Subfascial Breast Implant: A New Procedure

Abstract

Breast augmentation techniques using the submuscular and subglandular planes to introduce the implant are well known and widely used procedures. The authors have been using the subfascial dissection plane, a new concept for breast augmentation. From October of 1998 to September of 2001, 263 patients underwent breast augmentation. In all cases, the implants were inserted into the subfascial plane. McGhan 410 anatomic biodimensional, cohesive gel implants (size, 155 to 310 g) were used. There are additional benefits using this technique; these include avoiding implant deformation or distortion (as seen in the retromuscular position), leaving additional soft tissue between the implant and the skin, and minimizing implant edge prominence (inherent to retroglandular placement). These technical details lead to fewer patient complaints. Morbidity is similar to that of other techniques.

Mastopexia con prótesis: técnica triplanar con colgajo en cola de pez para mamas con pobre calidad de cobertura

“…A pesar de las numerosas y valiosas alternativas publicadas hasta la fecha por reconocidos autores (1, 2, 5-7, 10, 20) con el objeto de optimizar los resultados y un mayor grado de satisfacción de las pacientes tanto a medio como a largo plazo en los procedimientos de mastopexia con aumento, apreciamos una constante investigación por lograr técnicas que permitan prevenir los resultados insatisfactorios en el mayor porcentaje posible de pacientes (9,10,(12)(13)(14). Estos resultados insatisfactorios publicados (13,15,21), ponen en evidencia la tendencia de una constante búsqueda por el desarrollo de nuevos métodos, de manera especial en aquellas pacientes con mala calidad de cobertura mamaria por pobre elasticidad de la piel y escaso panículo adiposo (16)(17)(18)(19)(20)(21)(22)(23), lo que nos demuestra la importancia y la necesidad de evaluar minuciosamente a cada paciente, a fin de seleccionar la técnica más adecuada para cada caso en particular, proporcinando una completa cobertura a toda la superficie del implante mamario.…”

Subpeitoral ou subglandular: qual é a melhor localização do implante para pacientes com hipomastia?

“…In 2003, Graf et al 20 described the use of the subfascial plane. This technique may have advantages over the use of the subglandular plane but is unable to produce the benefits that the submuscular plane offers to patients with hypomastia.…”

Capsular contracture in subfascial breast augmentation: recommendations and treatment

“…In subfascial breast augmentation, there had been reports of 0% to 2% of capsular contracture [1][2][3]8]. Graf et al mentioned a 2.3% of capsular contracture grade II in 263 patients that underwent subfascial breast augmentation [8].…”