I Had Breast Augmentation for Sagging Breasts—Will It Cause Stretch Marks Too?

Many people worry that suddenly gaining volume after breast surgery will stretch the skin and cause stretch marks. To get straight to the point, not everyone develops stretch marks. However, if the skin is thin or has reduced elasticity, if it has already stretched after childbirth and breastfeeding, or if you are naturally prone to developing stretch marks, new stretch marks may appear as the skin adapts after surgery, or existing stretch marks may become more noticeable.

After childbirth and breastfeeding, the breasts had not only lost volume and become saggy, but the skin had also undergone changes. In particular, there were stretch marks under the breasts and along the sides that had developed during pregnancy and breastfeeding. This breast surgery for sagging breasts focused on improving volume and the sagging shape; it was not a procedure to treat or remove the existing stretch marks themselves. Therefore, although the breast shape and volume improved after surgery, the stretch marks that had already developed due to childbirth and breastfeeding remained as they were.

That is why moisturizing the skin is also important after surgery for sagging breasts. Once the surgical area has stabilized, consistently applying stretch-mark cream or moisturizing cream according to your medical team's instructions may help reduce skin dryness and help the stretched skin adapt more comfortably. However, it is best not to apply any products on your own before the incision has completely healed. Surgery for sagging breasts is not simply a procedure involving the insertion of a large implant. The surgical method should vary depending on the degree of sagging, skin elasticity, the position of the glandular tissue, and the shape of the rib cage. When the sagging is not severe, natural volume and contours can be created using subfascial, tissue-preservation, or dual-plane techniques. Through vertical repositioning, which moves the breast tissue upward, it is possible to achieve a UU line from the front and a teardrop contour with less upper fullness from the side.

However, if the sagging has progressed further, implants alone may have limitations. In such cases, a breast lift may also need to be considered depending on the stage of sagging. If the implant size is increased excessively, the sagging shape may remain unchanged while the breasts may simply look heavier. Therefore, in surgery for sagging breasts, it is important to consider the structure before the size. Surgery for sagging breasts is not a procedure that can be solved simply by inserting implants. To create a natural result, it is necessary to consider why the breasts have sagged, where the glandular tissue is located, and the condition of the skin's elasticity. Dr. Moonseop Choi of Grace Plastic Surgery approaches sagging-breast surgery as a procedure to return the breasts to where they originally should be, rather than simply making them larger. For this reason, during consultations, the current breast structure and degree of sagging are often assessed before implant size. In fact, when the sagging is not severe, volume can be improved while creating natural contours through methods such as subfascial, tissue-preservation, and dual-plane techniques. Conversely, when the glandular tissue has descended significantly due to childbirth or changes in weight, the focus is on reorganizing the position of the breast tissue through vertical repositioning and creating a more balanced shape.

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