There are a few differences to consider with Asian women considering breast implants. While it’s not unique to Asian women, quite commonly Asian women will have smaller frames with minimal breast and soft tissues. In order to create a natural non-implanted shape, which is the most common request I receive, we have to take this into consideration and plan accordingly. My approach is to use an anatomic or tear drop shaped implant placed in a dual plan pocket. The advantage of the anatomic implant is that I can vary the height to the width of the implant, which you can’t do with a round implant. The thing women with small frames, this is critical, because we generally need an implant that is wider than it is tall.
Also, because the implant essentially totally controls the final shape due to the lack of natural breast tissue, a round implant will look very obviously round in these women, whereas an anatomic implant will look more natural. Also, we can use a higher profile implant to give more cleavage without creating a step off at the top of the breast, which is a complete giveaway that a woman has had a breast implant.
The next and important strategy is to use fat grafting to help cover the implant, particularly in the medial cleavage area. This will help give tighter cleavage as well as high the implants because of the thin, soft tissues. The fat can be harvested on either from the tummy or from the inner thigh, and because we’re using quite small volumes, the amount of fat that survives is quite high.
The next consideration is the fold. Most Asian women have a very soft inframammary fold. In some ways, this is an advantage because we can borrow skin from the abdomen without creating a double bubble, and so use a slightly larger implant. However, if not addressed with reinforcement of the new fold, it will lead to significant bottoming out of the implant.
Next, and almost uniquely related to Asian breasts, is nipple length. Asian women more commonly have stretched nipples. The ideal nipple dimensions are around one centimeter wide and one centimeter tall. There’s a fairly straightforward procedure that can be done at the time of implants to reduce either the height, width, or both of the nipple. This can be done without sacrificing the ability to breastfeed later on.
Finally, Asian women do have a proclivity towards keloid scars. To be honest, in 15 years, I’ve never seen a keloid scar in a breast augmentation case, so it’s possible that this area is somewhat protected from developing those types of scars. However, by placing the incision in the fold, at least if it were to occur, then the scar would be relatively hidden. Also at Re, we have a complete scar care program, which will help reduce the risk of these types of scars even further.