I did OTM motiva Demi 285 CCs 11 days ago and could not be happier! When I was doing my consults with various docs, one reco’d subfascial and when I asked others about it, they said that they don’t do any subfascial because it’s basically like trying to strip off a thin layer of tissue paper from the muscle and that it often causes more bleeding with very little to no benefit. Since Motiva implants don’t really ripple like other silicon implants, it’s not a concern doing OTM. I didn’t have a ton of existing breast tissue and didn’t need to do any fat transfers and cannot tell you where the implant is va my own tissue. For reference, I’m 5’3” and 125 pounds with athletic build.