I am Asian and have been told that Asian skin could scar more from breast implants. Is this true, and is there any way to prevent bad scars? I am interested in getting the silicone gel implants under the breast fold.
How to Prevent Bad Breast Augmentation Scar in Asians?
Doctor Answers (17)
Breast augmentation and scarring
The scar under the breast, in any race, typically heals very well following breast augmentation. I have yet to see any hypertrophic scarring in Asians in this location. After your surgery, you can apply a scar gel or cream such as ScarFade or ScarGuard. If you sunbathe, be sure to use sunscreen on the scar to prevent hyperpigmentation. Good luck, /nsn.
Asian scar management following a breast augmentation
Every person heals differently and will improve over the next 3 to 6 months. If your scars have widened then you may want to consider a scar revision. Some patients require up to one year to fully mature. A nice scar starts in the operation room. The incision must be placed in the right position, sutured keeping the tension off of the skin itself. Also it has been show that keeping the incision taped for the first three weeks keeps some of the early tension off of the scar. Then from the end of the third week to the end of the third month it helps to use a topical product with silicone.
Incision Line for Asian Breast Augmentation?
Thank you for the question.
Generally, I prefer the infraareolar incision for Asian breast augmentation patients. I have found that this incision line tends to blend in as much as possible with the areola pigmented skin.
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Best breast incision in Asians
Choosing the best incision for breast augmentation
There are basically four choices of incision for placing breast implants - Inframammary, per-areaolar, transaxillary and trans-umbilical. Choosing the incision for placement of the implants which is best in any given situation can be affected by many factors – these can be broken down into patient specific factors and surgeon specific factors.
Patient specific factors include ethnicity and tendency for poor scarring (some ethnic groups have a propensity for hypertophic or even keloid scarring), pre-existing anatomy (e.g. Is a given patient’s areolae large enough for placement of a pre-filled silicone implant?) Given the propensity for hyperpigmenting and hypertrophic scars in Asian patients, I often lean towards the peri-arealoar incision if I think the implant (I use mostly silicone) can fit through the incision.
Surgeon specific factors tend to include the biases and experience of the surgeon, which should not be discounted or taken lightly.
My personal experience after over 3000 breast augmentation is that inframammary and peri-areolar incision give the most control over the breast implant pocket and that transaxillary and trans-umbilical incision have a higher revision rate.
Scarring after Breast Augmentation
I am glad you have decided to have the incision under your breast fold. I have performed hundreds of breast augmentation and the risk of developing a thick and noticeable scar is almost zero. This is true regardless of race. I have patients who are Vietnamese, Chinese, African-American, Hispanic, white, etc.
However, if you are one of the rare patients who develops a noticeable scar, the incision under the breast fold is not visible unless your breast is lifted. That is why I also prefer this incision.
Axillary approach for breast augmentation
The armpit has several natural folds which minimize scarring. We have been using the technique in both patients choosing saline implants and silicone implants. The key to the success of the technique is using the endoscope to guide the dissection of the pocket in order to create the shape and size the patient desires. 98% of our primary augmentations are done through this approach. It has been very successful in our Asian, Latino, and African-American patients.
Scars in pigmented races
You ware at increased risk for bad scars (hyperpigmentation, keloids, etc.). There is no way to absolutely guarantee a good result, even with meticulous closure of the wounds. Healing should be monitored and measures can be taken as needed during healing.
Breast augmentation scar inside the areola in Asians.
Most Asians heal fine after breast augmentation. In patients with other thick scars, or who are very worried, the scars can be placed inside the areolas, because sexual skin heals with much less noticeable scarring.
Scars in Asian patients can be a bit darker for a time...
It is true that patients of Asian descent are more prone to darkening of their scars than caucasian people, regardless of their location.
The peri-areolar scar has the advantage of (hopefully) being hidden in the border of your areola...
The fold incision has the advantage of being under your breast (hidden by your breast)...
I would think of it this way- if you developed a dark scar after surgery, in which location would it bother you the most?
In either case, know that with proper management, post-inflammatory pigmentation can be successfully improved over time with bleaching creams.
Web reference: http://www.DrArmandoSoto.com
Breast augmentation in Asian patients, best to hide the scar
Scar appearance can vary between all individuals, though for Asian patients considering breast augmentation there is a greater risk of a thickened scar along the breast fold, or one that is darker or hyperpigmented. It may be best to keep the scar off the breast altogether. Consider an under the arm approach to keep the scar hidden, and to reduce the risk of a thick and pigmented scar. This location is rarely hypertrophic, and does not heal with a keloid type scar. Also, to keep the scar short, consider a sailine implant, which will fit in through a very small incision, smaller than a silicone gel implant.
Best of luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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