Advanced Art of Cosmetic Surgery     Thomas M. DeWire, Sr., MD, FACS    Specializing in Cosmetic Plastic Surgery     Richmond, Virginia, USA



Several important breast surgery considerations for African American or Black Women of Color          Advanced Art of Cosmetic Surgery     Thomas M. DeWire, Sr., MD, FACS    Specializing in Cosmetic Plastic Surgery     Richmond, Virginia, USA

Breast Implant Procedures

Breast Surgery in African - American Women



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Breast Surgery in African American Women:


Breast  Augmentation and Breast Reduction procedures are frequently sought  by  Black  women, although there are few photos of the results available for perusal on the internet.   A frequent concern is the fear of  heavy scarring  (hypertrophic scarring)  or  Keloid  scarring  (pathologic  scarring).   These terms are  often mistakenly used  interchangeably,   but  they   represent  separate  physiologic  processes.   Hypertrophic (heavy;  thick)  scars are a normal outcome in some patients, and reflect  the  physiologic  response  to  local  tension on scars,  the  location  of  those scars,  and  the  individual's own genetic tendencies.   Hypertrophic  scars are  limited  to  the area of the incision  and  are  particularly prone to occur on the shoulders, knees,  abdomen,  breasts, and breast bone areas.   Keloid scarring,  is a  genetically  inherited tendency  in which scars heal as if  they  were tumors,   growing  outside  the confines of the original  wound or trauma.  Keloids  are  uncommon and may  be  difficult to remedy,  but sometimes respond to steroid injections.   Keloids are common on the ears, neck, and  over  the  breast  bone,  less  common  on  the  breasts, and rare in the axilla. Additional examples are shown in the photo gallery linked below

Photos Before and After Surgery:

Pre-op photos  Post-op photos 
Case 1:      A   forty  year  old Black  woman sought  breast enlargement  to  "C"-"D"  cup size.       Results are seen at 3 mos. post-op,  with  a  moderate amount of persistent upper pole  fullness   still  present looking   like   "anatomical" implants    in   side   profile.
  Age:   40 
  Ht:  5'6"    Wt: 128 lbs
  Implants:  Mentor 
  Type:  Smooth Saline 
  Volume:  425cc 
  Size:  36D
Axillary incisions  barely visible at 3 mos. post-op.  Further fading of scars is anticipated     with     time.


Pre-op photos  Post-op photos 
Case 2:     A 30 yr.  old Black woman with desire to achieve a "D" cup size    Age:   34  
  Ht:  5'7"    Wt: 134 lbs
  Implants:  Mentor 
  Type:  Smooth Saline 
  Volume:  375cc 
  Size:  36D 


Right axillary scar is not visible in this photo at 2 years post-op


Follow this LINK to Breast Reduction Surgery in Black women


Related  Breast Augmentation Links:   To Other photo Illustrated Procedures:

Important  Information  About  Implant  Breast  Enlargement

Trans-Axillary Breast Augmentation
Trans-Axillary Breast Incisions Scars
Breast Augmentation Shape Evolution
Breast Augmentation Shape Determination
Cleavage Determinants
Post-Op Implant Massage Technique
Implants Over versus Under the Muscle
Special Considerations in Augmentation
Breast Surgery in African American Women
Breast Augmentation FAQs
Breast Augmentation with Mastopexy or Breast Lift
Revision Surgery for Augmentation Problems
Important Information about Silicone Breast Implant Use
Nipple Reduction/Shaping
Mastopexy or Breast Lift

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Thomas M. DeWire, Sr., MD, FACS
Advanced Art of Cosmetic Surgery
3974 Springfield Road
Glen Allen, VA 23060
Richmond, Virginia, USA
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ęCopyright 1997-2013  Advanced Art of Cosmetic Surgery:  Thomas M. DeWire, Sr, MD, FACS   Revised:   September 09, 2014 06:03 PM