subfacial breast augmentation

Subfacial breast augmentation is a surgical technique used at North Oakland Plastic Surgery that places the breast implant underneath the pectoral fascia, a thin layer of connective tissue that covers the pectoral muscle. This method is positioned between traditional subglandular (above the muscle) and submuscular (beneath the muscle) approaches. One of the main advantages of subfacial placement is its ability to reduce the risk of animation deformity while still offering some soft tissue coverage over the implant. This technique is especially appealing to patients in Troy, MI, who lead active lifestyles and want consistent results during movement.

Understanding Subfacial Placement

In subfacial breast augmentation, the implant is placed beneath the fascia of the pectoralis major muscle but above the muscle fibers themselves. The fascia is a thin but strong connective tissue that provides a level of separation between the implant and the breast tissue. This approach offers more support and implant coverage than subglandular placement while avoiding full dissection and movement interference associated with submuscular techniques.

Subfacial placement is best suited for patients with adequate breast tissue and a well-defined chest anatomy. It works well with both saline and silicone implants and is often chosen for its balanced blend of visual outcomes and reduced muscle involvement.

Benefits of Reducing Animation Deformity

Animation deformity occurs when breast implants shift or distort during contraction of the chest muscles, a common issue with submuscular implant placement. This shifting can lead to visible movement of the implant during exercise or routine upper body activities. For some patients, especially those who are physically active, this can be both aesthetically unappealing and physically uncomfortable.

By placing the implant under the fascia instead of directly beneath the muscle, subfacial breast augmentation avoids the downward pressure exerted by muscle contractions. This results in minimal to no implant movement when the chest is flexed. Patients who frequently engage in activities such as weightlifting, yoga, swimming, or other forms of exercise may prefer this technique to maintain consistent breast appearance without muscle-related distortion.

Additional Considerations for Subfacial Breast Augmentation

While reducing animation deformity is a significant advantage, there are other reasons a patient might consider subfacial breast augmentation. The recovery process is typically quicker and less painful compared to submuscular placement because the muscle is not cut or stretched during surgery. This allows many patients to return to normal activities sooner.

Additionally, subfacial placement provides more implant support than subglandular placement alone, making it a better choice for those with moderate breast tissue who do not want to risk implant visibility or rippling. However, for patients with very thin tissue or minimal breast volume, full submuscular placement may still offer the most natural appearance and reduced implant visibility.

During consultation, we evaluate each patient’s chest anatomy, lifestyle, and cosmetic goals to determine whether subfacial placement is the best option. We also discuss long-term outcomes, implant types, and expected healing times to ensure the patient has a clear understanding of the benefits and limitations.

Conclusion

Subfacial breast augmentation is an effective solution for patients who want to minimize animation deformity while achieving a natural and balanced breast appearance. At North Oakland Plastic Surgery, we use this technique to provide a middle-ground option that combines reduced muscle involvement with added implant support. Dr. Hainer’s expertise in evaluating and customizing surgical plans ensures that each patient receives results aligned with their lifestyle and aesthetic goals. To find out if subfacial placement is right for you, schedule a consultation with Dr. Hainer at North Oakland Plastic Surgery today.