|SUBFASCIAL BREAST AUGMENTATIONNew Breast Augmentation
Anatomic prosthesis placement in a subfascial plane.
This technique was first introduced in Brazil by Dr. Graff and we have been pioneers in the US applying the technique. Placement of anatomic implants at the subfascial level has become a revolutionary and successful technique, providing excellent aesthetic outcomes in breast surgery.
New: subfascial plane
From the anatomic point of view, pectoralis muscle is covered by a fascia, made of a fibrous sheet separating it from surrounding tissues. In this technique, the pectoralis muscle fascia is dissected off the underlying muscle placing the prosthesis in this plane, under the pectoralis fascia. Classically, breast implants were placed under the muscle (submuscular placement) or overlying the muscle just behind the gland (subglandular placement). Applying this new technique we gather the advantages of both classical techniques avoiding drawbacks:
• Takes over subglandular placement since in this plane, prosthesis and gland weight is borne by skin solely (breast retaining ligaments anchoring to the fascia are severed), developing breast ptosis as time goes by. However, with subfascial placement, the fascia plays a role supporting the prosthesis, eliminating tendency to develop ptosis, and at the same time upper pole fullness of the breast is achieved like subglandular implants do.
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