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Michael C. Fasching, M.D.

Board Certified Plastic Surgeon


Minneapolis Breast Augmentation Surgeon – Dr. Michael C. Fasching


Dr. Fasching is a highly experienced breast augmentation surgeon with a keen eye for artistic detail. Thanks to his expertise in breast implant surgery, he consistently provides stunning yet natural-looking results for his Minneapolis breast augmentation patients.

Why Women Seek Breast Augmentation

Dr. Fasching’s patients seek breast augmentation surgery for a variety of reasons. While many patients wish to enhance the overall size of their breasts, others pursue breast augmentation surgery as a way to achieve a more dramatic degree of cleavage throughout the upper breast region.

Some women wish to correct breast asymmetry. Still, others seek breast implant surgery for the subtle lift it provides throughout the breasts.

Saline or Silicone Implants?

During a consultation, Dr. Fasching evaluates each patient’s body type and frame and listens to her aesthetic concerns and goals for breast augmentation surgery before recommending a suitable treatment plan. Dr. Fasching will recommend the type of implants, implant placement approach and incision technique that will best satisfy the patient’s comprehensive needs.

There are two main types of breast implants available: saline and silicone. Each type of implants offers its own benefits and drawbacks. For instance, saline implants are filled with a sterile saltwater solution that the body can safely absorb in case the implant leaks or ruptures. They also require a smaller incision for placement, as they are filled after insertion. However, saline implants are generally not a suitable treatment option for women with little body fat or thin skin that cannot properly cover and support the implants, because the implants tend to be visible underneath the skin’s surface in these women.


The greatest advantage of silicone implants is that they look and feel more like natural breasts. They are less likely to fold or wrinkle within the implant pocket or be visible underneath the surface of the skin. Nonetheless, silicone implants require a slightly larger incision for placement, as they arrive prefilled from the manufacturer. Also, the body cannot absorb the silicone filling material, which tends to stay intact either within or close to the implant pocket if the implant leaks or ruptures. This makes it difficult to detect any problems with the implants, which is why the FDA recommends that patients with silicone implants undergo breast imaging exams, such as an MRI or mammogram, every three years. Finally, silicone implants cost slightly more than saline implants. However, many women find that the rewards of silicone implants are worth the slight premium.

In addition, the FDA recently approved highly cohesive, form-stable silicone implants for use in breast augmentation surgery. This newest-generation silicone implant is very unlikely to fold or ripple within the implant pocket, thanks to its less viscous silicone filling material. In fact, the filling material will stay intact, even when cut in half. These implants come in a wide variety of sizes and shapes, including anatomically correct shapes. They are often a good option for breast reconstruction patients.

Options for Implant Placement


Dr. Fasching can position the implant either under the chest muscle (subpectoral placement) or under the breast tissue but over the chest muscle (subglandular placement). Again, Dr. Fasching helps patients choose the most appropriate placement option to meet each individual’s anatomical needs and breast augmentation aesthetic goals. For example, subpectoral placement is typically the best option for women with lean body types who do not have a lot of breast fat and tissue to cover and support the implants well.

Breast Augmentation Incision Approaches

The Minneapolis breast augmentation specialist offers three choices of incision patterns for implant placement: transaxillary, inframammary and periareolar.

The transaxillary approach for breast augmentation involves inserting the implant through an incision made in the armpit area. Although the incision site is well concealed with this approach, it is most appropriate for the placement of saline implants, which are filled after they are inserted.

The inframammary approach involves making a horizontal incision beneath the natural breast crease. The advantage of this approach is that the patient is very unlikely to experience changes in nipple sensation following breast augmentation surgery. One possible drawback is that the incision site may be more noticeable than with the other approaches. That said, with proper care, the scar should fade so that it closely matches the color and texture of the surrounding skin, becoming nearly unnoticeable over time.


The periareolar incision pattern involves making an incision around the outer perimeter of the areola, the darker-colored skin surrounding the nipple. This approach offers a nearly imperceptible incision site, as it is concealed within the darkly pigmented areola skin. One potential disadvantage of this approach is that there is a small risk of temporary or permanent changes in nipple sensation, as well as difficulty breastfeeding, after breast augmentation surgery.

The Breast Augmentation Procedure

Breast augmentation surgery is performed on an outpatient basis, with the use of general anesthesia. Dr. Fasching makes the chosen incision pattern and then creates an implant pocket either over the chest muscle or under it, as mentioned above. He inserts the implant through the incision, carefully placing it in the tissue pocket. Once he is content with the breasts’ size, shape, and symmetry, he closes the incisions with stitches before dressing the treatment area in soft, fluffy bandages and a surgical bra over the top. The surgical bra helps minimize swelling and provides added support to the tissues while they heal. For these reasons, patients must keep the surgical bra in place for several weeks following breast augmentation surgery.

Recovering From Breast Augmentation


Dr. Fasching will work with the patient to establish a quick recovery protocol. Patients should arrange to take about one week off from work or their usual routine after breast augmentation surgery. Dr. Fasching will prescribe oral pain medication that will help relieve any discomfort during this time.

During the initial phase of recovery, patients should get their rest and avoid rigorous activity like lifting heavy objects and exercising. However, Dr. Fasching does encourage small amounts of movement, like lifting your arms above your head to help soften implant pockets, relieve muscle spasms, and speed recovery. During one of the follow-up appointments, Dr. Fasching will let patients know when it is safe to resume exercising.

Learn More About Breast Enhancement

breast-enhancementWomen who have undergone breast augmentation surgery with Dr. Fasching generally experience a dramatic improvement in their level of self-confidence and sense of femininity. Dr. Fasching is proud to help women improve both their outward appearance and their overall quality of life. To schedule a private consultation with Dr. Fasching to learn more about breast enhancement surgery, contact his practice by calling (763) 577-7500.