Submuscular/subglandular/subfacia breast augmentation. What are the differences?

The fascia is a thin layer of connective tissue on the surface of the muscle; subfascial means lifting it off of the muscle so that it is between the implant and the breast. It is similar to subglandular but with this extra layer of support. It does not add much in the way of coverage however, and most patients benefit from the extra coverage provided by the muscle. The split muscle/subfascial technique is a compromise between these 2 methods. It places the upper part of the implant under the muscle, but leaves the lower part of the muscle behind the implant rather than detaching it as is done with the dual plane subpectoral method. This approach is advantageous for body builders and athletes because it gives coverage where it is needed but preserves muscle function and minimizes animation deformity.

Both Dr. Baxter & Dr. Seckel give very good explanations of the differences between techniques. Other things to consider are how much breast tissue you have, the position of your breasts on your chest (sagging), and the type and size of implant you are considering.

A woman with C cup breasts and some sagging who is planning on 350 cc gel implants may be OK with a subglandular technique. However, a woman with A cup breasts who wants 450 cc saline implants would be better off with submuscular implants.

An experienced plastic surgeon will select the technique best for each individual patient. But in some cases, there is no one "right answer". Consider asking each plastic surgeon why they recommend what they did and why not the other technique.