Subfascial plane pocket is the state of the art and best placement to perform breast augmentation and implants insertion, either from a technical point of view regarding safety, the medical side for the patient's future options and the aesthetic outcomes; the fascia is a thin fibrous shell that covers the pectoralis muscle which is lifted up to be used as wrapping structure for the breast implants.
Its main advantages are the lesser aggressiveness and invasiveness, no one or little bruising and hematoma, no blood loss, shorter surgical time, earlier hospital discharge as day case, lower hospital fees, no need to use suction drain tubes, comfortable postoperative period, very low level of postoperative pain, very low and lower compared to other techniques rate of postoperative complications like bleeding, infection, capsular contracture, animation flex deformity, etc, achieving impressively close and full intermammary cleavages, allowing virtually unlimited size increases and many others making this place of placement the first choice of indication for breast implants surgery of any kind and a highly recommended one in revision mammoplasties.
As only disadvantage it might be the lack of suitable training by most surgeons since older techniques are more widely spread, even though the subfascial one is not a recent one since is exists since early 2000s.
Pregnancy, breast feeding, mammograms, ultrasound, breast examination and biopsies are perfectly compatible with this technique and equally efficient; it is compatible with augmentation mammoplasties, breast lift mastopexies, reduction mammoplasties, the tuberous mammoplasty, revision mammoplasties and reconstructive mammoplasties.
Aesthetic results of the augmentation mammoplasty will not depend on the technique for plane of placement, being equivalent between the different technical options, but on the surgeons skills and patients anatomy in first place, and secondarily from the model of implants chosen; however the technique for plane of placement may make likely or prevent a series of serious complications and cause either comfortable or suffering postoperative recovery of longer or shorter duration.