Avoiding a Keloid Scar after Breast Augmentation


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How an Armpit Breast Augmentation may avoid a Keloid Scar

A Keloid Scar on your breasts can be avoided. You may not realise it, but there are different techniques for breast implant insertion. The method your surgeon chooses for you depends on both your skin tone and genetics. If you have more melanin in your skin (more pigmentation), you may be at higher risk of getting a keloid scar after having breast augmentation or a boob job.

Cosmetic Plastic surgery, including breast implant insertions, can be a risk for women with more melanin in their skin in terms of scar visibility. But the Asian Transaxillary Breast Augmentation option using an Armpit Incision/Armpit Area Insertion method for breast implants is one way to avoid having a keloid scar under the breasts. This can be a great option for patients who are prone to that type of raised scarring.

Read more about Breast Augmentation

Asian Breast Implant Surgery through armpit incisions is all about reducing the risk of under-breast scars and Keloid Scars.

  • For most breast augmentation patients, their under-breast scars will appear faint as they heal.
  • For others, they may have obvious hyperpigmentation on the scar (and it’s important to avoid sun exposure on your scars for about a year to reduce scar visibility).
  • Some women, particularly of Asian heritage, may be prone to developing unsightly and uncomfortable keloid scars after any surgery.
  • For primary breast implant surgery for Asian women who want breast augmentation, the armpit incision approach might be best.

Asian Breast Augmentation Options to minimise Keloid Scars

Transaxillary Incisions can help reduce the risks of having under-breast scars after having implants. However, it is only available for first-time (primary) breast augmentation procedures.

The surgical description for armpit-area breast implant insertion techniques is Transaxillary Breast Augmentation.

Plastic Surgery and Keloid Scars: Does Your Skin Tone Matter?

Scars after breast augmentation surgery are part of your body’s natural healing process.

  • Scars form to protect and heal your incision.
  • All surgeries will scar in some way.
  • But for many patients, surgical scars fade until they are barely noticeable, in the months and years after surgery. As long as you properly care for the surgical area and you don’t experience any infections or other complications.

Caring Properly For Your Incision Lines and Scars After Having Breast Augmentation Surgery

Caring properly for your incision lines after having breast implants is something that your Surgeon, Dr Richard Sackelariou, will discuss with you during your consultation and post-op checks.

  • This does mean, however, ensuring you don’t overstretch the area that has been operated on.
  • You will also need to keep your incision lines clean to prevent getting a wound infection or other complications.

It’s important to ensure you follow up with your Plastic Surgeon and surgical team. You must follow your healing and recovery instructions exactly if you want to get the best result.

Dr Sackelariou performs Asian Breast Augmentation using Armpit Incisions to minimise the impact of Keloid Scars

  • Caring for your incisions and reducing scar formation often includes the necessity of wearing the correct post-operative support garments or recommended support bras after breast augmentation surgery. This can help you have the best possible scar formation results in terms of reducing their visibility.
  • However, the following can result in a risk of raised, highly visible scarring, (this includes keloid scarring);
    • Not wearing the right support garments
    • Getting sun exposure on your scars
    • Smoking. 
    • You can also risk the chance of developing keloid scars after breast augmentation surgery if you don’t look after your surgical site.

Some individuals, however, will always be prone to having keloid scars even if they merely have a scratch or small incision. If this is typically your experience, be sure you let Dr Sackelariou know about your scarring tendencies. You can also talk to him about how to best minimise their appearance. Your surgeon may recommend special scar treatments for you to reduce your risks after breast augmentation surgery.

If you have your Surgery in Melbourne or Sydney with Dr Sackelariou, it is possible that skin needling or other scar treatments may be part of your breast scar treatment plan.

What Are Keloid Scars and Why Are They Common in Individuals With Higher Melanin or Darker Skin Pigmentation?

  • The risk of keloid scars is higher in people with higher melanin concentrations in their skin.
  • This may include Asian, Middle Eastern, Southern Mediterranean, and Pacific Islands patients.
  • If keloid scarring is a concern when it comes to breast augmentation surgery, ask about the Transaxillary breast implant insertion method.

In fact, it is estimated up to 10% of patients might be prone to keloid scars after cosmetic plastic surgery. If you are prone to keloid scars, you may have noticed your scars appear raised and ‘zig-zag’ in appearance after an injury or body piercing.

  • Keloid scar risks may be elevated in people with melanin-rich skin tones.
  • Those with darker skin tones or Asian heritage have an increased risk – up to 50%

A keloid scar forms when the protective formation of the scar after healing is excessive. In response to the incision or injury, a scar that is keloid is one that has grown into a large, raised or very noticeable scar.

  • Keloid scars cover an area larger than the original incision.
  • Keloid scars may not always appear right away.
  • It may take months after surgery for a keloid scar to begin to form after plastic surgery.
  • Contact your Surgeon if you experience a keloid scar after surgery to ask for his recommendations.

All surgical incision lines tend to become somewhat itchy as they heal. But if the incision line or scar looks raised, feels warm or appears infected, get it checked right away by your Plastic Surgeon.

