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Subfascial versus Subglandular Breast Augmentation: A Randomized Prospective Evaluation Considering a 5-Year
Ruth M Graf1, Ivan Maluf Junior1, Dayane R de Paula1
1From the Plastic Surgery Service, Hospital de Clínicas, Federal University of Paraná; private practice; Hospital Erasto Gaertner; and Diagnóstico Avançado por Imagem (Advanced Diagnostic Imaging Center).
Subfascial breast augmentation offers superior aesthetic outcomes and fewer complications compared to the subglandular approach. This 5-year study found better breast shape, contour, and consistency with the subfascial method.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Augmentation Techniques
Background:
- Subfascial breast augmentation is gaining popularity due to improved anatomical understanding.
- Comparison with the subglandular approach is crucial to determine superiority.
- This study assesses clinical and radiological differences between subfascial and subglandular pockets.
Purpose of the Study:
- To investigate clinical and radiological differences between subfascial and subglandular breast augmentation pockets.
- To determine if one surgical approach is superior to the other.
Main Methods:
- Twenty patients underwent randomized subfascial and/or subglandular pocket placement.
- A blinded study involving patients and surgeons.
- Evaluation by five independent surgeons and magnetic resonance imaging (MRI).
- Follow-up at 1 and 5 years.
Main Results:
- Subfascial augmentation showed significantly better aesthetic results in breast contour and shape over 5 years.
- Improved breast consistency (100% Baker I/II) was observed in the subfascial group.
- MRI revealed smaller implant bases in subglandular pockets.
- Fewer folds were noted in the subfascial group compared to the subglandular group.
Conclusions:
- Significant differences favor subfascial breast augmentation regarding shape, contour, and capsular contracture.
- The subfascial approach demonstrates superiority over the subglandular method for primary breast augmentation.
