The Hunstad Center for Cosmetic Surgery, PA, 11208 Statesville Road, Huntersville, NC 28078, USA.
Aesthetic Plast Surg. 2010 Jun;34(3):365-73. doi: 10.1007/s00266-009-9466-1. Epub 2010 Jan 29.
Subfascial breast augmentation, first performed by Dr. Ruth Graf in 1998, places the implant above the pectoralis muscle but below the pectoralis fascia. Graf documented that this approach resulted in less capsular contracture than subglandular implant placement and a more natural shape while eliminating implant animation with arm movement. In addition, implant edge visibility was decreased compared with subglandular implantation in all but the extremely thin patient. Because of the described benefits and high patient satisfaction, the authors began to perform this technique in 2006.
This report presents a comprehensive review of the aforementioned technique by describing a large series of subfascial augmentations (inframammary, periareolar, and endoscopic transaxillary) as primary procedures, secondary procedures, and operations with concurrent use of mastopexy performed by a single surgeon using multiple approaches. A patient satisfaction questionnaire was used in addition to a detailed clinical assessment.
The results of this procedure were reproducible, controllable, and predictable. The study demonstrated a high degree of patient and surgeon satisfaction with few complications, a low rate of capsular contracture, no evidence of breast animation with arm movement, excellent lower pole coverage, and a brief recovery period.
Subfascial breast augmentation is a safe, effective procedure allowing for predictable results with excellent shape and longevity. For the properly selected patient, this approach provides the benefits of subglandular and submuscular placement without the disadvantages associated with each.
筋膜下乳房增大术由 Ruth Graf 医生于 1998 年首次实施，将植入物置于胸肌下方但胸肌筋膜上方。Graf 医生记录表明，与胸肌下植入物放置相比，这种方法导致包膜挛缩的可能性更小，形状更自然，同时消除了手臂运动时的植入物运动。此外，与胸肌下植入物相比，除了非常瘦的患者外，所有患者的植入物边缘可见度都降低。由于描述的益处和患者满意度高，作者于 2006 年开始采用这种技术。
本报告通过描述一位医生使用多种方法进行的大量筋膜下增大术（乳晕下、乳晕周围和经腋内镜）作为原发性手术、继发性手术和同时进行乳房提升术的手术，全面回顾了上述技术。除了详细的临床评估外，还使用了患者满意度问卷。
该手术的结果可重复、可控且可预测。研究表明，患者和医生对该手术非常满意，并发症少、包膜挛缩率低、手臂运动时无乳房运动迹象、下极覆盖良好、恢复期短。
筋膜下乳房增大术是一种安全、有效的手术，可以达到可预测的效果，同时具有极好的形状和持久效果。对于选择合适的患者，这种方法提供了胸肌下和胸肌内植入物的优点，而没有每种方法相关的缺点。
