The Truth About Scarring: Breast Augmentation Edition
Scarring is one of the most common concerns women have when considering breast surgery. Many patients worry that scars will be highly visible or difficult to live with long term, even though this fear is often much worse than reality.
In this video, Dr. Dimitri Koumanis explains what scarring really looks like after breast augmentation and breast lift surgery, where incisions are placed, and how scars typically heal over time. He also discusses why most patients are far less concerned about scars once they see their final results. The full video transcription is included below.
Video Transcription
One of the biggest fears I hear from women considering breast surgery is this: What are the scars going to look like? And that fear is completely understandable, but it’s also often much worse in imagination than in reality.
Today, I want to show you what scarring really looks like after breast surgery, where scars are placed, and why most women tell me afterward that scars are not nearly as big of a concern as they expected. I’m Dr. Dimitri Koumanis at Saratoga Springs Plastic Surgery, and I have this conversation in almost every consultation. My goal is always to be honest and realistic, because when patients understand the truth about scarring, they feel much more confident moving forward.
Let’s start with breast augmentation alone. In most cases, the incision is placed in the inframammary fold, the natural crease underneath the breast. This location is chosen very intentionally because it allows excellent access for precise implant placement. Just as importantly, the scar is naturally hidden by the breast fold itself. When you’re standing, the scar is typically not visible, even in swimwear or lingerie, because it’s well concealed in that crease.
Now let’s talk about why scars are different when a mastopexy, or breast lift, is needed. A breast lift reshapes the breast and repositions the nipple, not just adds volume. To do that properly, additional incisions are required, and this is something we discuss very carefully during your consultation.
Typical mastopexy scar patterns usually include a scar around the areola, a vertical scar from the areola down to the breast crease, and in some cases, a scar along the inframammary fold. While this may sound like more scarring, these incision patterns are necessary to achieve the best shape, position, and long-term results.
Another important thing to understand is that scars change over time. Early on, they may appear pink or slightly firm, that’s completely normal. Over the months, scars typically fade, soften, and become much less noticeable. Proper scar care, sun protection, and following post-operative instructions all play a major role in how scars heal.
This may surprise you, but scars are rarely what patients focus on after surgery. Once healing is complete, most women are far more focused on how their breasts look in clothing, their overall shape, how they feel in their body, and the confidence they’ve gained. Many patients tell me they would make the same decision again without hesitation, because the improvement in shape, position, and self-confidence far outweighs the presence of scars.
If you’re considering breast surgery and want an honest discussion about scarring, results, and what’s right for your body, I encourage you to schedule a consultation with me, Dr. Dimitri Koumanis, at Saratoga Springs Plastic Surgery. We’re here to guide you through every detail so there are no surprises.
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