a path to reaching their dream figure. One such innovation is the subfascial approach, a new technique for creating natural looking curves that last.
What is Subfascial Breast Augmentation?
Until recently, patients pursuing breast augmentation had one of two options – subglandular implant placement, wherein the implant is placed directly below the skin, and submuscular, during which the implant is inserted below the muscle. While both can create beautiful looking results, there also potential downsides to each. For patients that opt for the subglandular approach, the results can look less realistic and can sag more noticeably over time. In contrast, while the submuscular approach can hide the shape of the implant more readily, recovery is longer and can be more painful. With the introduction of subfascial breast augmentation, patients now have a new, successful alternative to these traditional options.
During subfascial implant placement, the surgeon places the implant beneath the fascia but above the muscle. The fascia is a thin yet highly durable membrane that covers the muscle. By placing it within this space, patients can enjoy the benefits of both traditional placement options.
While the procedure is relatively new in comparison to subglandular and submuscular approaches, historical data on subfascial implants is processing. Some studies have noted that the procedure comes with a reduced risk of capsular contracture – scar tissue development around the implant. This is due to the reduced introduction of biofilm to the implant during the implant placement. However, we have learned considerably more about the underlying likely causes of capsular contracture – biofilm – and there is little data to suggest that under-muscle placement reduces biofilm exposure during implantation.
As subfascial implants have risen in popularity, techniques such as the “no-touch technique,” irrigating the pocket with antibiotics/antiseptic solution and going through the fold (rather than the areola) have become a critical part of the implant process. These approaches help minimize exposure to breast gland tissue and ducts and have become the mainstays of management when trying to reduce capsular contracture risk.
Why we recommend the subfascial approach
At Tim Sayed, MD, our mission is to provide patients with advanced treatments that enhance their natural beauty while improving their overall self-confidence. When it comes to subfascial augmentation, we’ve found that this approach to breast augmentation offers patients several important advantages.
More comfortable implantation
Implant placement varies across augmentation procedures and can influence not only the results but also the patient experience. For example, as submuscular augmentation places the implant below the muscle, the procedure requires separating the muscle from the rib cage in order to accommodate the implant. In contrast, subfascial implants are placed above the muscle but below the fascia. This technique eliminates the need to separate the muscle from the bone and provides patients with a more comfortable recovery.
Natural looking aging
The aging process is inevitable, despite plastic surgery. However, certain procedures are designed to accommodate potential sagging that can occur over time. Subfascial augmentation is one such procedure that helps ensure correct anatomic treatment over time. During the procedure, an experienced surgeon can center the implant and mound together, to ensure that the move together cohesively. As the breast tissue begins to relax and starts to sag, the implant moves with the tissue. This allows patients to avoid the appearance of an oblong or “snoopy” sliding breast and retain natural-looking curves.
Immediate results and minimal changes
Implant placement dictates the immediate and long-term position of the implant. In the weeks immediately following submuscular augmentation, it’s not uncommon for patients to express some alarm at how high their breasts are compared to their original intent. While this process, known as settling or “drop and fluff”, is a natural result of the implant creating space for itself, it can take several weeks to resolve. With subfascial augmentation, patients can avoid this issue completely.
Subfascial implant placement also offers some long-term benefits. When implants are placed below the muscle, exercise and certain activities can cause the muscle to flex, squeezing and distorting the implant below. With subfascial augmentation, the implant placement below the fascia rather than the muscle, thereby eliminating the risk of animation deformity.
Who is a candidate for subfascial augmentation?
As with any other form of plastic surgery, finding the right treatment is a highly personalized process. With the development of new augmentation techniques over the last few years, more patients now have more options when it comes to enhancing their overall figure.
At Tim Sayed MD, we’ve found that the following patients enjoy the greatest benefit from this procedure:
Patients with existing subfascial implants
The best patients are individuals looking to exchange current subfascial implants for larger or smaller implants. While we typically advise patients to keep the same implant pocket, our surgeon can make minor adjustments to tighten or release the pocket to accommodate the new implant.
Individuals with limited breast tissue
Subfascial implants are also a great option for patients with little breast tissue who are looking to enhance their current size while still looking natural. Placing the implant below the muscle rather than above offers additional camouflage and shrouding to the implant, creating a more natural-looking result.
Not all patients may be good candidates for this procedure. During your consultation with Dr. Sayed, our experienced plastic surgeon will perform an in-depth examination to determine whether subfascial augmentation is the right procedure to help you reach your goals.
Get Started with our San Diego Surgeon
Starting with your first consultation through your final visit, the specialists at Tim Sayed MD are here to help you regain confidence in your figure from head to toe. Discover the benefits of breast augmentation by scheduling your first visit with Dr. Sayed today. With offices located in La Jolla San Diego and Newport Beach, our team welcomes patients across Southern California. Call 858-247-2933 today to start your journey!