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Ask Dr. Hedden (Birmingham, AL) In this forum, you can ask Birmingham, Alabama plastic surgeon, Dr. William Hedden, questions about breast augmentation and other plastic surgery procedures.

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Old 05-31-2013, 06:17 AM   #1
 
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Subfascial placement

Good morning Dr. Hedden,
We haven't met but I am scheduled for surgery with you in two weeks. Implant exchange, possible internal bra. My 400 silicones are currently unders, and I am curious to know what your thoughts are regarding sub fascial placement, if you perform it, and if not, why? Research I've read seems slightly contradictory. Some say it's better, some say it's not worth the extra time for such little extra support. But it appears contracture is much less likely with the fascia, as opposed to sub glandular.
I had sub glandular salines, 400's, pretty successfully for 7-8 years. They looked great. I had a lift a year and a half ago and went under with the 400 silicones I have now. They always feel tight, I feel hunched and they are too high and square. So I might be open to subfascial if available.

Thank you! Looking forward to hearing your thoughts.
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Old 06-02-2013, 03:16 PM   #2
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The fascia will only cover the same area that the muscle does. It sounds like if you feel they are tight and high that really what may be going on is that you need the lower part of the muscle released to give a dual plane or biplanar approach.

Dr Hedden

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Originally Posted by Cpoppins75 View Post
Good morning Dr. Hedden,
We haven't met but I am scheduled for surgery with you in two weeks. Implant exchange, possible internal bra. My 400 silicones are currently unders, and I am curious to know what your thoughts are regarding sub fascial placement, if you perform it, and if not, why? Research I've read seems slightly contradictory. Some say it's better, some say it's not worth the extra time for such little extra support. But it appears contracture is much less likely with the fascia, as opposed to sub glandular.
I had sub glandular salines, 400's, pretty successfully for 7-8 years. They looked great. I had a lift a year and a half ago and went under with the 400 silicones I have now. They always feel tight, I feel hunched and they are too high and square. So I might be open to subfascial if available.

Thank you! Looking forward to hearing your thoughts.
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