As its name suggests, the primary aim of breast augmentation surgery is to
increase the bust size using either saline or silicone implants. In the
US, only Allergan and Mentor are allowed by the Food and Drug Administration to
sell these products to the market.
One of the most common concerns of patients considering breast
augmentation is stretch mark, which happens when the skin tissue is stretched
to its limit, resulting to purplish, reddish, or whitish stripes. This often occurs after a significant weight
gain/lose and pregnancy.
In some cases, breastimplants can cause stretch marks although a patient’s predisposition to
have them depends on many factors including the implant size. The rule of thumb is that the larger the
device is, the higher the risk of developing the whitish or purplish stripes on
the skin.
One effective way to lower the chance of having stretch
marks after breast augmentation surgery is to use smaller implants. Most plastic surgeons will likely agree that a 300 to 350 cubic centimeter (cc) range is
a reasonable size.
By contrast, breast implants that come in 500cc size and
above are often considered relatively large especially if these are going to be
used on petite patients.
Aside from large breast implants, the age also seems to
affect the likelihood of developing stretch marks. According to some surveys, the problem is
more common on younger women (those who are in their 20s and younger) than
adult patients.
Plastic surgeons have also noticed that placing the implants
on top of the muscle (subglandular technique) can increase the risk of stretch
marks than positioning the devices below the muscle (submuscular technique).
Perhaps the reason why the subglandular implant placement
increases the risk of stretch marks is that only the skin and tissue provide
support to the weight of the device. On
the other hand, the submuscular technique offers more coverage and support to
the implant, preventing the skin from stretching too much.
Also, most patients who developed stretch marks after breast augmentation have previously experienced the problem, although choosing a
reasonable implant size and using the proper implant placement can reduce their
risk.
By contrast, it is very unlikely for patients who have not
experienced stretch marks to have the problem after breast augmentation surgery.
Fortunately, most patients who have developed stretch marks
after breast augmentation reported that the purplish stripes turned white and
became barely noticeable within three to four months.