Incidence and risk factors of Striae Distensae following breast augmentation surgery: a cohort study.
BACKGROUND
The significant increase in the popularity of breast augmentation surgeries has led to an increase in the number and types of complications; among these is the postoperative occurrence of Striae Distensae (SD). The objective of this study was to investigate the incidence of SD and describing its occurrence in association with age, breast implant volume, history of SD, history of pregnancies and breastfeeding, body mass index (BMI), changes in postoperative weight, smoking habits, and use of oral contraceptives.


METHODS
A cohort study was conducted and the patient data from a specific social group that underwent augmentation mammaplasty with silicone breast implants in a private clinic was analyzed.


RESULTS
563 patients entered the cohort, while 538 completed the study. The SD incidence was 7.06%. The risk was almost the double at 22-28 years of age and triple in women of 21 years of age or less. The women who did not use oral contraceptives were 2.59 times more likely of developing SD. A higher incidence of SD was observed among those with normal or low BMI values, smokers, and in those who had implants larger than 300 ml.


CONCLUSIONS
Young age, larger implant volumes, smoking, and normal or low BMI values were the risk factors responsible for the development of SD; while using oral contraceptives was found to be a protective factor.
Division of Plastic Surgery, Mãe de Deus Health System, Porto Alegre, Brazil.
Denis Souto
DS
Valente
Division of Dermatologic Surgery, Mãe de Deus Health System, Porto Alegre, Brazil.
Rafaela Koehler
RK
Zanella
ULBRA School of Medicine, Lutheran University of Brazil (ULBRA), Canoas, Rio Grande do Sul, Brazil.
Leo Francisco
LF
Doncatto
Department of Medicine, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Alexandre Vontobel
AV
Padoin
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D019928:Breast Implantation / Q000009:adverse effects*; D018427:Breast Implants; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000453:epidemiology* / Q000473:pathology; D012307:Risk Factors; D057896:Striae Distensae / Q000453:epidemiology* / Q000209:etiology* / Q000473:pathology