When rapid expansion of breast tissue occurs, the breast skin can be stretched resulting in the development of stretch marks. This can occur with rapid weight gain, puberty and pregnancy. In addition, placement of breast implants can cause this phenomenon as well.
Stretch marks following breast augmentation are associated with several variables. Stretch marks are more likely to occur when implants are placed on top of the muscle where they impact the overlying skin directly. They are also more likely when larger implants are utilized.
The patient’s skin characteristics are also important. Some patients have greater biologic tendencies to form stretch marks. Stretch marks occur more frequently when patients have tight skin envelopes as well.
Unfortunately, once stretch marks occur, not much can be done to minimize them, avoidance is the best strategy. The use of moderate sized implants in a sub muscular position usually minimizes the potential for this problem.