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Updated: Jun 16, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Subfascial breast augmentation: a comprehensive experience.

Joseph P Hunstad1, L Shayne Webb

  • 1The Hunstad Center for Cosmetic Surgery, PA, 11208 Statesville Road, Huntersville, NC 28078, USA. jphunstad@gmail.com

Aesthetic Plastic Surgery
|January 30, 2010
PubMed
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Subfascial breast augmentation offers a safe and effective method for natural-looking results with high patient satisfaction. This technique minimizes complications like capsular contracture and implant animation, ensuring predictable outcomes.

Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery

Background:

  • Subfascial breast augmentation, introduced in 1998, places implants between the pectoralis muscle and fascia.
  • This technique aims to reduce capsular contracture and implant animation compared to subglandular placement.

Purpose of the Study:

  • To review the subfascial breast augmentation technique performed by a single surgeon.
  • To assess patient and surgeon satisfaction and clinical outcomes.

Main Methods:

  • A comprehensive review of subfascial augmentations (inframammary, periareolar, transaxillary) was conducted.
  • Procedures included primary, secondary, and concurrent mastopexy operations.
  • Patient satisfaction questionnaires and clinical assessments were utilized.

Main Results:

Related Experiment Videos

Last Updated: Jun 16, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

  • The subfascial approach yielded reproducible, controllable, and predictable results.
  • High patient and surgeon satisfaction was reported with minimal complications.
  • Low capsular contracture rates, no implant animation, and excellent lower pole coverage were observed.

Conclusions:

  • Subfascial breast augmentation is a safe and effective procedure for selected patients.
  • It offers predictable results, excellent shape, and longevity.
  • This method combines benefits of subglandular and submuscular placement while avoiding their drawbacks.