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Old 10-05-2011, 07:35 PM   #1
 
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Question Subfascial implants?

Hi everyone, I just wanted to ask a few questions about this placement and the results of it. I went to a PS who informed me of this relatively new technique. I had heard nothing about it previously.

A. First I want to know on a scale of 1 to 10, with 1 being the least amount of pain and 10 being the greatest, how much it hurt.

B. Does subfascial really offer stronger support than subglandular placement?

C. Would you say a few years down the road that you need a lift?

D. Is it possible to insert the implants through the areola with this technique?

E. Did they drop and fluff right away or in a few weeks/months?

Sorry for all the questions.
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Old 10-06-2011, 08:10 PM   #2
 
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I wanted to get this done BUT no one in my city was offering it. Soooo not sure.
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Old 10-06-2011, 08:35 PM   #3
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Sooo here's the deal. I have not had my surgery yet, but I was considering that placement. Some docs will say it is a gimmick, some will say it's an innovative way that is the best of both worlds (overs and unders). One of the PS's I had a consult with said he does go subfascial when he goes over the muscle every time unless the fascia is somehow not well developed (this is again an arguable point - whether there is a good layer of fascia in every patient. Some PS's will say there is, but others disagree.) That PS does not think subfascial placement offers any additional benefits and even said if he placed an implant subfascially in one breast and subglandularly in another breast, I wouldn't know or see the difference.

However, there are surgeons who specifically highlight that procedure on their websites and say that it's a new technique. The one PS I was particularly interested in is Dr.Hunstad. Unfortunately, I couldn't get a consult with him until Novemeber, and that does not work with my schedule, so I decided not to consider him further for myself, but there are girls on this site who had their surgeries done by him and they love the results.

So I myself am still puzzled over this placement... I'm interested in hearing responses from the ladies here, as I wasn't able to find that much info on subfascials (compared with other placements).
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Old 10-06-2011, 08:56 PM   #4
 
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Is this the same as Dual Plane? Just curious, because the PS I want to use does a lot of BA's that he says Dual Plane.
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Old 10-06-2011, 09:33 PM   #5
 
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hi there. very glad someone brought up this question again cause nobody responded to my thread- definitely a rare placement then. i'm really thin and yet my doctor has suggested subfascial (i'm not in america- i know it's a rarity there). the "strength" or "support" offered by the fascia is definitely the biggest debate i've come across. different doctors, different opinions. oddly enough somewhere i read that the fascia is actually a very STRONG covering of tissue, but then there are doctors who say, "go subglandular or go sub pectoral" which means that sub-fascial doesn't really have any clear advantage according to them. needless to say, i'm curious even just for curiousity sake and concerned cause i don't know if i should go for it or not. yeah, i'm pretty certain that since the fascia is thin though it won't look/feel any different to subglandular.

turbofiremama, no. dual plane is partially under muscle. and then there's complete under muscle. sub fascial is above all muscle. it's below glands but under fascia (a small sleeve of tissue that covers the muscle). it's not the same thing.
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Old 10-06-2011, 09:38 PM   #6
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Hi

I have silicone subfascial placement with a crease incision.

My surgeon described it as like subglandular with a bra. You get the added support of the muscle fascia, which while quite thin is very strong with the benefits of no muscles being cut. There is no flex distortion when exercising. No upper body weakeness with exercising.

Healing time was relatively quick - on par with what I have read with subglandular. They are placed pretty close to where they will sit BUT you do still relax and settle - similiar to drop and fluff I guess - but you don't need to wait for them to migrate down from your collar bones LOL. Was up, around and driving (very carefully!!) after 4 days. Side sleeping after about 5 weeks (I was a little precious about them) and I still feel more comfortable (psychologically LOL) sleeping in a little crop top or cami with shelf bra.

They initially look really torpedo like for the first 2 weeks or so, and slowly the skin and tissue and fascia stretch and relax a little and they round out and settle. I did find a size change from a DD/E to an F (Aussie sizing so a change from an F to a G in US sizing) after about 3 months BUT I have really tight muscles/fascia and thick fibrous breast tissue so it took some time to relax.

