Secure, Smooth, Seamless

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 With Internal Bra at Evelina Plastic Surgery & Aesthetics

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.

Subfascial Breast Augmentation with Internal Bra Atlanta

See If You’re a Good Fit

Benefits of Subfascial Breast Augmentation With Internal Bra

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:

Increased Breast Volume With Minimal Implant Visibility
The implant sits securely beneath the fascia and natural breast tissue, giving a smooth contour with less chance of visible rippling.
Less Risk of Implant Movement or Bottoming Out Thanks to the Internal Bra
The mesh supports the implant pocket, keeping it stable and reducing the risk of shifting over time.
Better Support for Heavier Silicone Implants
The internal bra gives added lift and helps balance the weight.
Smoother Profile Under Natural Breast Tissue, With Less Rippling
The fascia layer creates a barrier that helps prevent the "wrinkling" some women experience, especially with saline breast implants or thinner skin.
Shorter Recovery Than Subpectoral Placement—Less Muscle Pain
Since we’re not cutting into the chest muscle, recovery is usually easier and faster, with less tightness and less disruption to daily life.
Lower Chance of Capsular Contracture and Sagging Breasts Over Time
This method reduces stress on the tissue and lowers some of the risks associated with breast augmentation surgery.

Targeted Breast Solutions

Am I a Candidate for Subfascial Breast Augmentation With Internal Bra?

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:

In good overall health with no uncontrolled medical issues
Non-smokers or willing to stop smoking prior to surgery
Looking for a breast augmentation procedure with either saline or silicone gel implants
Wanting to improve shape, size, or support while minimizing risk of implant displacement
Interested in a more natural breast shape using round or shaped implants
Ready for realistic expectations and a smooth recovery

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

What Aesthetic Issues Does Subfascial Breast Augmentation With Internal Bra Address?

Subfascial breast augmentation addresses a wide range of cosmetic and structural concerns:

Sagging Breasts – The internal bra reinforces the implant pocket and gives long-term lift without always needing a full breast lift.
Visible Rippling or Implant Edges – Especially for those with thinner skin or little existing breast tissue, fascia and mesh coverage minimize this.
Bottoming Out – A more stable implant pocket means fewer issues with implants sliding downward.
Asymmetry or Uneven Shape – Improves breast shape and positioning, especially when paired with fat transfer or implant size adjustment.
Loss of Breast Volume After Weight Loss or Pregnancy – Helps restore shape and firmness with only a modest increase in size, if desired.

Planning With Purpose

Consultation and Preparation

During your first visit, we’ll:

Discuss your aesthetic goals, lifestyle, and body type
Choose from breast implant options like saline implants, silicone implants, and cohesive silicone gel
Evaluate breast size, existing breast tissue, skin tone (including darker skin), and implant placement
Explore whether fat grafting, breast lift, or implant exchange should be combined
Go over incision location (like inframammary fold) and breast augmentation cost details

Before your breast augmentation starts, you'll need to:

Avoid smoking, aspirin, and certain supplements
Prep a recovery space with a supportive bra, soft clothes, and easy meals
Get lab tests or clearances if needed

Building Your New Shape

The Subfascial Breast Augmentation With Internal Bra Procedure

This is an outpatient procedure done under general anesthesia and typically lasts 1 to 2 hours. Here’s what happens:

A discreet incision is made, often in the inframammary fold or near the areola, depending on breast size and implant type.
We create a secure implant pocket under the fascia, protecting natural breast tissue and avoiding disruption to the chest muscle.
We insert breast implants carefully to reduce trauma and maintain symmetry—options include saline, silicone gel implants, and gummy bear implants.
A supportive internal mesh is placed, acting like an internal bra to stabilize the implant.
Incisions are closed with fine sutures, and you’re placed in a supportive bra before discharge.

Healing at Home

Subfascial Breast Augmentation With Internal Bra Recovery

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:

Wear a supportive bra at all times for at least 4–6 weeks
Avoid heavy lifting, pushing, or chest-focused workouts during this period
Mild soreness, swelling, and tightness are normal in the first 7–10 days
Sleep on your back to protect the breast pocket and implant placement
Follow all instructions for scar care to support natural healing, especially on darker skin

Your Final Shape Timeline

Subfascial Breast Augmentation With Internal Bra Results

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

Subfascial Breast Augmentation With Internal Bra Aftercare

To protect and extend your results:

Wear a high-quality supportive bra daily
Maintain a stable weight—dramatic weight loss or gain can affect results
Avoid sun exposure on scars to reduce pigmentation changes
Keep up with follow-ups to check for scar tissue formation or implant-related issues like capsular contracture
Be open to implant exchange or fat transfer in the future if your goals change

Holistic, Honest Care

Why Choose Dr. Santosa?

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

How Much Does Subfascial Breast Augmentation With Internal Bra Cost?

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:

Surgical and anesthesia fees
Facility costs and internal bra materials
Post-op care and follow-up visits

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

Schedule Your Atlanta Subfascial Breast Augmentation With Internal Bra Consultation at Evelina Plastic Surgery & Aesthetics Today

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.

Subfascial Breast Augmentation With Internal Bra Frequently Asked Questions

Is Subfascial Breast Augmentation With Internal Bra painful? What does it feel like?

Most patients describe it as mild pressure and soreness, much easier than submuscular recovery.

Is Subfascial Breast Augmentation With Internal Bra safe?

Yes, especially when performed by a board-certified plastic surgeon using FDA-approved implants and internal bra materials.

Is Subfascial Breast Augmentation With Internal Bra permanent? Will I need follow-up sessions?

Implants can last 10–20 years or more, but most patients choose implant exchange at some point due to aging, lifestyle, or aesthetic goals.

Will I have to wear support garments after Subfascial Breast Augmentation With Internal Bra?

Yes—a supportive bra helps your body heal and keeps your implants in the right position.

Will Subfascial Breast Augmentation With Internal Bra increase my risk of breast cancer or other complications?

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.

Can I combine Subfascial Breast Augmentation With Internal Bra with other cosmetic treatments?

Yes. Many women add a breast lift, fat grafting, or body contouring to match their full aesthetic goals.

What is breast implant illness, and should I worry?

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.

What if I need revision surgery later?

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.

YOUR BEST FUTURE Begins Here

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.

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Subfascial Breast Augmentation With Internal Bra in Atlanta, GA