Subfascial Implants

Consultations offered at our three convenient locations in Austin, TX, San Antonio, TX and Westlake Hills, TX

Subfascial Implants Austin Plastic Surgeon

A subfascial implant is a breast implant that is placed underneath the layer of tissue (the fascia) which covers the muscles and is below the glandular tissue of the breast. This technique offers unique advantages for those seeking breast augmentation with silicone (gummy bear) implants.

Understanding the intricacies of subfascial implants is important to deciding whether this approach is right for you. If you would like to improve breast volume with subfascial implants, take the first step by scheduling a consultation with one of the expert providers at Austin Plastic Surgeon.

Our practice has a strong reputation for successful implant procedures in the Austin area. If you have any questions or would prefer to schedule an appointment over the phone, call your nearest office!

About Subfascial Implants

Breast augmentation, specifically breast augmentation with implants, is one of the most common cosmetic procedures performed worldwide. (1) Because of this, innovations are constantly being made. One such innovation is the subfascial implantation method. Subfascial implants are a modern approach to breast augmentation surgery. In this technique, the implants are placed beneath the fascial layer of the chest, allowing for natural-looking aesthetic outcomes while reducing some common complications associated with traditional placements. (1) Patients often seek subfascial implants for reasons including enhancing their breast size, improving breast shape, and regaining confidence in their appearance.

Benefits

Subfascial implants offer many benefits over traditional implants while still enhancing one’s appearance. At Austin Plastic Surgeon, our patients typically experience:

  • Decreased Risk for Animation Deformity: When implants are placed under the muscle it can cause the breast implant to move and this motion can be disturbing to patients.   
  • More Control of the Breast Pocket: The implant is placed where it anatomically gives the patient the best appearance for their breasts.  Under the muscle the insertion of the muscle into the sternum limits the cleavage possible in some patients.  
  • Breast Preservation Procedure: The subfascial procedure preserves the pectoralis muscle as the muscle is never released.  It has less damage to the underlying structures and thus preserving the natural anatomy.  
  • Rapid Recovery: The breast preservation technique of the procedure allows for a more rapid recovery for most patients. 
  • Natural Appearances:  The implant’s location under the fascia leads to a smoother, more natural breast contour.
  • Risk of Capsular Contracture is Minimized: Placing the implant beneath the fascia decreases the chances of developing capsular contracture, a condition where scar tissue forms around the implant.
  • Enhanced Stability: The fascia provides a stable foundation, potentially leading to improved implant longevity and reduced shifting over time.
  • Improved Sensation: Many patients report preserved sensitivity in the breast tissue because the nerve endings are less likely to be affected when utilizing the subfascial approach.
  • Minimal Scarring: Strategic incision techniques can lead to minimal scarring, particularly when incisions are made at the breast fold or around the nipple area.
  • Multiple Options for Implant Size: The subfascial placement allows flexibility during size selection, tailoring results to match each patient’s body dimensions.
  • Combination with Other Procedures: This method can be performed alongside other surgical procedures, such as lifting the breasts, which enhances overall body contouring.
  • Increased Confidence: Breast implants are a great way to shape your body to your ideal image, allowing you to live your life with utmost confidence.

Candidates

Any patient who hopes to restore volume to their breasts or enhance their figure may be able to see their desired improvements with subfascial implants. Patients should be in good overall health and be willing to collaborate with their Austin Plastic Surgeon provider. Candidates should be prepared to closely follow their preparation and recovery instructions leading into and following their procedure.

Personal Consultation

The first step in your implant procedure is a personal consultation with one of the expert surgeons at Austin Plastic Surgeon. This appointment is your opportunity to discuss your breast augmentation goals and your motivations behind seeking implants. Your professional will provide you with helpful information to guide you as you explore the various implant options available.

Different kinds of implants can vary in size, texture, and consistency, and may be filled with either silicone or saline. At Austin Plastic Surgeon, our preferred implants are Motiva silicone gel implants. These implants feature a highly cohesive gel that accurately mimics the feel and movement of natural breast tissue, offering patients impressive, attractive, and natural-looking results.

Your surgeon will also review your medical history during this appointment. Screening for any allergies, medications, past procedures, or existing conditions is standard practice to personalize your treatment, ensure your safety, and enhance your recovery.

Preparation

To prepare for your subfascial implants procedure, you should avoid any blood-thinning medications and supplements for a few weeks before your scheduled treatment. (2) If your current medication regimen includes these, your doctor will instruct you on how to safely adjust your routine for the time being. You should also avoid alcohol and nicotine during this time. (2)

You should plan to fast for at least 12 hours before treatment. You will also be required to arrange transportation with a trusted individual to and from your procedure. It is helpful if this person is able to stay with you for some time after treatment to assist you. Finally, please preemptively fill prescriptions given to you by your Austin Plastic Surgeon professional.