They are perky without the holy moly round fake boobie look, softening up and jiggling like I was born with them and I love love LOVE them.

I must add, I am 43, have had these girls about 7 months and not an ounce of sag in sight. They have rounded out but definitely not a lot of overhang LOL. I got me a pair of 21 year olds boobies YAY!!
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Old 10-06-2011, 09:38 PM   #7
 
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also , i feel like if i was aiming for overs and then got sub-fascial i'd be quite happy, cause the only chance would be that i get "extra protection". but since i was convinced i'd be advised to go under muscle, anything above muscle concerns me a bit.
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Old 10-06-2011, 09:42 PM   #8
 
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thank you sooooo much bunnie! wow, it's great to hear from someone with subfascial. does it put a person at a higher risk of rippling though?????


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Hi

I have silicone subfascial placement with a crease incision.

My surgeon described it as like subglandular with a bra. You get the added support of the muscle fascia, which while quite thin is very strong with the benefits of no muscles being cut. There is no flex distortion when exercising. No upper body weakeness with exercising.

Healing time was relatively quick - on par with what I have read with subglandular. They are placed pretty close to where they will sit BUT you do still relax and settle - similiar to drop and fluff I guess - but you don't need to wait for them to migrate down from your collar bones LOL. Was up, around and driving (very carefully!!) after 4 days. Side sleeping after about 5 weeks (I was a little precious about them) and I still feel more comfortable (psychologically LOL) sleeping in a little crop top or cami with shelf bra.

The initially look really torpedo like for the first 2 weeks or so, and slowly the skin and tissue and fascia stretch and relax a little and they round out and settle. I did find a size change from a DD/E to an F after about 3 months BUT I have really tight muscles/fascia and thick fibrous breast tissue so it took some time to relax.

They are perky without the holy moly round fake boobie look, softening up and jiggling like I was born with them and I love love LOVE them.

I must add, I am 43, have had these girls about 7 months and not an ounce of sag in sight. They have rounded out but definitely not a lot of overhang LOL. I got me a pair of 21 year olds boobies YAY!!
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Old 10-06-2011, 09:48 PM   #9
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Chances of rippling depend on how much tissue you have to begin with. The fascia gives an extra covering to the implant.

I think rippling chances go something like this subglandular - subfascial - dual plane/ submuscular - fully submuscular. And whether you go saline or silicone also affects it.

HOWEVER there are some girls who seem to ripple no matter what.

I have no rippling at all AND my left breast was a reconstruction after a partial mastectomy...I had NO breast tissue in my lower left pole and I still don't ripple there...so I think rippling might be part genetics, part surgeon skill and part luck TBH.
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Old 10-06-2011, 09:51 PM   #10
 
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oh that's great thanks so much. i can't wait for my next consult with a new doctor. if i'm advised to go below muscle, i'll be happy. if somehow he also mentions sub-fascial it'll give me more faith in this glad you're enjoying your results so much.


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Chances of rippling depend on how much tissue you have to begin with. The fascia gives and extra covering to the implant.

I think rippling chances go something like this subglandular - subfascial - dual plane/ submuscular - fully submuscular. And whether you go saline or silicone also affects it.

HOWEVER there are some girls who seem to ripple no matter what.

I have no rippling at all AND my left breast was a reconstruction after a partial mastectomy...I had NO breast tissue in my lower left pole and I still don't ripple there...so I think rippling might be part genetics, part surgeon skill and part luck TBH.
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Old 10-07-2011, 12:09 AM   #11
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A. First I want to know on a scale of 1 to 10, with 1 being the least amount of pain and 10 being the greatest, how much it hurt. That will depend on your pain threashold and how you heal.

B. Does subfascial really offer stronger support than subglandular placement? This is debated by surgeons with no definite answer.The only placement that gives any porper long term support are full unders.

C. Would you say a few years down the road that you need a lift? You will sag as all breasts sag even those with implants.
It just depends how much you think you have sagged as to whether you want a lift.

