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How to Prevent Bad Breast Augmentation Scar in Asians?

asked 2 years ago by julie35 in denver
Latest answer by Tom J. Pousti, MD
Question viewed 2,344 times
Tags: breasts, female, Asian, scar

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.

16 answers to How to Prevent Bad Breast Augmentation Scar in Asians?

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.

Nina S. Naidu, MD
New York Plastic Surgeon

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. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

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... more

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

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... more

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

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.

Marc Schneider, MD
Fort Myers Plastic Surgeon

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.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Breast augmentation scar inside the areola in Asians.

Hi. 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.

George J. Beraka, MD
Manhattan Plastic Surgeon

Scars in Asian patients can be a bit darker for a time...

Hi there- 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 ma more

Armando Soto, MD
Orlando Plastic Surgeon

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... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Preventing Ugly Breast Augmentation Scar in Asians (Type V Skin)

I agree with Drs. Placik and Rand. Despite the best surgical techniques the likelihood of vigorous (hypertrophic) scarring and Darker (post-inflammatory Hyperpigmentation) is greater in Asian skin REGARDLESS of where the scar is placed. My preference remains the periareolar incision. But, if the areolas are too small to allow placement of gel implants, I would then suggest the under the breast (infra-mammary) access incision.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast augmentation scars in Asian patients

You can certainly use the crease but you will have a darker scar than someone of fairskinned background. I prefer to use the areolar border in Asian patients if they have enough areolar diameter. Otherwise I go in the crease and tell them they will have a darker scar. They do fine with that. Patients want the truth and no surprises.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Minimizing breast implant augmentation or enlargement scars in Asians

Unfortunately, genetic tendencies result in Asians having a reportedly sixfold greater tendency to develop keloid scars when compared to caucasians. Despite the best of techniques, prevention may be impossible. Use of an immediate intra-areolar scar can dramatically reduce this tendency but there may be other reasons why surgeons prefer the use of a fold scar when placing silicone implants due to concerns with biofilm formation as well as limited size of the areola

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast Augmentation scarring

Generally speaking as the skin tone gets darker the propensity for more pronounced scarring increases. This is a generalization as the majority of people heal very well. Surgical technique and tissue handling are also very important. Post operatively I find silicone sheeting is the only product which works consistently to minimize the occurrence of raised scars. All this being said, I anticipate and excellent result for you. All the best.

Robert W. Kessler, MD
Orange County Plastic Surgeon

Scarring in Asian Patients

One of the more challenging skin types in my practice are my Vietnamese patients who have pearly white skin, but may heal with a darkened scar. A gel implant will of course require a longer incision and you will want to keep that in mind. Scars under the breast are typcally not visible except when you lie down, and for this reason I prefer them. Although I am not a big fan of the armpit incision, about the only time I will offer it is in patients who I feel have a tendency to make a thick... more

John LoMonaco, MD
Houston Plastic Surgeon

Scars from Breast Implants

It is hard to predict how an individual will heal from surgery. The best way to tell is looking at other scars you have from previous surgery or accidents. In the absence of this information, you just have to count on your body healing well. Avoiding smoking and having a balanced diet are factors which can help you heal better. There are also products which you can use post operatively to help the healing process. Good luck.