Subfascial Breast Augmentation in Miami
Dr. Maercks’ COLD-SUBFASCIAL breast augmentation is a unique procedure that he developed after attaining diverse international experience and striving to provide the most beautiful, natural appearing and longest lasting breast augmentation for his patients. Dr. Maercks’ technique is unlike the most commonly used techniques in several ways. Usually breast implants are placed under the pectoralis major muscle using a technique commonly referred to as submuscular or ‘dual-plane.’ The implant is covered partially by the muscle and partially by just breast tissue and skin. There are several consequences including a tendency to ride in a high unnatural position, accelerated aging of the lower pole of the breasts tissue and skin and perhaps most unfortunate, a bizarre unaesthetic lateral movement of the implants with arm motion. Imagine being at the beach in a bikini and enthusiastically talking with hand motions, these movements inside the bikini can be disturbingly distracting!
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Dr. Maercks learned the merits of subfascial placement of breast implants from the internationally renowned Dr. Ruth Graf. By combining subfascial placement with a transaxillary approach the breast tissue is never entered and is left continuously supported by a very strong connective tissue layer called fascia. There are several advantages of this technique including a beautiful redraping of breast tissue over the top of the implant making the implant less noticeable, giving the breast a very natural appearance. Even better, the fascia acts like a support bra inside the breast, taking the load of the implant and protecting the breast tissues from the forces of gravity which can quickly age other techniques.
After recognizing the value of the pectoral fascia, Dr. Maercks sought out a technique to maximally support the integrity and power of this structure. He changed the procedure from one that used electrocautery for dissection to one using cold dissection. Electrocautery devices which are universally used in breast surgery such as augmentation burns the adjacent tissues and can cause local tissue death/necrosis. For this reason Dr. Maercks avoids electrocautery in his COLD-SUBFASCIAL technique. The entire dissection is completed using precise sharp dissection under direct visualization. What this means is that the maximal amount of strong supportive fascia is elevated while producing zero thermal damage! The end result, a continuous supportive brassiere with a precise design for the most beautiful feminine form.
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