305-414-0934 Menu

The Cold Subfascial Breast Augmentation (“Scarless Breast Augmentation” or “Scarless Breast Lift”) procedure allows Miami patients with pendulous breasts and flatter, elongated breasts to achieve the looks of a lifted breast without a lifting scar.

Cold Subfascial Breast Augmentation procedure details

Unlike conventional techniques for breast augmentation, Cold Subfascial Breast Augmentation is placed above the muscle, but under the fascia. This technique will preserve muscle form and function, add fullness to the superior pole of the breast, perfect cleavage without the gap, and contour a shape that appears natural. Dr. Maercks takes a transaxillary approach (under the armpit incision), which requires more technical skill but leaves virtually no scarring. Conventional techniques for breast augmentation use electrocautery for dissection, but Dr. Maercks uses cold dissection. Electrocautery devices are universally used in breast surgery and burn the adjacent tissues, which causes local tissue death. Dr. Maercks’s Cold Subfascial technique ensures that the maximum amount of strong, supportive fascia is elevated while producing zero thermal damage.

The end result is a continuous supportive “brassiere” with a precise design for the most beautiful feminine form. In cases where the ideal nipple position is above the current nipple position, the main option would be a breast lift, but many patients prefer to avoid a lift scar. A scarless breast augmentation is possible by lowering the fold of the breast via Cold Subfascial Breast Augmentation, which will rotate the nipple upwards (also called “auto-rotation”). Auto-rotation will give the breast an automatic lift, leaving the patient with natural-looking and scarless breasts. There are several advantages to the Cold Subfascial Breast Augmentation, including a beautiful re-draping of breast tissue over the top of the implant, which results in a less noticeable implant and gives the breast a very natural appearance. In addition, the fascia acts as a support bra inside the breast, taking the load of the implant and protecting the breast tissues from the forces of gravity.


How much does Cold Subfascial Scarless Breast Augmentation in Miami cost?

The average cost is $15,000.

Who is a good candidate for Cold Subfascial Breast Augmentation?

Ideal candidates for a Cold Subfascial Breast Augmentation are patients who are bothered by the feeling of their sagging breasts due to loss of shape and volume but wish to avoid a lifting scar.

What is recovery like?

Patients should avoid lifting heavy objects and restrict arm movement for three days after the surgery. If the patient’s employer does not require any type of heavy lifting or bending, work can be resumed after three days.

Cold Subfascial Breast Augmentation incision techniques

An incision is made to place the implant and, while Dr. Maercks can give you an in-depth look at the different types of incisions, the final choice is ultimately in the hands of the patient. Dr. Maercks prefers to leave the breasts with a scarless appearance using a special transaxillary technique (i.e., through the armpit). Incision sites can include:


This is the preferred incision placement of most plastic surgeons when placing silicone gel implants. An incision is made directly below the inframammary fold, giving the surgeon easy access to the pectoral muscles. However, the scar is very obvious when nude, and can often be seen riding below some bikini tops.


This incision is made around the border of the areola. Patients often choose this option because there’s less scarring and the breasts can be lifted at the same time implants are placed. Dr. Maercks tends to avoid this approach unless a lift is necessary.


An incision is made in the armpit to access the breast, and the implant is then placed in the breast area through the armpit. There is virtually no scarring with this type of incision, although it requires more technical skill from your surgeon. Dr. Maercks generally performs all primary breast augmentations through this approach because it leaves a scarless appearance of the breasts, and the axillary scar generally fades to resemble a natural crease.


A small incision is made in the belly button, and the implant is worked up the navel toward the breast, producing a virtually scarless implant. This option is less safe and very unpredictable. This is because it’s not possible to precisely control the plane of the implant. In addition, silicone implants cannot be placed in this manner. Dr. Maercks generally advises avoiding this technique.

Why choose Dr. Rian Maercks for breast surgery?

Dr. Rian Maercks is a board-certified plastic surgeon who not only elevates the standard of patient care and safety with every procedure he performs, but has also made a name for himself with his innovative and progressive breast techniques. His approach to both surgical and non-surgical procedures of the face and body have earned international recognition by both surgeons and patients alike, and his undergraduate training in fine arts and philosophy created the framework through which he explores the world of medicine and plastic surgery. As the expert who will formulate the right treatment plan for your goals, Dr. Maercks uses his attention to detail, artistic vision, and experienced judgement to design a procedure that leverages your unique beauty in a manner that is anything but cookie-cutter. If you're in Miami and interested in a scarless breast augmentation, reach out to us today and discover why Dr. Maercks has changed the lives of thousands of patients over the years. 

The Maercks Institute

© The Maercks Institute. All Rights Reserved.

Privacy Policy

Contact Us