Asian Breast Augmentation

Special Considerations Are Essential!

Having operated on so many Asian patients over the years, we have come to appreciate that while many Asian women would like to have a Breast Augmentation, many are understandably concerned that:

  • They will end up looking disproportionately too big and therefore ‘fake’; and/or
  • They may end up with conspicuous brown scars on or under each breast.

The reasons for these valid concerns among Asian women come about because:

  • Some surgeons approach Asian Breast Augmentation in the same way they do for Western women. They fail to take into account the generally smaller figures of Asian women and accordingly the need to consider smaller implants than those generally used in Western women.
  • Asian skin has a higher risk of healing with pigmented, brown scars. Not all do, but it is a higher risk.  Therefore, the surgeon should offer to place the incisions in locations which, in the event the scars do end up pigmented, they are less conspicuous and don’t mar the appearance of an otherwise beautiful breast.

We believe that in order to create beautiful, natural-looking breasts in Asian women, the surgeon must give special consideration to implant size and location of the incisions.

Size Considerations

Any surgeon planning Breast Augmentation on an Asian woman should bear in mind that Asian women are generally lighter and more petite than most Western women. Obviously this does not apply in every case but it’s fair to say that most Asian patients we see for surgery have pre-operative cup sizes of ‘less than A, A and A-B’.  Compared to Western women, naturally-occurring C-cup or D-cup sized breasts are very uncommon.

Therefore, if an Asian woman is wanting Breast Augmentation to look more attractive and feminine but still natural, she should choose both her implant size and surgeon very carefully. Essentially, she should aim for implants that are in proportion to her overall figure and don’t make her look ‘unnatural’ and obviously fake! And hopefully, her surgeon is one that appreciates this concept of proportion and does not recommend large implant sizes that the patient could end up regretting.

Naturally, the most appropriate implant size for any woman will depend on her physical measurements, her pre-operative breast volume and how big a cup size she desires. However, the objective of the surgery should still be the same: to deliver a cup size that makes the woman look and feel feminine and attractive but not in any way disproportionately large, unnatural and ‘fake’!

Location of Incisions

It is a definite fact that when Asian or brown skin is cut or injured, there is a greater risk of the final scars becoming permanently pigmented.  Not all end up so, but it is a higher risk.

Some surgeons accept this risk of brown scars as an inevitable consequence of Asian Breast Augmentation and persist in always placing the incisions under the breasts where brown scars could mar an otherwise beautiful result.

Other surgeons, in an attempt to avoid the risks of conspicuous brown scars under the breast in women with Asian or brown skin recommend one of the following alternative techniques:

1. Trans-Umbilical Approach (via the navel)

Not popular or commonly performed in Australia.

Apart from its other drawbacks, the main disadvantage of this technique is that it’s suitable for saline implants only. And, in our experience, most women prefer the more natural ‘feel’ of silicone implants over saline implants. So, if your prefer silicone implants, this technique is not an option for you.

2. Peri-Areolar Approach where the incision is made half way around the edge of the areola (the pigmented circle surrounding the nipple)

This also has its drawbacks in that the incision is usually very small and accordingly only fillable saline or very small silicone implants can be inserted.  Moreover, you still have the potential of a brown scar around the edge of the areola.

3. Trans-Axillary Technique

In our experience, this option is, by far, the technique more preferred by women who wish to avoid a scar under each breast.  The armpit incision is placed within a natural skin crease in the hair-bearing area of the armpit.  Scars in this location tend to be very fine but remember that, here too, they could become pigmented – in which case they would be visible if the arms were raised while wearing a sleeveless top.  For this very reason alone, most of our Asian patients still prefer to locate the scars under their breasts.

The above aside, perhaps the biggest drawbacks to the Trans-Axillary approach for ANY woman, be she Asian or Western, are:

  • ‘Tear-Drop” Implants of any make cannot be inserted via the armpit.
  • The PROVEN SAFER Polyurethane Foam-Covered Silicone Implants of whatever shape cannot be inserted via this route. Only Round Smooth or Round Textured implants are possible.

Ultimately, it is your personal decision as to where you would prefer to locate the incisions. It’s far from certain that they will end up pigmented but you need to at least be aware of the possibility.  We give you this information, not to alarm or deter you, but only to make you aware of it and your alternative choices.

In our experience, most of our Asian patients still prefer to have the incisions located under the breast for the following reasons:

  • There is no certainty that the scars will end up pigmented.  Many of our Asian patients still end up with inconspicuous white scars.
  • Most patients feel that any brown scars are better located where they are less visible and don’t restrict one’s ability to wear sleeveless tops.
  • They prefer to not be constantly aware of not raising their arms when wearing a sleeveless top or swimming costume.
  • But most importantly of all, they prefer the greater choice of implant type, shape and size that comes with the incision being under the breast.  Through this incision can be inserted any make, type, shape and size of implant a patient desires.