What is Subfascial Breast Augmentation?

Unlike traditional breast augmentation methods that place implants either above or beneath the chest’s pectoral muscle, subfascial breast augmentation positions the implants under only a thin layer of connective tissue (the fascia). This innovative approach offers a “happy middle ground” where you can enjoy the aesthetic benefits of both worlds. Placing the implant this way combines the natural look and feel of under-muscle placement with faster recovery than submuscular implant placement. 

How Does Subfascial Breast Augmentation Work?

Subfascial breast augmentation is a surgical technique where the breast implants are placed beneath the fascia, a thin layer of connective tissue that covers the chest muscles. This method enhances support for the implants, reducing the risk of visible rippling and creating a more natural shape and feel. The subfascial approach allows for greater precision in implant placement while preserving the muscle’s natural function, resulting in an aesthetically pleasing and comfortable outcome. 

Who Is a Candidate for Subfascial Breast Augmentation?

This advanced surgical technique may be ideal for patients seeking a balanced and stable augmentation. The method is particularly effective for those with less natural breast tissue, providing added coverage and a natural contour.

Banner media
woman posing in bra

What Are the Benefits of Subfascial Breast Augmentation?

  • Natural-Looking Results: The implant is placed beneath the fascia, providing a natural contour while avoiding a “fake” appearance.
  • Reduced Risk of Rippling: The fascia offers additional coverage, minimizing the visibility of rippling or wrinkling in the implant.
  • Improved Implant Stability: The fascia layer helps support the implant, reducing the chances of implant displacement.
  • Enhanced Muscle Function: Since the implant is placed above the muscle, the chest muscles maintain their natural movement and function, making the procedure ideal for active individuals.
  • Less Postoperative Pain: Patients often experience less discomfort than submuscular placement, as the chest muscles remain untouched during surgery.
  • Shorter Recovery Time: Recovery is generally quicker because there is less muscle tissue trauma than the submuscular approach.
  • Customized Aesthetic Outcome: The subfascial technique allows precise implant positioning, ensuring a more personalized and symmetrical result.

What Is the Procedure?

The first step is a consultation with Dr. Cohen, who will evaluate your anatomy, discuss your goals, and help you decide on the best implant type and size. The procedure is typically performed under general anesthesia and takes about one to two hours.

The procedure starts with an incision in a discreet location, typically along the inframammary fold, around the areola, or in the armpit. Through this incision, the surgeon carefully creates a pocket for the implant beneath the fascia, the connective tissue layer covering the chest muscles. 

Unlike submuscular placement, this technique positions the implant above the muscle but under the fascia, providing added support and a smoother result.

The fascia helps to stabilize the implant while maintaining the natural movement and function of the chest muscles. The incision is closed with sutures after the implant is positioned and adjusted for symmetry and balance. The subfascial approach combines the benefits of both subglandular and submuscular placements, offering a natural contour and reducing visible implant rippling.

Surgeon, Artist, and Innovator: Dr. Cohen

Dr. Steven R. Cohen is an innovator in advanced breast augmentation techniques, including subfascial placement. His extensive expertise in reconstructive breast surgery and cutting-edge regenerative medicine allows him to offer customized solutions that cater to each patient’s unique needs. With a reputation for meticulous surgical precision and an eye for natural beauty, Dr. Cohen is committed to achieving your best possible outcome.

Office media

Recovery After Subfascial Breast Augmentation

After surgery, you can return home the same day, driven by a friend or family member. Most patients can return to light activities within one week, although strenuous activities should be avoided for three to four weeks or more. Dr. Cohen and the FACES+ team will support you through your recovery. You must wear a special bra to help support your new shape. Full recovery, including the final appearance of your breasts, typically occurs within a few months as any residual swelling subsides and the implants settle. There’s no need to wait that long to enjoy your new figure, which will be visible immediately after your surgery.

painting of flowers

Frequently Asked Questions Subfascial Breast Augmentation

Is subfascial breast augmentation suitable for everyone?

Subfascial breast augmentation is an excellent option for many women, especially those seeking a natural look with a shorter recovery time. Dr. Cohen will evaluate your anatomy and goals to determine if this technique best fits you.

Will the procedure leave visible scars?

Dr. Cohen uses advanced surgical techniques to minimize scarring. Incisions are usually made in discreet locations, such as under the breast fold or around the areola. When properly cared for, scars fade over time.

How long do the results last?

While breast implants are not lifetime devices, they are designed to be durable. Many women enjoy their results for 10 to 20 years before considering a replacement or revision surgery. Dr. Cohen will monitor the condition of your implants during routine follow-up visits.

Can subfascial breast augmentation be combined with other procedures?

Yes, subfascial breast augmentation can be combined with other cosmetic procedures, such as a breast lift or liposuction, for a more comprehensive enhancement. Dr. Cohen will work with you to create a customized treatment plan tailored to your goals.

textured background

the Journey to a New You Starts Here Schedule a Consultation

Contact Us
Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (858) 544-3005.
Contact Us