Subfascial breast augmentation: a comprehensive experience

Aesthetic Plastic Surgery
Joseph P Hunstad, L Shayne Webb

Abstract

Subfascial breast augmentation, first performed by Dr. Ruth Graf in 1998, places the implant above the pectoralis muscle but below the pectoralis fascia. Graf documented that this approach resulted in less capsular contracture than subglandular implant placement and a more natural shape while eliminating implant animation with arm movement. In addition, implant edge visibility was decreased compared with subglandular implantation in all but the extremely thin patient. Because of the described benefits and high patient satisfaction, the authors began to perform this technique in 2006. This report presents a comprehensive review of the aforementioned technique by describing a large series of subfascial augmentations (inframammary, periareolar, and endoscopic transaxillary) as primary procedures, secondary procedures, and operations with concurrent use of mastopexy performed by a single surgeon using multiple approaches. A patient satisfaction questionnaire was used in addition to a detailed clinical assessment. The results of this procedure were reproducible, controllable, and predictable. The study demonstrated a high degree of patient and surgeon satisfaction with few complications, a low rate of capsular contracture, no eviden...Continue Reading

References

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Citations

Jun 7, 2011·Aesthetic Plastic Surgery·Jung Ho LeeSang Tae Ahn
May 1, 2013·Plastic and Reconstructive Surgery·Michael S GartThomas A Mustoe
Nov 28, 2013·Plastic and Reconstructive Surgery·Frank Lista, Jamil Ahmad
Feb 15, 2014·Annales de chirurgie plastique et esthétique·H ElfakirA Mojallal
Sep 27, 2015·Clinics in Plastic Surgery·Alexandre Mendonça MunhozJoão Carlos Sampaio Goes
Oct 29, 2015·Aesthetic Surgery Journal·Ana Claudia Weck RoxoRuy Garcia Marques
Jun 8, 2017·Aesthetic Surgery Journal·Paul I HeidekruegerP Niclas Broer
Oct 15, 2019·Plastic and Reconstructive Surgery·Lincoln Graca Neto, Ruth M Graf
Jan 22, 2020·Aesthetic Surgery Journal·João MaximilianoMarcos Vinicius Martins Collares
Dec 29, 2019·Plastic and Reconstructive Surgery·Lincoln Graca Neto, Ruth M Graf
Nov 26, 2020·Plastic and Reconstructive Surgery·Tim Brown
Feb 11, 2021·Plastic and Reconstructive Surgery. Global Open·Geetika MehraOren Ganor
Feb 5, 2020·Aesthetic Surgery Journal. Open Forum·Daniel J GouldW Grant Stevens
Apr 17, 2021·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Philip H Zeplin

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