Subfascial Breast Implants

What is Subfascial Breast Augmentation Surgery?

There are three common ways a breast implant procedure is performed. Under the muscle, over the muscle, and subfascial. All three methods have pros and cons. The under the muscle implant is the most common procedure. The under muscle, or dual plane method has a longer recovery, hurts more, and takes 2-3 months until the breast looks normal. The under muscle implants also “jump” when you flex the muscle. This is called animation deformity, and it is bothersome to some patients. Once it heals, the under muscle has the most natural look.

The subglandular, or over the muscle method has the least pain, fastest recovery, and no animation deformity. The subglandular implant also fills the breast the most and gives the most lifting effect. The drawback of the subglandular implant is the unnatural look. It has the most “ball in a sock”look and is more likely to form hard scar tissue around the implant.

The subfascial method is the best compromise option in my opinion. It has little pain, fast recovery and no animation deformity. It looks more natural than a subglandular implant. It has more lifting effect than a submuscular implant. The limitation of a subfascial,implant is size. The subfascial space is tight and limited to under 400cc implants. However, for most patients, that is more than enough implant volume.

In all cases, the surgery is done under anesthesia, and a silicone gel implant is recommended over saline. Silicone gel feels more natural and has less rippling or waviness in the implant, especially for thin patients.

Experience A Private, At Home, Virtual Consultation

With over 20 years of breast augmentation surgical experience, Dr. Bennett C. Yang is well known for his expertise and 5 star patient rating. TEXT NOW 301.284.8122

For patients who travel from out of state, text us for virtual consultation to discuss your needs and goals.

Recovery and Aftercare

Follow-up visits are included in the procedure and will be arranged at the Rockville, Maryland, or McLean, Virginia, locations, both near Washington, DC.
Following the plastic surgery procedure, breast enhancement patients should expect some post-operation effects and should follow specific instructions as described below.

• Patients may experience some degree of bruising and swelling. The first two days are usually the most uncomfortable. Pain medication will be prescribed for this. An antibiotic and an anti-nausea medication are also prescribed.
• Limit activity for the week following surgery.
• Avoid strenuous activities for about one month.
• Patients can typically return to work after the first week.
• A surgical bra should be worn for the first two weeks following surgery.
• Some constipation is common when taking pain medications. Added fruit, fiber, and stool softeners are recommended before and after surgery.
• Post-surgical breast augmentation massage is a key component in having a great outcome. Patients will be instructed on performing proper breast augmentation massage after

Insurance Guidelines

In Maryland or Virginia, breast augmentation  is usually not considered medical – a cosmetic procedure and is therefore not covered by insurance. An exception is when the indication for surgery was due to breast reconstruction or reduction causing back issues due to heaviness of large breasts. Call us for more information.