D.Is it possible to insert the implants through the areola with this technique? I think so but check on that.

E. Did they drop and fluff right away or in a few weeks/months? Most implants take a while to settle.Some ladies have settled quickly,some with this placement took around 5 mths so results will vary.
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Old 10-08-2011, 12:32 PM   #12
 
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Quote:
Originally Posted by ARedRose View Post
Hi everyone, I just wanted to ask a few questions about this placement and the results of it. I went to a PS who informed me of this relatively new technique. I had heard nothing about it previously.

A. First I want to know on a scale of 1 to 10, with 1 being the least amount of pain and 10 being the greatest, how much it hurt.

B. Does subfascial really offer stronger support than subglandular placement?

C. Would you say a few years down the road that you need a lift?

D. Is it possible to insert the implants through the areola with this technique?

E. Did they drop and fluff right away or in a few weeks/months?

Sorry for all the questions.
I have subfacial placement of implants. To answer your questions:
1. It hurt minimal so i would say 3 in scale of 10. I felt like little rock was on my chest when i woke up but no pain at all. Nurse told me to relax my shoulders as i tried to keep them up somehow. Maybe i felt it was easier for me. My doctor prefers this over over the muscle replacement.
2. Yes it offers more support than just subglandular placement.
3. No one knows that. Maybe just god Mine are quite small so i think no.
4. Really don't know and i think no. Mine were put under breast.
5. They drop quite quickly. A month or so but they are never as high as under the muscle and look great right away. Of course there is swelling after surgery but i'm month out and visited my PD and he said they will stay that way. My swelling is almost gone and they have dropped quite nicely.
And rippling depends on how much breast tissue you have. I'm skinny and got minimal breast tissue on my upper chest and when i bend front i can see a little rippling near cleavage area but it happens to skinny ones mostly and there is nothing i or doctor can do about it. Some got it under breast. But when i stand up in normal position i have no ripples. My PD told me to wear sports bra 24/7 for 3 months at least to support them so that they capsule right way. Now 1 month post OP i can wear underwire for a short time if i go out somewhere but not for a long time as it pushes implants up and is not good for incision to heal correctly.
Hope i could help you a little. If you have more questions just shoot and i'll try to answer them if i can.
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Old 10-28-2011, 05:18 PM   #13
 
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Ok, this thread is very informative. I had my surgery a month ago, 533's subfacial. Visited my PS today, not the one who performed the surgery, but his partner and he seemed concerned that I hadnt dropped more. My breast tissue is sagging under the implant, like loose flabby yuck, just hanging there. He is talking revision, but has me in a strap 24/7 and giving it 3 months before we talk revision. I am SO bummed out. I loved the size initially, now look like a c.
And hope I will drop at one month after surgery?
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Old 10-28-2011, 10:03 PM   #14
 
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thanks- so sorry about that. good luck.

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Originally Posted by HisBeloved View Post
Ok, this thread is very informative. I had my surgery a month ago, 533's subfacial. Visited my PS today, not the one who performed the surgery, but his partner and he seemed concerned that I hadnt dropped more. My breast tissue is sagging under the implant, like loose flabby yuck, just hanging there. He is talking revision, but has me in a strap 24/7 and giving it 3 months before we talk revision. I am SO bummed out. I loved the size initially, now look like a c.
And hope I will drop at one month after surgery?
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Old 11-01-2011, 12:40 AM   #15
 
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thanks so much for your feedback bunnie. I'm going to go for the subfascial placement hopefully with a 600cc high profile silicone implant. Just worried about support of the fascial tissue but 4 of 5 surgeons that I consukte recommended it so it must be beneficial. How long did you wait before you bought new bras?

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Hi

I have silicone subfascial placement with a crease incision.

My surgeon described it as like subglandular with a bra. You get the added support of the muscle fascia, which while quite thin is very strong with the benefits of no muscles being cut. There is no flex distortion when exercising. No upper body weakeness with exercising.

