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What Causes Stretch Marks After Breast Implants?

Stretch marks are caused when the elasticity of the deeper layers of your skin (the dermis) is not enough to compensate for pressure either from gravity or the volume of the structures underlying your skin. Stretch marks are actually scars in the dermis where those deeper layers have torn. Unfortunately there are not many great options for improving them. I hope this answer helps.

Clinical Context

When planning implant size, surgeons look at how much skin and tissue you already have to work with, including any existing stretch marks from puberty, pregnancy, or weight change. This history matters because skin that has stretched before may be more prone to stretching again. Where the implant is placed—above or below the chest muscle—can also affect how much tension the skin experiences. These factors help guide a safe size range, though they can't fully prevent new stretch marks from forming.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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