Subfascial breast augmentation is a state-of-the-art surgical technique. It involves placing breast implants beneath the fascia, a thin layer of connective tissue covering the pectoralis muscle. This innovative method provides several advantages compared to conventional subglandular (above the muscle) and submuscular (below the muscle) augmentation approaches.
Saline implants are filled after being placed, which often allows for a smaller incision during surgery. They are generally best suited for patients who already have sufficient natural breast tissue, since saline has a higher likelihood of visible rippling when tissue coverage is thin.
Silicone gel implants continue to be one of the most popular options due to their softness, natural feel, and reduced rippling compared to saline. Modern cohesive gels are thicker, more durable, and offer an improved safety profile, making them a preferred choice for many patients.
Highly cohesive silicone implants—often referred to as “gummy bear” implants—are designed to maintain their shape even if cut, much like the consistency of a gummy bear candy. These implants provide natural projection and are available in varying levels of firmness, from softer gels to firmer options, allowing customization based on each patient’s body type and goals.
Patients considering subfascial breast augmentation in Bellevue and Kirkland often want a clear picture of how results evolve. Immediately following surgery, the breasts typically appear higher and fuller due to swelling and implant positioning. Over the following weeks, swelling gradually resolves, and implants settle into a more natural position.
Final results are generally visible after nine to twelve months, once tissues fully adjust. Many patients note improved balance, softer contours, and a stable, long-lasting outcome.
During consultation, patients can review before and after photos of breast augmentation to understand how different implant sizes, shapes, and placements translate into real results. These examples provide a realistic framework for what can be achieved through subfascial placement or, in appropriate cases, the breast augmentation dual plane technique.
At Northwest Face & Body, subfacial breast augmentation in Bellevue and Kirkland starts at $4,999, excluding prescription medications and medical clearance. The total cost also varies depending on the size of the implants chosen. Patients will receive a personalized quote following a consultation.
When comparing implant placement options, subfascial breast augmentation offers a balance between muscle coverage and natural movement.
Subfascial breast augmentation procedure works best for patients who have some specific anatomical characteristics, such as:-
During consultation, your surgeon will determine if subfascial or dual plane placement is best for your anatomy.
At Northwest Face & Body, Dr. Tarak Patel and Dr. Ludwig Allegra combine decades of surgical experience with modern implant planning techniques to ensure each patient receives the safest and most natural-looking result possible. Their approach integrates advanced imaging technology with personalized surgical planning to deliver outcomes that align with each patient’s unique anatomy and goals.
Schedule your private consultation today by calling us at (425) 842-7801 or using the contact form. Patients from Bellevue, Kirkland, and throughout the Seattle metro area are welcome to have a free consultation.
Modern breast implants are designed to last for a lifetime. Most patients enjoy their results for 10 to 20 years before considering replacement. Routine monitoring through regular checkups helps ensure implants remain in good condition. The subfascial pocket provides stable support that may contribute to longer implant positioning.
Yes, subfascial placement works well in combination with a breast lift for patients who need both volume restoration and correction of sagging. This combination addresses multiple concerns in a single procedure. Your surgeon will evaluate your tissue quality, nipple position, and aesthetic goals to determine if combining these procedures is appropriate for your situation.
Most patients can resume light walking within the first few days after surgery. Lower-body workouts may be possible after three to four weeks, while upper-body exercises typically require clearance at the six-week mark. Athletes should discuss their specific training regimen during consultation to receive personalized guidance on returning to full activity safely.
Yes, because the implant is covered by the fascia and not distorted by muscle movement, patients often experience softer and more natural upper breasts. The fascial layer helps create a smooth envelope around the implant while allowing natural mobility during daily activities.