Improving Implant Cleavage.

David A. Dreyfuss, MD, FACS answers: Can breast implants be placed to make my breasts look closer together?

I have had a breast enlargement here in the UK, small frame and reasonably tall. Used to be 32aa and asked to go up to about a C cup, my surgeon inserted 300cc high profile cohesive gel implants, behind the muscle.

Although I am happy with the results and feel it was a good job, i wish they could appear slightly closer together, i struggle to get a good cleavage and in bikini tops for example, I can hardly see any outline of my breasts as they are far apart.

Is there anything that can be done such as a slightly wider implant? or go much bigger without risking looking top heavy and the implants starting to hang low, as I prefer the more high and perky look to suit my frame. Any advice would be appreciated.


David A. Dreyfuss, MD
16 months ago
By David A. Dreyfuss, MD - Chicago Plastic Surgeon

When placing implants underneath the muscle, your surgeon must take great care to dissect the muscle properly to create the right cleavage. If the muscle is not released adequately, you will end up with a very wide space in between the breasts. If it is released too much, you can end up with synmastia, or a "uniboob" as some patients may call it.

To correct the wide space, you may want to consider a slightly larger implant, with a wider base. Your surgeon could increase the release area in the cleavage to improve the appearance. If the breast is really hanging low, the surgeon may recommend a mastopexy or lift procedure to correct the overall shape. This may require an additional incision around the areola or a larger incision on the base of the breast.

Either option may help you look more perky in your frame.

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