Subfascial Breast Augmentation

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What Is a Subfascial Breast Augmentation?

Enhance breast shape, volume, and balance with subfascial breast augmentation from Dr. Jeffrey Lisiecki. This implant placement may address naturally small breasts, volume loss after pregnancy or weight changes, breast asymmetry, visible implant edges, and concerns about muscle-related implant movement while supporting refined, natural-looking enhancement.

Subfascial breast augmentation is a technique in which implants are placed beneath the thin layer of connective tissue, or fascia, covering the pectoralis muscle while remaining above the muscle itself. This provides an additional layer of implant coverage without disrupting the chest muscle. It can offer a balance between subglandular and submuscular placement, creating smooth, natural-looking contours while reducing concerns like animation deformity, which are typically associated with submusclar implants.

The Benefits of Subfascial Breast Augmentation:

  • Enhanced implant coverage and support from the pectoral fascia
  • Natural-looking breast shape and smooth contours
  • Reduced risk of animation deformity with chest muscle movement
  • Less disruption to the pectoral muscle
  • Potentially less postoperative discomfort than submuscular placement
  • Faster return to normal activities for some patients
  • Preservation of chest muscle strength and function
  • Reduced visibility of implant edges or rippling in appropriate candidates

Candidates for a subfascial breast augmentation:

  • Desire a natural-looking increase in breast volume and fullness
  • Have adequate breast tissue and soft-tissue coverage
  • Experience breast asymmetry or volume loss
  • Prefer to avoid disruption of the pectoral muscles
  • Want to minimize implant movement during chest muscle contraction
  • Maintain good overall health for elective surgery
  • Hold realistic expectations for their surgical results
  • Understand the potential benefits, limitations, and recovery involved

Dr. Lisiecki’s personalized subfascial breast augmentation technique

Your subfascial breast augmentation begins with anesthesia to keep you comfortable. Dr. Lisiecki makes a carefully planned incision, commonly within the natural crease beneath your breast, to access the tissue overlying the pectoralis muscle. He precisely separates the fascia from the muscle to create a pocket while preserving the underlying muscle. This allows your implant to sit beneath the fascial layer rather than within or underneath the pectoralis muscle.

Dr. Lisiecki carefully inserts and positions your selected implants within the subfascial pockets, evaluating their placement to achieve appropriate symmetry, proportion, and contour based on your anatomy and aesthetic goals. Once the implants are positioned, he closes your incisions in layers to support healing and minimize visible scarring. Dressings and a supportive surgical bra may then be applied to protect your breasts as your initial recovery begins.

Recovery after a subfascial breast augmentation

Your recovery after subfascial breast augmentation may be more comfortable than recovery after techniques that involve cutting the pectoralis muscle. During the first several days, you can expect some swelling, bruising, soreness, and tightness around your breasts. You may be asked to wear a supportive surgical bra and sleep on your back. Light walking is typically encouraged early to support circulation, but you should avoid strenuous activity and heavy lifting.

You may be able to return to work and other light daily activities within several days to a week, depending on how you feel and the demands of your routine. Exercise, upper-body training, and heavier activities should be resumed gradually according to your surgeon’s instructions. Swelling will continue to decrease over the following weeks, while your implants and surrounding tissues gradually settle into their final position and contour.

Schedule a consultation with Dr. Lisiecki

Dr. Jeffrey Lisiecki is a board-certified plastic surgeon who takes an individualized, anatomy-driven approach to breast augmentation. He considers your proportions, existing breast tissue, lifestyle, and aesthetic goals when developing a surgical plan, with an emphasis on refined, natural-looking results. Rather than applying the same technique to every patient, Dr. Lisiecki evaluates whether subfascial implant placement is appropriate for your anatomy and goals. Schedule a consultation with Dr. Lisiecki to discuss subfascial breast augmentation, ask questions, and explore the breast enhancement options that may be right for you.

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Dr. Lisiecki’s state-of-the-art practice is proudly located in Manhattan’s Upper East Side.

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737 Park Ave, Suite 1C
New York, NY 10021

Schedule a Consultation (212) 680-4626