  • Some keloid scars in particular may become itchy and cause irritation as they form.
  • Some can even impede movement if they cover a large enough area or are excessively raised or hard.
  • While keloid scars are more a cosmetic concern than a health concern, they can leave some patients feeling self-conscious. This is especially true, when the scar is in an obvious area, such as the arms, body or face.
  • So for breast surgery for Asian patients, the Asian Breast Augmentation option of an armpit incision and insertion (the Transaxillary Breast Implant Surgery Option) is one option worth exploring.
  • Phone Dr Richard Sackelariou to investigate your surgery options for Breast Augmentation procedures with Mentor or Motiva Breast Implants and other breast surgery enhancements.

What Do Keloid Scars Look Like?

  • A keloid scar can look different from patient to patient.
  • Keloid scars can vary in colour, from pale to red to very dark in tone compared to the surrounding skin.
  • They can present as an itchy patch first before growing larger.
  • The scars can be elevated or smooth, or even have a raised, lumpy and ridged surface.
  • Some can even continue to grow over time.
As well as surgical scars, keloid scars can form after burns,  acne scratches, reactions due to vaccinations,  chickenpox, tummy & ear piercings,  bad insect bites  and tattoos

How Can I Avoid Keloid Scars After Getting Breast Implants?

  • Thankfully, there are special breast augmentation surgery techniques for those with darker skin, or Asian heritage, to minimise the amount of scarring and the potential for keloid scars.
  • One of the most common – and popular – methods for breast augmentation surgery is Transaxillary Incision Breast Augmentation.
  • This is often known as Asian Breast Augmentation Surgery.

Further Reading about the treatment of Keloid Scars

Transaxillary vs Traditional Breast Augmentation

The traditional under-breast crease incision vs armpit incision method for Breast Augmentation

  • For non-armpit area insertion of breast implants, incisions are made under your breasts in what is called the inframammary crease or ‘breast crease’ area.
  • There’s one other method that involves incisions around the areola, however, surgeons rarely perform it as it carries potentially higher risks than the transaxillary or breast crease method.

What is the Difference between Asian Breast Surgery using armpit incisions and traditional or normal Breast Implant Surgery?

Some skin types scar more easily and visibly than others. One form of scarring that tends to stand out more than others is keloid scarring.  In many aspects, it’s an extreme form of scar formation that can lead to raised, crooked, large or wide scars that become quite noticeable.

Who gets very visible scars after breast augmentation surgery?

Most post-operation scars after breast implant surgery are relatively small. They typically remain hidden by placing incisions under the breast crease, so that the breast tissues cover them when the patient is standing.

But some people will have more prominent scars after Breast Augmentation procedures, and Asian patients may be at a higher risk of Keloid scars.

Although it occurs relatively infrequently, some people will have very visible scars after having breast augmentation surgery.  This may relate to:

  • actions such as exercising too soon after your procedure
  • complications such as incision line infections
  • genetics such as a tendency to develop elevated, crooked, raised or angry-looking scars that remain that way even after time has passed (but if you have an angry-looking scar, be sure you check to be sure it’s not an infection).

Ask your Specialist Plastic Surgeon, Dr Richard Sackelariou, for his advice on managing your scar risks after having breast augmentation surgery.

  • For example, it’s best to avoid sun exposure on fresh surgery scars for ideally at least 12 months until they have fully matured (a mature scar has settled in colour, depth or texture).
  • Sun exposure or early engagement in strenuous activities such as lifting and exercising, can increase your chances of having a poor scar result.

Surgery complications including wound healing infections, genetic tendencies or premature activities and sun exposure may lead you to have a more visible, wider-looking or elevated, crooked scar.

  • Be sure you do NOT smoke before or after breast implant surgery.
  • Smoking greatly increases your risks of a variety of complications including poor skin healing responses that lead to more visible scars.

Scar tendencies can be impacted by the level of pigment in the skin – known as melanin – which is higher in people of Asian descent.

  • Melanin levels tend to be higher in people of Asian heritage than other less-melanin rich skin types such as Caucasians.
  • People who have higher melanin and hence, more pigmentation (richer or darker skin colours) are usually a Type III or IV or higher on the Fitzpatrick skin tone scale.
  • They are also known to be more likely to get Keloid scars.

Special Breast Augmentation Techniques for Asian Patients

Not all Asians or melanin-rich skin types are prone to Keloid scar development. But some people are, so if you’re having breast augmentation, it’s something to consider.

  • Keloid scars are a type of scarring where fibrous tissue grows excessively to protect the wound resulting in large, hard but smooth growths.
  • These are often larger than the original incision line or wound.
  • They can range in texture and in tone.
  • They may be either extremely dark in comparison to the surrounding skin or lighter than the surrounding skin in colour.

Keloid scars below the breasts after having breast implants can lead the breast area to look less attractive. So scar formations are a particular concern for many Asian breast surgery patients.

