Subfascial Breast Augmentation in San Diego & La Jolla
Dr. Moneer Jaibaji, a double board-certified plastic surgeon in San Diego, offers subfascial breast augmentation — a specialized technique that places breast implants beneath the fascia (a thin layer of connective tissue) but above the chest muscle. This advanced approach combines the benefits of both subglandular and submuscular placement to deliver natural-looking, long-lasting results with reduced discomfort and downtime.
Board Certified Plastic Surgeon
Since opening his Coronado cosmetic surgery office doors in 2006, Dr. Jaibaji has maintained his vision of unparalleled patient care with high quality aesthetic and reconstructive results by personally supervising every aspect of the cosmetic surgery experience.
Benefits of Subfascial Implant Placement
Subfascial breast augmentation offers several distinct advantages for the right candidate:
- Natural implant appearance and feel
- Improved support for the implant compared to subglandular placement
- Reduced risk of animation deformity, where implants move unnaturally during chest muscle flexing
- Quicker recovery and less post-operative discomfort than traditional submuscular augmentation
- Minimal disruption to chest muscles, preserving strength and function
The fascia acts as an internal support layer that helps stabilize the implant and reduce visibility or rippling, particularly in leaner patients.
Ideal Candidates for Subfascial Breast Augmentation
The best candidates for this technique:
- Are in good overall health
- Seek natural-looking breast enhancement
- Have adequate soft tissue coverage (moderate breast volume or fat layer)
- Prefer to avoid muscle manipulation or extensive recovery
- Do not participate in high-level chest muscle training where implant movement might be noticeable
During a consultation, Dr. Jaibaji evaluates the chest anatomy, skin quality, and aesthetic goals to determine if subfascial placement is the best option.
Subfascial vs. Subglandular and Submuscular Placement
Compared to subglandular placement (over the muscle), subfascial augmentation offers improved support and a lower risk of implant visibility. In contrast to submuscular augmentation, subfascial placement avoids movement-related issues and often leads to faster healing.
While submuscular implants are still appropriate for some patients, the subfascial approach is gaining popularity for its balanced combination of support, aesthetics, and recovery benefits.
What to Expect During the Procedure
Subfascial breast augmentation is performed under general anesthesia at an accredited surgical facility. Dr. Jaibaji creates a small incision (typically in the inframammary fold) and carefully inserts the implant beneath the fascia layer of the chest muscle. The incision is then closed with precision to minimize scarring. The procedure generally takes about one to two hours.
With this method, you may choose your preferred implant type, size, and profile during a detailed preoperative consultation.
Subfascial Breast Augmentation Recovery and Results
Recovery after subfascial breast augmentation is typically faster and more comfortable than submuscular procedures. You can usually return to light activities within a few days and resume normal routines within a couple weeks. Swelling and mild bruising are expected but temporary.
Final results become more visible as the swelling subsides, at which point you can enjoy natural contour, fullness, and improved balance to your upper body. Scars are usually well-concealed and fade over time with proper care.
Why Choose Dr. Moneer Jaibaji?
With over two decades of surgical experience, Dr. Jaibaji is known for his attention to detail and commitment to personalized results. He has performed hundreds of successful breast augmentations using various techniques, including subfascial placement, to meet each patient’s individual goals.
To find out if subfascial breast augmentation is right for you, contact Jaibaji Plastic Surgery in the San Diego area at (619) 522-0821.
Before & After
View Our GalleryCase Studies
Gender: Female Age: 42 Pre-op Cup Size: 32-A Post-op Cup Size: 32-D Implants used: Mentor silicone ultra high profile implants; 375 cc. This a 42 year old patient who was interested in breast enhancement. She had breast asymmetry which was addressed during the consultation. She elected to have breast augmentation with silicone implants. The surgery was performed under general anesthesia, provided by a board certified anesthesiologist. The implants were placed under the pectoral muscle. The incision that was used was placed in the lower aspect of the areola. The after photos shown are two months after the surgery. Her cup size went from 32-A to 32-D.
Implants: Silicone ultra high profile, gummy bear, left 400 cc and right 430 cc. This is a patient from san Diego who was interested in breast enhancement. She had breast asymmetry. She was interested in silicone breast implants. After consultation with Dr. Jaibaji, Board Certified Plastic Surgeon, it was decided to place ultra high profile, gummy bear, implants under the muscle. The left breast implant was 400 cc implant and the right breast implant was 430 cc. The implants were placed through an areolar incision. She also had tummy tuck done and umbilical hernia repair (mommy makeover). She was pleased with the results.
22 year old Female Height: 5″ Weight: 105 lbs Implants: smooth, round, ultra high profile. Left 350 cc and right 320 cc. This is a 22 year old patient from San Diego. She was interested in breast enhancement. She had breast asymmetry. She had a consultation with Dr. Jaibaji, Board certified plastic surgeon, at his San Diego office. During the consultation her hopes and desired shape were addressed. She underwent breast augmentation with smooth, round, ultra high profile implants. The left breast implant was 350 cc and the right breast implant was 320 cc.
Gender: Female Age: 22 Height: 5′ 6″ Weight: 120 lbs Pre-Op Cup Size: 34A Post-Op Cup Size: Full C Months Post-Op: 3 Procedure Type: Breast Augmentation San Diego. Implant Placement: Sub muscular Incision Site: Peri areolar Implant Type: Silicone Gel Implant, Implant Profile: High Profile Implant Shape: Rounded, Implant Surface: Smooth Left Implant Size: 350cc Right Implant Size: 350cc
Gender: Female Age: 26 Height: 5′ 6″ Weight: 135 lbs Pre-Op Cup Size: 34C Post-Op Cup Size: DD Implant Placement: Sub muscular Incision Site: peri areolar Implant Type: Mentor Silicone Gel Implant Implant Profile: High Profile, Implant Shape: Rounded Left Implant Size: 450cc, Right Implant Size: 425cc
Gender: Female Age: 26 Height: 5′ 6″ Weight: 135 lbs Pre-Op Cup Size: 34C Post-Op Cup Size: DD Implant Placement: Sub muscular Incision Site: peri areolar Implant Type: Mentor Silicone Gel Implant Implant Profile: High Profile, Implant Shape: Rounded Left Implant Size: 450cc, Right Implant Size: 425cc
Gender: Female Procedure Type: Breast Augmentation Implant Placement: Sub muscular Incision Site: Peri areolar Implant Type: Silicone Gel Implant Implant Style: High Profile, Rounded, Smooth Left Implant Size: 350cc Right Implant Size: 350cc This patient has mild breast asymmetry. She had breast augmentation with silicone implants 350 cc. The implants were placed under the muscle.
Age: 46 yrs, Ht:5.2 Wt: 140 Implant: silicone HP 350 Implant placement: sub-pectoral ( under the muscle)