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Understanding Scarring After Breast Augmentation: A Comprehensive Guide

With a deep-rooted passion for cosmetic and reconstructive breast surgery, I understand the concerns and questions that arise when considering a breast augmentation. One of the most frequent inquiries during initial consultations is about the appearance of scars post-surgery. Let’s address this concern together.

With a deep-rooted passion for cosmetic and reconstructive breast surgery, I understand the concerns and questions that arise when considering a breast augmentation. One of the most frequent inquiries during initial consultations is about the appearance of scars post-surgery. Let’s address this concern together.

Where Will My Scars Be After My Breast Augmentation?

The location and appearance of scars post-augmentation largely depend on the specific needs and requirements of your procedure. Whether it’s a standard breast augmentation or if a lift was simultaneously performed, there are traditionally three potential incision sites:

1. Breast Crease Incision: The majority of my patients opt for this method. The incision is made in the breast crease, making the scars less visible as they’re concealed within the natural fold of the breast. Even when wearing a bikini or bra, this scar remains discreet. Typically, the incision spans four to five centimetres, contingent on the implant size. This method also allows for optimal muscle release, ensuring the implant sits naturally and provides the desired projection.

2. Areola Incision: This approach involves making an incision around the areola complex. While it’s less common due to the more noticeable scar and potential bacterial contamination risks, it’s an option available for those who might prefer it.

3. Armpit Incision: While not a common approach in my practice, some surgeons insert the implant through an incision in the armpit. This method has its challenges. Scars in the armpit region can be more conspicuous, especially when wearing sleeveless outfits or bikinis. Additionally, the distance from the incision to the muscle limits the implant size options and can hinder optimal muscle release.

What Can I Expect for Future Revision Surgeries?

Post-breast augmentation, it’s essential to understand that breast implants might require maintenance or revision surgeries in the future. Typically, around the 10-to-13-year mark, some patients might need revision surgeries. These procedures often necessitate incisions on the breast, potentially around the nipple, extending vertically, and possibly into the crease.

One significant advantage of initial incisions made in the breast crease or around the areola is that these scars can be reused for future surgeries, minimising additional scarring. However, if the initial incision was made in the armpit, new scars on the breast would be inevitable during revision surgeries. This means managing two distinct scars, which can be a consideration for some.

What If I Need a Lift Along with Augmentation?

The potential scarring shifts slightly if a lift is incorporated with your breast augmentation. In such cases, the procedure might necessitate a scar encircling the nipple, possibly extending vertically, and sometimes culminating in what’s known as an inverted ‘T’ or anchor scar. The extent of scarring largely hinges on the amount of excess skin present during the surgery and the volume of breast tissue to be adjusted. As with all surgical procedures, the outcomes and scarring can vary from one individual to another.

It’s important to remember that scarring is a natural part of the surgical journey and understanding the potential outcomes and being prepared can make the journey smoother.