Subfascial breast augmentation is a technique originally developed to reduce the risks of capsular contracture while decreasing the postoperative pain associated with subpectoral augmentation.

It was pioneered in Brazil by Dr. Graf and others, and recently this technique has gained interest in the aesthetic world.

The goal of this study was to provide a systematic analysis of subfascial breast augmentation to assess the combined reported rates of capsular contracture, animation deformity and complications.

The PubMed, Embase, and Web of Science databases were searched for the use of the subfascial plane for breast augmentation.

We included studies that reported on capsular contracture and other outcomes following subfascial breast augmentation.