By Dr. Michael Spann, MD - Board-Certified Plastic Surgeon serving Fayetteville, Bentonville, Rogers, and Northwest Arkansas
If you're considering breast augmentation in Northwest Arkansas, you've likely heard about different implant placement options. Recent groundbreaking research published in Aesthetic Surgery Journal has confirmed what many of us leading plastic surgeons already knew: subfascial breast augmentation offers significant advantages over traditional subpectoral (under-the-muscle) placement.
At my Fayetteville practice, I routinely go subfascial during breast augmentation. Primarily due to the advanced Motiva implants - a combination that delivers superior outcomes with lower complication rates for qualifying patients.
What is Subfascial Breast Augmentation?
Subfascial breast augmentation places the implant beneath the pectoralis major fascia - a distinct, strong layer of tissue covering the chest muscle - rather than underneath the muscle itself. This technique:
Subfascial vs. Subpectoral Results
A comprehensive 2025 study comparing 193 patients (386 breasts) found compelling evidence for subfascial placement advantages:
Dramatically Lower Capsular Contracture Rates
Capsular contracture remains the leading cause of breast augmentation revision surgery. By choosing subfascial placement, you significantly reduce this risk.
Reduced Lateral Implant Malposition
Lateral malposition causes asymmetry and often requires corrective surgery. The subfascial plane's superior anatomic support dramatically minimizes this frustrating complication.
Elimination of Double Bubble Deformity
The double bubble deformity - where an unnatural fold appears below the implant - is notoriously difficult to correct and often requires multiple revision surgeries.
Equivalent Safety Profile
Why Motiva Implants Excel in Subfascial Placement
At my Fayetteville practice, I've observed exceptional results combining subfascial technique with Motiva breast implants for several key reasons:
Advanced Surface Technology
Motiva's proprietary SmoothSilk®/VelvetSurface® technology features a unique nano-textured surface that:
Lower Documented Capsular Contracture Rates
Clinical studies of Motiva implants have demonstrated capsular contracture rates as low as 0.5-1% - even lower than the already excellent subfascial results in the recent comparative study. When you combine:
You create the optimal environment for long-term breast augmentation success.
TrueMonobloc® Design
Motiva's seamless, single-piece shell construction enhances implant strength and reduces the theoretical risk of gel migration, making them ideal for the subfascial plane where the implant has direct contact with breast tissue.
Who Is a Candidate for Subfascial Breast Augmentation?
While subfascial placement offers numerous advantages, it's not right for everyone. Ideal candidates typically have:
For patients with minimal upper pole tissue, I may recommend:
The Subfascial Advantage for Active Women in Northwest Arkansas
If you lead an active lifestyle in the Fayetteville area - whether hiking the Ozark trails, practicing yoga, rock climbing, or strength training - subfascial breast augmentation offers particular benefits:
Preserved Muscle Function
Research has documented that subpectoral placement can reduce pectoralis major strength by 10-15%. By preserving the muscle's anatomic position and attachments, subfascial augmentation:
Faster Recovery
Because the pectoralis muscle isn't disrupted, most subfascial patients experience:
What to Expect: The Subfascial Procedure
Comprehensive Pre-Operative Planning
Dr. Spann uses advanced measurement techniques and 3D imaging to:
Surgical Technique
The subfascial procedure involves:
Recovery Timeline
Addressing Common Concerns
"Will subfascial placement look natural?"
Yes! The subfascial plane actually provides more natural-looking results by:
"What about implant rippling?"
With adequate soft tissue coverage and modern Motiva implants, rippling risk is minimal. Dr. Spann carefully assesses your tissue quality during consultation to ensure you're a good candidate.
"How long do results last?"
While breast implants aren't lifetime devices, the subfascial plane's superior stability and lower complication rates suggest longer-lasting, more predictable results. The dramatically lower capsular contracture and malposition rates mean fewer patients require revision surgery.
Why Choose Dr. Michael Spann for Subfascial Breast Augmentation?
