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An unusually very clear representation of the subfascial plane 

of dissection showing the pectoral muscle through the areola.

Dr. Schloze has recently published the results of a study of the advantages of the subfascial plane.

 

The article is "Suubfascial Periareolar Augmentation Mammaplasty" with M.A. Stoff-Khalili, M.D., et al, in Plastic and Reconstructive Surgery, October 2004, 1280-1288.

The study was conducted over 3.6 years and included 328 patients who had breast implant surgery.

 

Of these 105 were subglandular, 154 were subpectoral, and 69 were subfascial. The subfascial had fewer long term complications of severe capsular contracture, rippling and numbness or change in nipple sensation compared to the subglandular group.

 And compared to the subpectoral group the subfascial patients had less postoperative discomfort and the submuscular disadvantage of disturbing muscle movement of the breast was eliminated. The conclusion of the authors was that the subfascial plane for  breast implant surgery "can be highly recommended. "

 
 

         click pictures to enlarge

 Before and After Immediate post op results of surgery for improvement in appearance  - Ranier Scholze, M.D.

Discussion: In the post op picture, the sutures are being  removed and the yellow color is skin protector in preparation for sterile tape strips that are to be applied. The right areola, that was much larger, is intentionally a little smaller than the left in the immediate post op period, because in a few months it will tend to enlarge and at that time should almost exactly equal the left side

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The American Society of Cosmetic Breast Surgery 2017    Last modified: June 23, 2017