Procedure

Subfascial implantation is a similar procedure to all other breast implantation procedures. The key distinction is that subfascial implants are placed below the fascia, a layer of tissue above the muscle and below the glandular tissue of the breast. (1) In the past, submuscular implantation was the standard procedure, and this is still offered for some patients, but subfascial implantation offers impressive results as well. Submuscular implantation has slowly declined in popularity as it can put people at increased risk for implant shifts, animation deformity, and more. (1)

The subfascial technique utilizes the strong covering of the muscle. The fascia is what covers the muscle, helps protect it, and contributes to its integral strength. The subfascial technique for breast implant placement avoids the problems associated with the placement of the implant below the muscle. It also leads to a more anatomical placement of the breast implant than can be achieved when placing the implant in the typical plane below the muscle.

The implant placed in the subfascial placement avoids the strong forces of the pectoralis muscle displacing the implant over time. While strong, the fascia around the implant will create soft edges, which leads to a more natural, softer feeling breast as well. (1)

Subfascial implant procedures begin with administering anesthesia. Next, your surgeon will make small incisions below the breasts (similar to other breast augmentation procedures). Once access to the fascia is created, your surgeon will carefully place your implants. Once placed, they will measure and evaluate your breasts to ensure symmetry and that their size and appearance match what was planned. When the desired adjustments are achieved, your incisions will be sutured shut and–after a monitoring period–you will be dismissed to begin your recovery at home.

Recovery

It is important to closely follow your recovery instructions. After your procedure, you should return home and rest for the remainder of the day. Most patients will experience some soreness and swelling in their breasts during the initial recovery phases. To mitigate this, we recommend that you take your prescribed medications as instructed and wear your compression garment.

We encourage you to take short, easy walks to facilitate healthy blood flow. Patients are typically able to return to work after about two weeks. Any strenuous exercise or more intense activities should continue to be avoided for up to two months, or as long as your surgeon recommends for your unique situation.

Results

Subfascial Implants Austin Plastic Surgeon

You will see the final results of your implant procedure once swelling dissipates. By receiving subfascial implants, you will have achieved fuller, natural-looking breasts. Many patients report that their breast augmentation results increase their confidence as well. At Austin Plastic Surgeon, our patients are consistently satisfied with their new image after receiving subfascial implants and are able to feel their confidence grow. Results are long-lasting, but all kinds of breast implants will need to be replaced after about 10-15 years, or sooner if necessary.

Corresponding & Complementary Procedures

Many subfascial breast implant patients, especially those who are seeking implants to restore volume after weight loss, will include a breast lift in their treatment. By strengthening the underlying muscles and reducing excess skin with a breast lift, your surgeon can enhance the results of your augmentation.

Cost of Subfascial Implants in Austin

At Austin Plastic Surgeon, our breast implant procedures range in price from $6,500 to $12,000. You can view all of our prices for our procedures on our pricing list page.

When you meet with one of our providers to discuss your implant goals, you will receive a more personalized price estimate. If you have any questions, please do not hesitate to call any of our Austin-area offices to get the information you need.

FAQ

What is the difference between subfascial and submuscular implant placement?

Subfascial placement places the implant above the muscle but below the fascia, while submuscular placement places the implant directly beneath the pectoral muscle. Subfascial offers many benefits, including a more natural feel and reduced chance of animation deformity.

How long do implants last?

Breast implants are not lifetime devices. However, with advancements in technology, many patients experience implant longevity lasting ten years or longer with appropriate care and follow-ups. All implants need to be replaced after a certain amount of time.

Will there be scars with subfascial implants?

The strategic placement of incisions can greatly minimize scar visibility. Your surgeon will advise you on scar management techniques during recovery.

When can I return to regular activities after my subfascial implant procedure?

Generally, most patients can resume some light activities within a week or two weeks, but more rigorous workouts should be postponed for approximately six weeks or until advised otherwise.

Is there any pain during the subfascial implant surgery?

Anesthesia is utilized to ensure your comfort during surgery. Some discomfort and swelling is normal post-surgery. If you have any questions or concerns during your recovery, please contact our office.

References

  1. Gould DJ, Shauly O, Ohanissian L, Stevens WG. Subfascial Breast Augmentation: A Systematic Review and Meta-Analysis of Capsular Contracture. Aesthetic Surgery Journal Open Forum. 2020;2(1). doi:https://doi.org/10.1093/asjof/ojaa006
  2. Fardo D, Sequeira Campos M, Pensler JM. Breast Augmentation. PubMed. Published 2021. https://www.ncbi.nlm.nih.gov/books/NBK482206/