Subfascial Prepectoral Implant Using the Inframammary Approach
Since the initial use of implants for breast augmentation, surgeons have been looking for a proper plane for the breast augmentation. The orthodox implant plane is submuscular or subglandular. The subglandular plane usually has implant edge visibility, especially in thin women, and causes a high incidence of fibrous capsular contracture. The submuscular plane can lead to implant distortion, a two-peak breast, and a relatively long recovery period. The subfascial placement of breast implants has many of the advantages of the submuscular position without lifting the muscle attachments from the ribs. The subfascial placement is definitely less injurious to the patient than the submuscular procedure; therefore, subfascial breast augmentation can be highly recommended.
KeywordsBreast Augmentation Breast Implant Capsular Contracture Pectoralis Major Muscle Inframammary Fold
Unable to display preview. Download preview PDF.
- Mugea TT: Subfascial breast augmentation. XIIas Jornadas Mediterraneas de confrontations terapeuticas en cirurgia cosmetica, 30 April–2 May 2004, BarcelonaGoogle Scholar
- Spear SL, Beckenstein M: The inframammary approach to augmentation mammaplasty. In: Spear SL (ed). Surgery of the Breast: Principles and Art. Philadelphia, Lippincott-Raven 1998Google Scholar
- Stoff-Khalili MA, Scholze R, Morgan WR, Metcalf JD: Subfascial periareolar augmentation mammaplasty. Plast Reconstr Surg 2004;114(5):1289–1291Google Scholar
- Mugea TT: Aesthetic complications in breast aesthetic surgery—can we avoid it? Limberg Meeting of Plastic, Reconstructive and Aesthetic Surgery, 22–24 September 2005, St. PetersburgGoogle Scholar
- Riefkohl R: Augmentation mammaplasty. In: McCarthy JG (ed). Plastic Surgery, vol. 6. Philadelphia, Harcourt Brace 1990, pp 3879–3884 Google Scholar