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Breast Aesthetics

Asian Breast Augmentation
Refined enhancement for petite frames and Asian anatomy.

Asian breast augmentation is never a one size procedure. It is planned around proportion, tissue behavior, and cultural preferences. Many Asian patients want a natural slope, refined cleavage, and soft borders rather than obvious volume. Dr. Neavin starts with careful measurements, then selects implants and techniques that respect narrower chest widths, higher inframammary folds, and tighter soft tissue envelopes. The goal is quiet elegance, not hype.
Duration 2-3 Hours
Anesthesia General
Downtime 1-2 Weeks
Results Permanent

Benefits of Asian Breast Augmentation

Proportion Over Volume

Implant choice starts with base width and tissue limits. This protects breast support, prevents over augmentation, and keeps the silhouette graceful on petite frames.

Natural Slope and Refined Cleavage

Pocket design and implant profile are chosen to create a gentle upper pole slope and narrow, refined cleavage, not a stuck on appearance or “uniboob.”

Scar Strategy for Melanin Rich Skin

Incision selection and scar care are tailored to pigmentation patterns and keloid risk, with careful fold placement, taping, silicone, and strict sun protection.

Thin Tissue Solutions

In patients with limited coverage, adjuncts such as fat grafting, internal support, or acellular dermal matrix can soften edges, support the fold, and maintain natural movement.

Expected Results

Soft Upper Pole Contour

By matching implant width to chest width and controlling projection, the upper breast slopes naturally instead of showing a stiff shelf or obvious implant edge.

Balanced Cleavage Without Symmastia

Measured medial release allows attractive cleavage while maintaining a barrier between the breasts. This avoids the “uniboob” deformity that can occur with over dissection.

Stable Fold and Pocket

Fold design, suturing, and pocket control reduce the risk of bottoming out or lateral drift toward the armpit, which is especially important on narrow chests.

Technical Specifications

Planning for Asian Anatomy

Successful Asian breast augmentation is built on measurement and discipline. Base width, fold height, tissue thickness, and cultural preferences all guide the plan.

01

Morphologic Analysis and Measurements

Consultation includes base diameter, nipple to fold distance, sternal notch measurements, and soft tissue pinch tests. Three angle photographs and wish pictures help align goals with anatomy before any implant is chosen.

02

Implant Selection for Petite Frames

Implant choice begins with diameter that fits the chest. Only after width is set do profile and cohesivity come into play. Cohesive silicone gel is often preferred for edge control and softer transitions in thinner tissue.

03

Incision Strategy in Melanin Rich Skin

Inframammary incisions often provide the best balance of pocket control and scar concealment. Periareolar and transaxillary approaches remain options for selected cases but are weighed against scar quality, nipple sensation, and pocket precision.

04

Pocket Plane Choice

Subfascial, dual plane, and full submuscular pockets each have specific uses. Subfascial can maintain movement without animation. Dual plane blends muscle cover with lower pole softness. Submuscular can help camouflage in very thin patients but may limit cleavage and cause animation. Plane is chosen based on coverage, support, and aesthetic goals.

Patient Profile

Candidates

Ideal Candidates

Asian breast augmentation may be appropriate if you:

  • Have a narrower chest or petite frame and want proportionate enhancement
  • Prefer a natural slope with refined but discreet cleavage
  • Have tight soft tissue or a higher inframammary fold that needs careful planning
  • Want a scar plan that respects your skin type and pigment behavior
  • Are willing to prioritize long term tissue health over maximal size

Dr. Neavin measures chest width, fold height, tissue thickness, and asymmetries before recommending a plan.

Not Ideal Candidates

You may not be a good candidate if you:

  • Insist on volumes that exceed safe tissue limits
  • Expect a dramatic, overfilled look despite a petite frame
  • Have untreated medical issues that increase surgical risk or impair healing
  • Are unwilling to follow a detailed scar care and activity protocol

In more complex situations, such as severe asymmetry or tuberous breast shape, Dr. Neavin may recommend staged procedures or combined techniques rather than a standard augmentation alone.

Estimated Investment

Varies by implant choice, complexity, and adjunct procedures
Pricing reflects comprehensive care: surgeon’s fee, accredited facility, anesthesia, and structured follow up. Total cost depends on implant type, pocket strategy, whether fat grafting or internal support is needed, and the complexity of the anatomy or revision work. During consultation, you receive a detailed, personalized quote rather than a one size number, so you know exactly what is included from planning through early recovery.

Thin Tissue and Complex Cases

01

When Fat Grafting or Internal Support Helps

For very thin envelopes or revision cases, fat grafting can soften the upper pole and medial borders, while acellular dermal matrix or an internal bra technique can help support the fold and maintain shape. These tools are used selectively, not routinely, and are discussed in detail when they add real value to the long term result.

