Go Back   Just Breast Implants Forum JBI Surgeon Forums > Ask Dr. Teitelbaum (California)
Forgot Username/Password?
Forum Home Blogs FAQ Members List Calendar Today's Posts Mark Forums Read

Ask Dr. Teitelbaum (California) In this forum, you can ask Santa Monica, California plastic surgeon, Dr. Steven Teitelbaum, questions about breast augmentation and other plastic surgery procedures.

Submuscular or subfascial placement in a thin woman?

Old 12-02-2011, 06:36 PM
Thread Starter
Join Date: Nov 2011
Posts: 239
Alice87 is on a distinguished road
Submuscular or subfascial placement in a thin woman?

Hi Dr. Teitelbaum,

I would really appreciate if you could clarify me something about breast augmentation procedure.

Is it possible to have a lateral displacement, along with movement of the implant with muscle contraction that would make the breast look distorted if the implants are placed under the muscle? Is there a way to avoid this?

Are there more possibilities of having rippling in the subfacial placement?

Which technique would achieve natural results in a thin woman? Im a 5.1 , weight 88lbs and have a BWD of 11cm.

Thank you
Alice87 is offline  
Old 12-19-2011, 04:24 PM
Certified by the ABPS
Join Date: Dec 2011
Posts: 5
Dr. Teitelbaum is on a distinguished road

There is almost no reason to ever use the subfascial approach whatsoever. It adds a meaninglessly thin additional tissue over the implant and has never been shown to have any advantage over purely subglandular except in Brazilian studies in which the complication rate for anything other than subfascial was dramatically higher than in any other reported case series.

Patients who are very thin should go behind the muscle, and it is critical that they select and implant that FITS THEM. Such patients should never try on sizers or bags of rice because that does nothing to respect the amount of tissue coverage that they have.

If properly done, there is very little lateral migration.

And there is no fascia out to the sides so being subfascial does nothing to reduce rippling on the sides.

The best pocket location for breast augmentation is usually dual-plane. This method maintains the advantages of subglandular where subglandular has benefits and the advantages of submusuclar where the muscle has advantages. And it reduces the disadvantages of each.
Dr. Teitelbaum is offline  
The Following User Says Thank You to Dr. Teitelbaum For This Useful Post:

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off