Healing time was relatively quick - on par with what I have read with subglandular. They are placed pretty close to where they will sit BUT you do still relax and settle - similiar to drop and fluff I guess - but you don't need to wait for them to migrate down from your collar bones LOL. Was up, around and driving (very carefully!!) after 4 days. Side sleeping after about 5 weeks (I was a little precious about them) and I still feel more comfortable (psychologically LOL) sleeping in a little crop top or cami with shelf bra.

They initially look really torpedo like for the first 2 weeks or so, and slowly the skin and tissue and fascia stretch and relax a little and they round out and settle. I did find a size change from a DD/E to an F (Aussie sizing so a change from an F to a G in US sizing) after about 3 months BUT I have really tight muscles/fascia and thick fibrous breast tissue so it took some time to relax.

They are perky without the holy moly round fake boobie look, softening up and jiggling like I was born with them and I love love LOVE them.

I must add, I am 43, have had these girls about 7 months and not an ounce of sag in sight. They have rounded out but definitely not a lot of overhang LOL. I got me a pair of 21 year olds boobies YAY!!
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Old 11-01-2011, 12:59 AM   #16
 
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Are the implants completely covered by the subfascial tissue?
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Old 11-01-2011, 02:05 AM   #17
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Hi Sexywithcurves...

The implant is completely covered by the fascia.

As for bras...
Mine were taped in place for 7 days - No bra...
then for the first 3 months soft NON-wired bras/camisoles with built in shelf bras or soft supportive non-wired sports bras. Nothing that is too constrictive, just natural support without mashing them.

From 3 months PO I was allowed to start breaking in wired bras - now at 3 months PO some wired bras still looked a little weird. More like 4 months before the bras started to look better. Bras look better once your implants soften up.

MOST important was NO PUSH UP BRAS until after 6 months. You need to let the pocket heal with subfascials. Once your implants start to soften up and the pockets heal (my PS said about 6 months) then you can wear push ups for a special occasion but he recommended that they really shouldn't be an everyday bra.

I still sleep in little soft crop type bras or camis with shelf bra just for a little extra support at night.
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cohesive gel silicone mod+ profile subfascial placement
crease incision
375cc in left / 275cc in right
breast augmentation & reconstruction surgery date 21st Feb 2011
5ft 7" 124lbs
pre surgery 10-12A & C (34A & C) Post surgery 10 F (32 F in UK 32G in US ) in BOTH
For the first time in 25 years they are a matching set :)

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Old 11-01-2011, 02:54 AM   #18
 
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Thanks Bunnie! Last question for you... Textured or smooth implant better for this placement?

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Hi Sexywithcurves...

The implant is completely covered by the fascia.

As for bras...
Mine were taped in place for 7 days - No bra...
then for the first 3 months soft NON-wired bras/camisoles with built in shelf bras or soft supportive non-wired sports bras. Nothing that is too constrictive, just natural support without mashing them.

From 3 months PO I was allowed to start breaking in wired bras - now at 3 months PO some wired bras still looked a little weird. More like 4 months before the bras started to look better. Bras look better once your implants soften up.

MOST important was NO PUSH UP BRAS until after 6 months. You need to let the pocket heal with subfascials. Once your implants start to soften up and the pockets heal (my PS said about 6 months) then you can wear push ups for a special occasion but he recommended that they really shouldn't be an everyday bra.

I still sleep in little soft crop type bras or camis with shelf bra just for a little extra support at night.
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Old 11-01-2011, 07:48 AM   #19
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I have textured. I think that choice is better left to the PS tho! Each one has a preference as to the style they like to work with. HTH. x
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breast augmentation & reconstruction surgery date 21st Feb 2011
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Old 11-01-2011, 09:27 PM   #20
 
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That's great to know. My surgeon is Also recommending textured. Are you happy with the feel of your breast? Soft and natural feel compared to smooth?
You are a wealth on knowledge

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I have textured. I think that choice is better left to the PS tho! Each one has a preference as to the style they like to work with. HTH. x
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