Hence, the Asian Breast Surgery option of a transaxillary incision method (through the armpit area breast implant insertion techniques) is worth exploring as an option.  Dr Sackelariou is a Melbourne and Sydney Specialist Plastic Surgeon. He has expert knowledge of this advanced and complex breast enlargement surgical technique.

Keloid scars after breast augmentation procedures (or breast lifts and reductions) tend to occur more commonly in individuals who have Asian, Pacific Island, Mediterranean, Middle Eastern, Indian and Fijian heritage.

If you’re concerned about the scars you’ll have after getting breast implants, phone to arrange an appointment by phoning  Melbourne 1300 264 811 or Sydney 1300 661 362  to enquire or request a consultation.

However, keloid scars are also not uncommon in Caucasians and in individuals with poor wound healing responses.

  • By the age of 25 to 30 you’ll probably have an idea of your normal scar formation tendencies.
  • However, keloid scars can sometimes form unexpectedly, even months after surgery, when there were no indications you were prone to developing thick raised scars.

What can be done to prevent highly visible Keloid scars for Asian women who want Breast Implant procedures or a breast lift?

  • Not all Asian patients are at risk of developing keloid scars.
  • If you have Melanin rich skin, you and Dr Sackelariou will need to assess your risks of having very visible or raised scars.
  • For Asian patients wishing to continue with Breast Augmentation Surgery using Motiva or Mentor implants, the armpit incision method has become an increasingly popular option for some women.
  • Officially, it’s known as the Transaxillary Breast Augmentation method.

Asian Breast Surgery – the Transaxillary method of armpit area incisions – is only available for primary breast augmentation surgery.

That means it’s available for some patients for their first-time breast augmentation procedure vs a revision or removal and replacement.

Secondary augmentation surgery or breast implant removals or replacements, and other corrective surgeries of the breast area will generally require under-breast crease incision(s).

Armpit Breast Implant incisions and insertion techniques are known as the Trans-Axillary Breast Augmentation procedure.

While it cannot be used for revision breast surgery or breast implant removal and replacement, the “TA Breast Augmentation” method remains one of the best options available to patients who want breast implants, but who are prone to keloid scars. It can help minimise the appearance of Breast Augmentation scarring on the front of the body.

You’ll still have a scar but it will be under the armpit. Hidden in the armpit skin folds when at rest, rather than beneath the breast on the front of your body.

  • During Asian Breast Surgery, the surgeon will make an incision along the armpit area, instead of under the breast. In other words, Trans-axillary method vs the traditional inframmary area incision method.
  • Care is taken to avoid the lymphatics under the armpits.
  • The surgeon will then insert the implant through this trans-axillary/armpit area incision.
  • It is placed either under or over the pectoral muscle in the chest area.
  • Both Saline and silicone implants are available for this surgery. However, implant choice depends on the results the patient desires. Mentor or Motiva Saline implants are often the most preferred.

The aim of Asian Breast Surgery is to get a natural-looking augmentation that suits the overall body and breast shape or size preferences, with as minimal visible scarring as is possible.

Trans-Axillary Incisions are not widely known. Many surgeons believe it impossible to get a good result from implants inserted through the armpit.

However, skilled and dedicated surgeons like Dr Sackelariou have years of experience in this complicated surgery. With years of skill and a caring approach, Dr. Sackelariou will ensure that you leave with the best possible outcome from your Asian Breast Surgery. This style of surgery remains the best and most attractive option for Asian Breast Augmentation surgery.

It is important to know that Trans-Axillary incisions can only be used once for Breast Augmentation Surgery. Some Asian Breast Augmentation surgery patients may feel this is a drawback, especially if they choose to have further procedures formed later in life. For other procedures, including implant removal or replacement, you will have to use inframammary or periareolar incisions.

Contact Dr Sackelariou in Melbourne or Sydney for more information on Transaxillary options or the “Asian Breast Augmentation Surgery” procedure using under-armpit incisions to reduce your chances of visible breast scars after getting implants.


About Dr Richard Sackelariou Plastic Surgeon

Dr Richard Sackelariou MBBS FRACS(Plas) is a Specialist Plastic, Cosmetic and Reconstructive  Surgeon in Melbourne, Victoria and Sydney, Australia.

Dr Sackelariou is a highly sought-after Plastic Surgeon for precision procedures like nose reshaping, tummy tucks, breast surgery including transaxillary incision methods, implant removal/replacement and Breast Lift procedures.

He is particularly known for his signature surgeries – neck lift, facelift and eyelid rejuvenation procedures. He also performs expert cosmetic injections for facial rejuvenation.

Patients love his caring manner, his dedication to excellence and his extensive expertise in surgical planning for a natural-looking, harmonious result.

What’s Next

Book a Consultation with Dr Sackelariou in Melbourne or Sydney. A caring discussion with a Plastic Surgeon about all your options can really help. The best thing is to start with a phone enquiry and consider having a Consultation with Dr Sackelariou. Try the Free Nose Simulation Tool.


If you are considering cosmetic plastic surgery then Dr Richard Sackelariou is the specialist plastic surgeon for you.

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