Asian Breast Augmentation patients as well as people with darker skin (more pigment) may be more prone to excessive scar tissue formation after surgery. Sometimes scars can also appear more visible on darker skin, including; olive, tan, brown, black and other melanin-rich skin tones. This is in comparison to scars on skin that has less melanin or pigmentation.
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Visibility is different on different skin colours. For example on lighter skin, the scar may be darker in colour. However, on darker skins, the scar may be a lighter tan, brown or pale white colour. When the scar colour is very different to the skin that surrounds it, it may stand out in terms of visibility.
Sun exposure can make scar visibility worsen, at least temporarily. If a scar is already lighter than the surrounding skin it can appear more prominent. In other words, it can create a higher contrast to the non-scarred skin after sun exposure or after skin tanning.
Another reason for potentially more visible scars after Breast Augmentation surgery is that some skin tones are prone to what is known as Keloid scarring, which leaves a more raised and visible type of scar.
How do your scars form – are you or a family member prone to developing keloid scars?
By the time you choose to undergo Breast Augmentation surgery, you’ll likely be familiar with your natural scarring propensities. However, you could react uniquely to surgical incisions and suddenly develop KELOID scarring.
With your self-awareness of your history of scar development, you and your Surgeon will be able to discuss the best ways to help minimise your scars from your implant surgery.
Your surgeon will strategically place your scars under the; inframammary crease (beneath the breast), along the nipple, or even in the armpit area for some Breast Augmentation surgery procedures. The name of this armpit incision placement option is the Transaxillary Incision Breast Augmentation.
To learn more about your options for Transaxillary Incision Breast Augmentation surgery by Breast Specialist Dr Patrick Briggs, send an enquiry form or read more on our Breast Implant procedures pages.
Scars do improve over time but may still remain significantly paler than the non-scarred skin. This means they may remain quite visible even if they are ‘skinny’ scars (fine surgical scars that healed extremely well).
Keloid scars: Raised Scars and how they develop
When a surgeon or doctor operates on your skin there is typically an incision. Over that incision, fibrous tissue, called scar tissue forms to help protect and repair the area.
Some skin types including Asian skin types have genetic tendencies to form KELOID scars. These are large, raised scars in the area of a surgical incision, injury or skin trauma.
- For some patients, scar tissue grows excessively and forms raised hard growths (like elevated skin platforms) technically called Keloid Scars.
- All skin types and skin colours CAN get keloid scars.
- Keloids are not harmful but can lead to appearance concerns for people who are self-conscious about having scars.
- They can end up covering a MUCH LARGER AREA than the original wound or surgical incision.
- Keloids can develop on any part of the body. However, they are most noticeable on visible areas such as your cheeks, ears, shoulders or chest area.
- The belief is that individuals with darker skin are more prone to keloid scar development than those with less pigment in their skin.
- If you have keloid scars that are very large or located in a highly visible location, you may find you feel self-conscious about them.
- You might even be advised to AVOID the sun as skin tanning can emphasise the difference in skin colour between the scar tissue and your non-injured, un-scarred skin surface.
If you want to have breast implants and are concerned about your potential for developing keloid scars at the incision points, ask Dr Patrick Briggs about Transaxillary Breast Augmentation options (armpit incisions for breast augmentation and implant placement).
Scar management for Asian and darker skin types
For all surgical scars, you’ll typically be advised to keep your scar covered up when you’re in the sun in order to help prevent additional discolouration or noticeable skin contrasts between the scarred skin and your normal skin.
Risk factors associated with keloid formation include:
- Asian heritage
- Latino heritage
- Skin injury or surgical scars occurring during Pregnancy
- Being young in age (keloids potentially reduce in occurrence after you reach 30 or 40 years in age)
Overgrowth of Scar Tissue around a Surgical Incision or a Skin Wound in Asian Patients
Some Asian Breast Augmentation patients may be concerned about scar tissue formation as they are more prone to Keloid scarring. As a result, it is common for them to request an armpit incision approach.
