What Causes Stretch Marks from Breast Augumentation and How Can It Be Avoided?

Although I am very happy with the size and shape of my implants, having gone from a small B to a normal C., I am too embarrased to to ever let them been seen. Is there anything that can be done to lessen the appearance of these blue veins?

Doctor Answers 28

Breast Augmentation Stretch Marks Can Often be Avoided

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Thank you for your question. Fortunately stretch marks are unusual following Breast Augmentation with Breast Implants- less than 2% of cases. To avoid them you need to be aware of the factors that cause stretch marks after Breast Implants;

  • An inherited tendency to form stretch marks
  • Too large Breast Implant
  • Breast Implant placed under Breast Gland
  • Having Breast Implants before you have had children
  • Vigorous Exercise or Weight lifting too soon after surgery
  • Breast Implant placed under Breast Gland

The most common cause is the patient having a tendency to form stretch marks. Stretch marks are more common in women who have never had children.

To avoid stretch marks;

  • Have your Breast Implant placed under the chest muscle
  • Choose a smaller Breast Implant less than 300cc
  • Avoid weight lifting and vigorous upper body exercise for 6 weeks after Breast Augmentation
  • Wait until you have finished having children if you have a tendency to form stretch marks

Occasionally patients have very porcelain type skin and...

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Occasionally patients have very porcelain type skin and have very visible blue veins in the breasts. These are normal and I am not aware of anything that can be done for them unfortunately. Perhaps knowing that these are not uncommon and are normal, you can feel more comfortable with personal situations. While it is not good for your skin, these might be hidden a bit by self-tanning so you feel less self-conscious.

Stretch Marks from Breast Augmentation

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Great question! I recently published a research paper on this exact phenomenon where stretch marks are formed after breast augmentation. Click on the link below to access this paper on my website. It is an interesting read that you and those like you with these symptoms can grasp a better understanding of this condition. It covers all the factors that increase the chances of stretch marks and provides more information about stretch mark formation.

Basically, stretch marks are a fairly rare condition that occurs in about 3% of breast augmentation patients. They are scars that are acquired due to the tension and force from the stretching of the skin to accommodate the implant. There are several patient and surgical factors that increase the chances of getting stretch marks, which I review in the paper. Since they are basically scars, it is tough to treat and will never fully go away, but could fade over time. Good luck and hope this information helps!

- Dr. Roger Tsai

Roger Tsai, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 17 reviews

Stretch marks and visible veins after breast augmentation

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Stretch marks do not present as blue veins, rather they are flat, irregular lines on the skin that may be pink or pigmented at first and usually fade with time. They are unlikely to occur after breast augmentation but may be more noticeable with the breast skin stretched by the implants. Veins are under the skin and may become more prominent after breast augmentation, although they may also become less visible with time.

Olivia Hutchinson, MD
New York Plastic Surgeon

Some women get stretch marks after breast augmentation.

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Some women get stretch marks after breast augmentation, but this is not very common.  Usually it happens to women that are prone to stretch marks or if the woman chose an implant that is uncommonly large.

Stretch marks are tears of the deep dermis which heal with scar tissue.  This is permanent, but the appearance will change over time.

If you developed stretch marks of the hips or thighs during puberty from growing then you are at definite risk of stretch marks from breast augmentation.

The only definite way to prevent stretch marks is to not stretch or stress the skin. I personally have only had one patient develop stretch marks after augmentation and that person had stretch marks on her hips and thighs from growing.

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
4.9 out of 5 stars 297 reviews

Stretch marks after Breast Augmentation

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Stretch marks after breast augmentation is actually quite rare. If a woman has a very large implant placed, it is more common, but from what you describe, that does not seem to be the case. When the skin envelope is filled out, it is possible to make veins in the tissue more noticeable. This may be what you are seeing. As far as I am aware, there is unfortunately not much that you can do for them.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 26 reviews

Blue Veins Are Not Stretch Marks

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True stretch marks are rare after breast augmentation surgery. The patients most at risk for developing stretch marks are;


·        Young women with small breasts who have never been pregnant.


·        Genetic predisposition.


·        Overly large implants.


Once stretch marks occur, they are permanent.


The “blue veins” on the breasts are not “stretch marks”, but dilation of the veins, already present in the breast, but usually not very visible because they are “collapsed”, not dilated and filled with blood. This can happen with any size implant, but is most prominent with larger implants. If they do not improve after the breasts are fully healed, 6 to 12 months, going to smaller implants may make these veins less noticeable.

Blue veins after Breast Augmentation

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The blue veins are caused intially because of the additional pressure that implants place on the skin from underneath. There is very little you can or should do but please note that it will dissipate over time as the skin accomodates your new size. This is different from the stretch marks which is due to skin that is over stretched its elastic capability.

Stretch Marks after Breast Augmentation - What are my chances?

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In my practice, Stretch Marks are rarely a result of breast augmentation. In the thousands I have done it is hare to remember but one or two that may have developed them. In some cases looking closely as the preoperative photos they were already there but just became transiently pink and more noticeable because of the normal increase of blood flow to the area after any surgery.

The things I can think of that may make you more prone to this is if you are on steroids, certain endocrine conditions such as Cushing's syndrome and others, associated with a larger weight gain and light colored skin.

Breasts with blue veins and stretch marks

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Quite honestly, I am surprised that stretch marks do not occur more freqently than they do. However, there is little you can do once they appear. Similarly blue veins may be more prominent following augmentation, and there are very few options for this.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

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.