Surgery Day Journey

Consultation and Vision

You review goals, photographs, and wish images. Measurements and tissue tests are performed, and a realistic range of sizes and profiles is outlined. Together you choose an aesthetic target that respects anatomy and lifestyle.

Marking and Anesthesia

On surgery day, fold position, midline, and planned pocket boundaries are marked. After you meet anesthesia, you are brought comfortably to sleep and the operative plan begins.

Pocket Creation and Sizing

Incisions are made according to your scar strategy. Pockets are created with careful control of medial and lateral boundaries. Temporary sizers are used to confirm cleavage, projection, and fold level before the final implants are placed.
The Artisan Promise

Comprehensive
Aftercare Support

Post operative care is structured so you are never guessing about the next step.

Guided Scar Care

You receive a pigment aware scar protocol that includes taping, silicone, and strict SPF guidance to reduce hyperpigmentation and wideness risk.

Activity and Support

You are given clear timelines for bra type, sleeping position, stretching, and return to specific workouts. Red flag symptoms are reviewed so you know when to call.

Long Term Follow Up

Regular visits and check ins allow monitoring of fold position, capsule behavior, and symmetry. Any need for adjunct treatments such as fat grafting or internal support is discussed early, so solutions are proactive rather than reactive.

Healing Timeline

Every patient heals differently, but this timeline offers a general guide for your return to daily life.

Days 1 to 7

Swelling, tightness, and soreness peak in the first week. A supportive surgical bra is worn around the clock. Most patients return to desk work in 3 to 5 days as long as arm movements are controlled and medication use allows safe driving.

Weeks 2 to 6

Bruising fades and swelling improves. You transition to softer, non underwire bras. Light lower body exercise resumes, while heavy lifting and high impact workouts remain restricted. Implants begin settling but are not in their final position.

Around 3 Months

Shape approaches its more stable form. With medical clearance, most full workouts and upper body training can resume. Any recommended massage or pocket exercises are introduced when appropriate.

Beyond 6 to 12 Months

Scars continue to mature, fading and softening with ongoing silicone and SPF use. Breasts settle into their final position and movement pattern. This is usually when results look most natural and integrated.

Safety & Potential Risks

Asian breast augmentation follows the same safety principles as any breast implant surgery, with added attention to pigmentation and scar behavior. A detailed consult covers risks, benefits, and alternatives.

Important Considerations

  • Infection, bleeding, or delayed healing
  • Unfavorable scarring or hyperpigmentation
  • Asymmetry in volume, fold position, or nipple height
  • Capsular contracture and changes in firmness
  • Implant displacement, bottoming out, or lateral drift
  • Need for revision, fat grafting, or internal support in complex cases

Frequently Asked Questions

What makes Asian breast augmentation planning different?
Many Asian patients have narrower chests, higher and tighter folds, and thinner soft tissue. At the same time, most prefer natural slope and refined cleavage. This makes width first sizing, precise fold mapping, and disciplined pocket control more important than raw volume.
Which incision is usually best for Asian skin?
For many patients, an inframammary fold incision offers excellent pocket control and reliable scar concealment. Periareolar or transaxillary approaches can work in select cases, but they are weighed against scar behavior, sensation, and pocket precision.
Am I at higher risk of dark scars or keloids?
Pigmented skin can be more prone to hyperpigmentation and hypertrophic change. That is why taping, silicone, strict SPF, and sometimes pigment modulating agents are built into the aftercare plan.
How do you choose implant size for a petite frame?
Implant width is matched to your base width first. Then projection, profile, and cohesivity are chosen to provide shape while maintaining soft edges and tissue safety. Proportion comes before cup size.
Do I need fat grafting or an internal bra?
Not everyone does. These tools are helpful when tissue is thin, coverage is limited, or revision work is needed. They can soften edges and support the fold but are recommended only when they add clear benefit.
Dr. Tim Neavin
The Artisan

Artistry Meets Surgical Precision

Asian breast augmentation requires more than simply placing an implant under the muscle. It demands attention to base width, fold position, pocket control, and scar behavior in melanin rich skin.

Dr. Tim Neavin is a board certified plastic surgeon with extensive experience in both primary and revision breast augmentation, including a large number of Asian patients. He plans around chest width first, then profile and cohesivity, so the implant fits the footprint instead of fighting anatomy.

He routinely manages complex situations such as tuberous breasts, asymmetry, and prior transaxillary cases. His focus is on refined outcomes, reliable scar quality, and long term breast softness, not just short term volume.

Diplomate American Board of
Plastic Surgery
Philosophy "Surgery with
Symmetry"

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