If you’ve ever felt like breast augmentation results looked too artificial, or worried that implants might shift or sag over time, you’re not alone. Many women want a way to enhance their breast shape and volume without losing a natural look and feel. That’s where subfascial breast augmentation with internal bra support can make a real difference. At our Atlanta practice, this technique creates a balanced, stable shape using both your body’s natural structure and long-lasting support. It’s about working with, not against, your natural breast tissue and chest muscle, using the fascia and a soft internal mesh to keep the implants exactly where they should be. This method helps create smooth, shapely results that feel secure and look like you.
Confident Shape, Built-In Support
Subfascial breast augmentation places the implant under the fascia, the strong connective tissue layer that sits above your pectoral muscle but below the breast tissue. Adding an internal bra means we reinforce the breast pocket with a supportive mesh that helps hold the implant in place over time. Think of it like giving your breast implants extra structure to keep everything feeling secure and looking uplifted.
Instead of going fully under the muscle (subpectoral) or staying above the muscle (subglandular), the subfascial approach lets the fascia do the work. That fascia layer hugs the implant gently, so you avoid excess pressure from the muscle. Then the internal bra gives more lift and prevents sagging, especially helpful with heavier silicone gel implants or gummy bear options.
See If You’re a Good Fit
This technique blends feel, support, and shape in one simple procedure. It’s especially good if you're looking for a long-term option that feels natural. Here’s what many breast augmentation patients notice after the procedure:
Targeted Breast Solutions
Most women looking for breast enlargement, especially those with little existing breast tissue, find this a solid option. If you're considering saline and silicone implants, this technique works with your anatomy instead of against it. Ideal candidates are:
If you have existing scar tissue from previous breast surgery or breast implant illness concerns, your consultation will help determine if this approach fits. This method also works well for patients undergoing implant exchange or revision procedures.
What to Expect Early On
Subfascial breast augmentation addresses a wide range of cosmetic and structural concerns:
Planning With Purpose
During your first visit, we’ll:
Before your breast augmentation starts, you'll need to:
Building Your New Shape
This is an outpatient procedure done under general anesthesia and typically lasts 1 to 2 hours. Here’s what happens:
Healing at Home
Recovery is often smoother than with full muscle placement. Most patients are back to light activities within a few days. Here's what to expect:
Your Final Shape Timeline
You’ll notice changes right away, but swelling may hide the final breast augmentation results for a few weeks. Results generally settle by 3 to 6 months. Many women love how natural their breasts look and feel. Subfascial placement gives a fuller yet soft appearance, with long-lasting support thanks to the internal bra. Whether you’re receiving breast implants for the first time or upgrading from older implants, results are designed to last.
Supporting Your Shape
To protect and extend your results:
Holistic, Honest Care
Dr. Santosa is a board-certified plastic surgeon known for combining surgical expertise with personalized care. Her approach centers on realistic expectations, aesthetic goals, and honoring each patient’s natural anatomy.
She completed her medical training at Washington University School of Medicine and her surgical residency at the University of Michigan, followed by advanced aesthetic fellowship training. She further refined her technique in subfascial breast augmentation by attending a specialized course led by Dr. Ruth Graff, the pioneering expert who first described this approach.
At Evelina Plastic Surgery & Aesthetics in Atlanta, breast augmentation patients trust her for high-quality outcomes, honest guidance, and support that continues long after surgery day.
What’s Included
Every breast augmentation procedure is customized to your needs. Costs vary based on implant type, whether a lift or fat grafting is added, and the mesh material used. Typical pricing includes:
During your consultation, you’ll get a full quote with no hidden costs. Our team is happy to discuss payment plans and cosmetic surgery financing.
Let’s Start the Conversation
Want to learn more about your breast implant options? Thinking about silicone gel, saline implants, or gummy bear choices? We’re here to guide you through your breast augmentation surgery with honest answers and surgical expertise. Call our Atlanta office at (404) 902-2485 or book your consultation online today.
Most patients describe it as mild pressure and soreness, much easier than submuscular recovery.
Yes, especially when performed by a board-certified plastic surgeon using FDA-approved implants and internal bra materials.
Implants can last 10–20 years or more, but most patients choose implant exchange at some point due to aging, lifestyle, or aesthetic goals.
Yes—a supportive bra helps your body heal and keeps your implants in the right position.
No. There is no link between this technique and breast cancer. We'll also review breast implant illness and other rare risks with you in person.
Yes. Many women add a breast lift, fat grafting, or body contouring to match their full aesthetic goals.
Breast implant illness is a rare but real concern. Symptoms are non-specific and vary, and more research is ongoing. During your consult, we can discuss your concerns and choose implant types that feel safe and right for you.
If you're receiving breast implants now but may want implant exchange or revision down the line, this technique allows easy future adjustments without excessive scar tissue.
Discuss your personalized treatment with Dr. Santosa today
Dr. Santosa delivers a well-rounded treatment experience through combined science, compassion, and experience. Begin your journey with trusted board-certified Atlanta plastic surgeon Dr. Katherine B. Santosa in Sandy Springs, and rest assured that you have selected your best path to exquisite results.
At Evelina Plastic Surgery and Aesthetics, we are proud to be a women-owned practice committed to delivering exceptional care and outstanding results. Our dedication to excellence ensures that we stand out as a trusted choice for premier plastic surgery and aesthetic services in the Atlanta-metro area.