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Plastic Surgery Blog

What Does a Breast Augmentation Scar Look Like?


 If you are making the decision to have your breasts augmented or lifted, it's important to take your time in choosing a plastic surgeon. It's also wise to write down the questions you have about the procedure or procedures you are considering. During your consultation with Dr. Feldman, you will have the opportunity to ask any of these questions. One of the questions that many women ask is about scarring. What does a breast augmentation scar look like? This makes sense. If you are investing in plastic surgery, you want to know that you will look better afterward, not worse.

Any procedure that involves an incision will result in some kind a scar. That's a given. Scarring is how your skin puts itself back together after it's damaged. How large the scar is, and how it heals, depends on what kind of incision is made, genetics and what kind of care you take with your breasts after your surgery. Ultimately, the size, shape, cleavage and nipple position are the way you will use to assess your result. The incisions will mature and fade and are not an issue for the overwhelmingly majority of augmentation patients.

What Does a Breast Augmentation Scar Look Like?

Plastic surgeons insert breast implants using three different placement methods: subgladular, subfascial, and submuscular. Dr. Feldman firmly believes that submuscular implant placement is the best choice for overall patient health and optimal breast aesthetics. If you choose to have Dr. Feldman do your surgery, this will be the method he uses. Submuscular placement means that the implant is inserted under the pectoralis major muscle and above the pec minor. Dual plane is a variation of submuscular with as much of the implant under the muscle as possible, while sculpting or releasing the lower edge of muscle and allowing the implant to "peek out" to better position the implant behind the nipple.

During your procedure Dr. Feldman will most likely make his incision at the bottom crease of your breast where it meets the rib cage. This inframammary incision placement has the lowest risk of complications like infection and contracture, does not interfere with breastfeeding and allows the most control for a pleasing overall breast aesthetic. He will then insert the implant under the pectoralis major muscle. Because of the location of the incision, your bra or bikini top will often hide your scar. You can see from our gallery of breast augmentation before and after photos, the scars are skillfully hidden even without a bra or bikini top. The biggest influence on scarring is the patient and their unique genetics: 1 out of 3 scars are barely perceptible, 1 out of 3 are a fine line, while another 1 out of 3 heal slightly wider or thicker than both Dr. Feldman and the patient hope. Which of the groups you fall into is influenced by genetics and environmental exposure. Since we can't alter genetics, focusing on proper after care is essential and the only thing within our control.

What Does a Breast Lift Scar Look Like?

If you choose to have a breast lift as a single procedure or in addition to a breast augmentation, your scarring will depend on how much your breasts sag and if you have other issues that you need to correct, like symmetry. Different problems will require different types of surgical action. If you have less sagging, you may have a vertical scar along the breast or one around the areola. If you have more sagging, you may have a transverse scar in the inframammary fold. We also have a gallery of results for different breast procedures. These pictures showcase Dr. Feldman's breast lift successes.

Patients may experience less scarring if they follow Dr. Feldman's post-surgical instructions carefully. This will help avoid infection and damage to your stitches. After your two-week follow up appointment, you will be able to start scar care with silicone strips. You should wear these 24 hours a day for at least 8 weeks and preferably 6 months. Silicone strips help minimize scars in the long term, making them softer, flatter, and narrower. It's also important to avoid alcohol and tanning if you want your incisions to heal more quickly and well.

It may sound counterintuitive, but the biggest factor in determining how much scarring you will experience from your breast augmentation or breast lift procedure is you. Your genetics and choices will affect how much scarring you have. Choosing a breast specialist with years of experience and following your doctor's post-surgical instructions carefully will result in the best outcomes, prettiest result and the least scarring, but there is no such thing as scarless surgery. Make the best choices upfront for your very best results!

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