Advanced Training and Expertise
Dr. Spann stays at the forefront of breast augmentation techniques, offering Northwest Arkansas patients access to the most advanced surgical approaches available.
Focus on Natural Results
Our philosophy emphasizes beautiful, natural-looking outcomes that enhance your proportions while maintaining your unique aesthetic.
Cutting-Edge Technology
We utilize the latest implant technology, including Motiva implants with their proven safety record and advanced features.
Personalized Care
Every patient receives an individualized surgical plan based on their anatomy, goals, and lifestyle.
Comprehensive Follow-Up
Dr. Spann and his team provide thorough post-operative care to ensure optimal healing and results.
The Science Behind Superior Results
The recent comparative study provides clear explanations for subfascial advantages:
Capsular Contracture Prevention
The pectoralis fascia creates a complete anatomic barrier between the implant and breast tissue bacteria - more protective than the partial barrier of released pectoralis muscle in dual-plane techniques. This biological mechanism explains the significantly lower contracture rates.
Enhanced Implant Stability
The subfascial plane preserves Cooper's ligaments to the chest wall, creating a natural "internal bra" that:
Reduced Double Bubble Risk
By avoiding muscle release and maintaining natural tissue planes, subfascial placement eliminates several factors that contribute to double bubble formation in traditional dual-plane augmentation.
Important Considerations
Implant Volume and Complication Risk
Research shows that implant volumes exceeding approximately 330cc carry higher malposition risk regardless of placement plane. I carefully consider these findings when recommending implant size, balancing your aesthetic goals with long-term outcome optimization.
Not a Universal Solution
While subfascial placement offers numerous advantages, I maintains expertise in all augmentation techniques. For patients with insufficient soft tissue coverage, traditional subpectoral placement may still be recommended.
Frequently Asked Questions
Q: Does insurance cover breast augmentation?A: Cosmetic breast augmentation is typically not covered by insurance. However, reconstructive procedures may qualify for coverage. We can discuss financing options during your consultation.
Q: How do I know if I have enough tissue for subfascial placement?A: Dr. Spann performs comprehensive measurements during your consultation, including pinch tests to assess upper pole soft tissue thickness. We'll determine the best approach for your anatomy.
Q: Can subfascial placement be combined with a breast lift?A: Yes! Subfascial augmentation can be successfully combined with mastopexy procedures when appropriate.
Q: What's the difference between subfascial and subglandular?A: Subfascial placement is beneath the pectoralis fascia but above the muscle, while subglandular placement is directly behind the breast gland with no fascial coverage. The fascia provides additional soft tissue coverage and support.
Q: Are Motiva implants FDA approved?A: Motiva implants are approved in over 80 countries and are available in the United States. Dr. Spann can discuss the regulatory status and clinical evidence during your consultation.
Q: How long until I can exercise after subfascial augmentation?A: Most patients can resume lower body exercise within 1-2 weeks and gradually return to full upper body training by 4-6 weeks - typically faster than with subpectoral placement.
Q. How much does subfascial breast augmentation with Motiva cost?A. Approximately $7,000 which includes all fees: OR, anesthesia, implant.
Schedule Your Consultation in Fayetteville, Arkansas
If you're considering breast augmentation in Northwest Arkansas, schedule a consultation with Dr. Michael Spann to learn whether subfascial placement with Motiva implants is right for you. During your visit, we'll:
Contact Dr. Michael Spann's office today:
📍 Location: 3733 N. Business Dr., Fayetteville, Arkansas 📞 Phone:501 219-8000 💻 Website: spannmd.com
Serving patients throughout Northwest Arkansas, including Fayetteville, Bentonville, Rogers, Springdale, and surrounding communities.
References and Further Reading
Disclaimer: This blog post is for educational purposes only and does not constitute medical advice. Individual results may vary. All surgical procedures carry risks. Please schedule a consultation with Dr. Spann to discuss your specific situation and determine the best treatment approach for your needs.
Dr. Michael Spann is a board-certified plastic surgeon providing expert cosmetic surgery services to patients throughout Northwest Arkansas.
