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Related Experiment Video

Updated: May 22, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Striae distensae after breast augmentation.

Filipe Volpe Basile¹, Arthur Volpe Basile, Antonio Roberto Basile

¹Plastic Surgery Department, Basile Medical Center, Av. Prof Joao Fiusa 2300, Ribeirao Preto, Sao Paulo, 14024-230, Brazil. fibasile@gmail.com

Aesthetic Plastic Surgery

|April 28, 2012

Summary

This summary is machine-generated.

New stretch marks (striae distensae) after breast augmentation affect 4.6% of patients, particularly younger, nulliparous, overweight women or those with a history of stretch marks. These factors may relate to estrogen levels.

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Last Updated: May 22, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Area of Science:

Plastic Surgery
Dermatology
Women's Health

Background:

Stretch marks (striae distensae) are a known complication of breast augmentation but their incidence and risk factors are poorly understood.
Previous literature consists of case reports, lacking comprehensive data on striae distensae after breast surgery.

Purpose of the Study:

To prospectively evaluate the incidence and identify risk factors for new-onset striae distensae following breast augmentation surgery.
To investigate the relationship between patient characteristics and the development of stretch marks after augmentation.

Main Methods:

Prospective study of 409 patients undergoing primary breast augmentation with silicone implants (2007-2011).
Active investigation for new-onset striae distensae, recording onset time, patient age, nulliparity, oral contraceptive use, weight status, and personal history of stretch marks.

Main Results:

New-onset striae distensae were observed in 4.6% of patients.
Higher incidence associated with younger age (20.91 years), nulliparity, overweight status, oral contraceptive use, and personal history of stretch marks.
No correlation found with implant pocket type, size, or profile.

Conclusions:

Striae distensae are an underreported complication of breast augmentation, occurring in 4.6% of patients within a year.
Nulliparity, oral contraceptive use, overweight, personal history of stretch marks, and younger age are significant risk factors.
Elevated estrogen levels may contribute to striae formation; further research on mitigating risk factors is warranted.