25 Nov Subfascial Breast Augmentation: A Natural-Looking Alternative to Traditional Implant Placement

Breast augmentation techniques have evolved significantly over the past decade. Beyond choosing an implant size and shape, one of the most important decisions is where the implant is placed. Most people are familiar with “over the muscle” (subglandular) and “under the muscle” (submuscular) placement – but there is a third option that is gaining popularity for the right patient: subfascial breast augmentation.

At Forest Hill Plastic Surgery Clinic in Toronto, Dr. David Boudana performs subfascial placement for selected patients who want a natural appearance, soft contours and a stable long-term result. Patients from across Toronto, the GTA, Richmond Hill, Markham, Thornhill and North York choose this technique because it provides a balance between softness and support.

What is subfascial placement?

In this approach, the implant is placed beneath the pectoral fascia – a strong, thin, naturally existing tissue layer – but above the chest muscle. This fascia acts like a supportive sleeve, helping distribute weight and create a gently blended contour.

It is anatomically different from both older methods:

• not directly over the muscle (subglandular)
• not fully under the muscle (submuscular)

Instead, it is a middle option that uses natural anatomy as supportive reinforcement.

Benefits of subfascial augmentation

This technique can offer several advantages for the right candidate:

• more natural upper-pole transition
• reduced risk of animation deformity (breast movement during muscle flexing)
• supportive soft-tissue coverage without full muscle involvement
• potentially gentler recovery compared to full submuscular placement
• excellent stability for cohesive gel (gummy) implants
• predictable long-term contour for many breast shapes

It is especially well-suited to slim patients who want a natural result without visible implant edges – but who prefer to avoid full muscle elevation.

Precision matters

Subfascial augmentation is technique-sensitive. Dr. Boudana evaluates factors such as skin thickness, existing tissue volume, rib shape and aesthetic preferences when recommending this placement. Not every patient is a candidate – but for the right anatomy, results can be exceptionally elegant and harmonious.

The goal is always the same: natural beauty, proportion and confidence – achieved with surgical decision-making tailored to you.