Stretch marks are essentially a tear in the skin. You can get stretch marks from breast implants when you are young with thicker skin, and the skin needs to stretch quickly to accomodate a new implant. This is NOT common, but is a risk. If you got stretch marks on your thighs when growing, or have bad stretch marks from a pregnancy, those are indicators you might be at higher risk. And yes, size is a factor. The bigger you go with your breast implants, the more you stretch your skin.
In general women who have had babies and breastfed, have essentially "pre-stretched" their skin already. I find the occurence of new stretch marks for these patients is less.
How to prevent stretch marks? You can't totally prevent them. There is a recent study showing some women are more likely to get stretch marks because of a genetic predisposition (because of their dermal fibroblasts).
I do believe in hydration and massaging of the breasts. Studies are unclear if there is a specific lotion which is better. Start massaging the skin before your surgery date, and continue after for about a month.
There is a lot of buzz about nutrition: Vitamin C, Vitamin A, Zinc, avoiding caffeine. I don't know of any studies which support this, but it likely won't hurt.
I hope this helps!



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