Keloid scars are essentially an overgrowth of scar tissue that sometimes develops around a surgical incision or other types of skin wound. Whist the biophysical mechanisms that lead people to develop Keloid scars is not fully understood, they are most commonly seen in people who have darker skin tones, including people with the following heritage;
- Pacific Islander
- Middle Eastern
- And also African.
Whilst some treatments can help minimise the appearance of keloid scars after they develop, if you are prone to getting them, be sure to let your Surgeon know BEFORE your Breast Augmentation Surgery.
Scars are always an important topic during a surgical consultation, and everyone wants to know how to minimise or avoid them. Sadly, there is no such thing as a ‘scarless’ surgery (although liposuction leaves minimal incision points) – but there are ways to minimise your scars during Breast Augmentation (Read more).
Also, if you are prone to keloid scars, it is best to avoid; tattoos, skin piercings and other practices that injure or penetrate the skin.
Your history with Keloid Scar Development after Asian Breast Augmentation
The age keloids develop most prominently is typically when you’re between the age of 10 and 30. Interestingly, very young or very aged individuals usually don’t develop keloid scars.
However, if you’ve had them before, you are likely to have keloid scars again. Furthermore, they are always a possibility if you’re still in an age range where they are known to present. If a family member is prone to getting keloids, you are likely at an increased genetic risk of getting them yourself.
Genetic scarring tendencies: 50% of people who get keloid scars have another family member who also developed keloid scars.
Scientists don’t yet know the full extent to which genetics dictates our reactions to incisions or our scar formation response. But it does appear that both nature (genetics) and nurture (what we consume) have some impact on our scar formations. It may be likely, however, that fewer than 16% of people with more melanin-rich skin will develop keloid scarring. There appears to be a higher incidence of keloids in people with extremely fair skin types (ultra-pale skin) as well as darker skin types.
Areas, where there are skin piercings, are particularly susceptible to keloid development. These areas are known to stretch or experience tension during piercing (wound/incision) healing.
How does a propensity to scar more visibly impact on an Asian Breast Augmentation?
If you have a tendency towards developing excessive scar tissue growth after skin penetration from; a cut, a surgical incision or a piercing, you may want to consider your options for breast augmentation incisions.
Instead of a periareolar incision, or an implant placement incision under your breasts in the inframammary crease, perhaps you’ll be a great candidate for an armpit incision (Transaxillary Incision for Breast Implant Insertion). This incision is hidden in the underarm area. Although this is a more complex procedure technique it helps minimise your breast augmentation scars.
It’s a highly complex procedure requiring advanced surgical knowledge and skills compared to the other types of breast augmentation surgery. So, be sure you choose a highly skilled Plastic Surgeon such as Dr Patrick Briggs.
Dr Patrick Briggs has a track record of successful Transaxillary Incision Breast Enlargement surgeries for Asian patients and others with darker skin who live or work in Melbourne.
Dr Patrick Briggs Melbourne Plastic Surgeon – FRCS (Plas)
Specialist Plastic and Cosmetic Surgery Clinic in Melbourne
Dr Patrick Briggs is a Specialist Plastic and Cosmetic Surgeon. Both he and his team are dedicated to excellence in patient care and are committed to treating each and every patient with respect and privacy.
Not only does he offer high-quality results he also offers natural-looking plastic and cosmetic surgery results. Furthermore, he is experienced in Breast, Body and Face Surgery having performed over 4500 Surgeries in private practice.
How can we help?
Dr Briggs’ Patient Coordinators take pleasure in assisting you with any questions when considering a plastic surgery procedure. Please call the Hawthorn East clinic in Melbourne between 8 am – 6 pm on Weekdays.
Want more information about your Procedure?
What to Bring to Your Consultation
- If you like, please bring a friend or relative to help discuss the information and your choices.
- Take a lot of notes and thoroughly examine the documents your surgeon provides.
- You may need to undress so it’s a good idea to wear simple clothes.