Breast Augmentation: Q&A
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Can Breast Muscles Be Tightened to Create More Cleavage?
I have 300cc saline, high profile. I'm 5" 103 lbs, I feel like my breast are seperated and under my arms. what can I do?
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22 Doctor Answers |
Asked by
maxinemax
in Allentown, PA
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Breast implants
THe positioning of the implants can be related to your anatomy or to the surgical procedure. It is impossible to tell you if anything can be done without an examination.
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Breast implants under arms and not in position? Breast Augmentation.
Generally when I see laterally shifted implants it means the patient had an axillary incision for placement. Although this is an accepted incision, all too often the path of surgery becomes the lateral path of travel for implants. Larger implants and more medial dissection will help. At times lateral pockets can be sealed and implants shifted medially but this is a big job. Lastly, implants can be removed for 3 months while the pocket seals and then replaced. ...
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Improving Breast Cleavage
Hello and thank you for the question.
There are several factors which contribute to intrinsic cleavage following a breast augmentation. These include implant selection, soft-tissue plane (submuscular versus subglandular), width of the breast bone (sternum), as well as the native position of the breast parenchyma on the chest wall. Taking this into consideration, revisional surgery can be performed to improve the cleavage in select patients. Without having the luxury of examining your...
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More Cleavage in Breast Augmentation
How much cleavage you can get in a breast augmentation is really determined by your body habitus, your base diameter, and the amount of breast tissue you have and more importantly the framework of your breasts. Often, it is a misconception that putting in bigger implants gives you more cleavage because if anything this may actually splay your implants further apart. It is almost an opposite type of result. The amount of cleavage you have is usually determined by your base diameter and your...
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Breast implant location
The placement of an implant below the muscle can lead to a lateral position of the implant in time. I find that the larger the implant is, the greater the tendency for the muscle to push the implant down and out. Muscle tightening will actually make the problem worse. In your scenario it will either require a larger submuscular pocket being made if possible, or the repositioning of the implants above the muscle.
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Breast Implants - Implants Have Shifted Too Far Laterally
Hi maxinemax in Allentown, PA,
It can be hard to get exactly the look you want but I generally prefer moderate plus implants (neither the high profile, which often leave too wide a gap between the breasts nor the low/moderate profile, which are too flat and extend too far into the axillas). In your case, though, you may now need textured implants (so that they will be less likely to shift) and/or have the pockets sewn off laterally to, similarly, prevent a lateral shift.
You...
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Changing Position of Implants
It appears that you are satisfied with the size of your implants and how they fit your body shape, but are unhappy with the position of the implants – they have a "lateral displacement". From time to time, we see patients with this problem and they are looking to get better cleavage. This can be done with changing the implants, opening up more of the inner part of the breasts, and closing the outer breasts, with a procedure called capsulorrhaphy. During this operation you...
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Breast augmentation
You may need to have your muscle released more in the midline to gain greater cleavage. It doesn't help that you have high profile implants as these implants in the size you have are fairly narrow. Switching to a wider profile would help as well as the muscle dissection.
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Cleavage may Vary
There is no procedure on the chest muscles in plastic surgery to create tight cleavage. High profile implants have a narrower diameter than other types of implants.
By changing to a moderate profile you will add a little to the breast width giving you better cleavage. If your breasts are under your arm it is because your implants have pushed out the side tissues.
Several years ago, I changed my technique of pocket dissection so as NO pocket dissection is done on the sides. In...
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Cleavage after Breast Augmentation
Follow up with your Plastic Surgeon. Breast Augmentation carries a national surgical revision rate of 25%. You may need a smaller capsule or a breast lift or a switch to submuscular space. It may be due to your pre-operative anatomy.
Good luck,
Leo Lapuerta Jr FACS
Triple Board Certified Plastic Surgeon
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Cleavage is achievable. It's the pocket and implant style that has to be spot-on.
When considering the final implant size for my patient, I always consider the chest wall configuration and the patient's desire for cleavage. Implants take up space on the chest. If the pockets come pretty close together in the center, you get great cleavage. Too close, and you can get a weird look in the cleavage area called synmastia. We choose the correct implant diameter to come close enough for cleavage without that complication. I get the patients'...
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Can breast muscles be tightened to create more cleavage?
Everyone wants the best possible cleavage after breast augmentation.
Your final cleavage will depend on:
1. the cleavage you have before surgery. The more you have before you go into the operating room, the more you will have coming out.
2. the size and width of your implants. Don't forget that for a given volume, high-profile implants are the narrowest and can leave you short on cleavage.
3. the type of implant. Saline implants are heavier than gels and have a definite...
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Breast cleavage
Breast cleavage creation is a bit limited by your anatomy. You can cheat it a bit by the width of the implant.
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More cleavage from breast implants
The spacing or inner fill from a breast implant can be limited by the natural width of the chest and distance between the nipples. The breast implants must be centered within the breast under the nipple, and those with a wide breast bone may lack cleavage. Part of the problem though may be related to the high profile breast implant with the narrower base diameter. A larger implant with a broader base may give you more cleavage.
Best of luck,
peterejohnsonmd
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Breast implants separated under arms.
Several reasons implants can lateralize (move to side). More common when smooth implants placed beneath muscle, incomplete pectoralis major myotomy medially, inadequate medial implant pocket development, and others. Post surgical garments helpful early on (until capsule formed) to keep implants centralized. If the implants are out to the side, in the way of your arms, and space between implants in middle too wide for you, see your surgeon. He or she may want to revise...
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BREAST CLEAVAGE DEPENDS ON ANATOMY AND CORRECT IMPLANT PLACEMENT
Breast Muscles CANNOT Be Tightened to Create More Cleavage.
You may require repositioning of your breast implants by revising the pocket if your breast are too separated and go out under your arms.
If your breasts are naturally set farther apart, implants cannot create a narrow cleavage as the implants placed are centered on your breasts.
Dr. Carlos Cordoba
MDCM, CSPQ, FRCS, FACS
Plastic & Esthetic Surgeon
4055 Ste-Catherine O. Suite 100
Montreal, QC....
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How to get more cleavage
Sounds like you just need pocket revision and maybe a change in implants. The medial pocket may need to be opened more and the lateral pocket closed. Wider implants will also help this such as a moderate profile plus in mentor or a style 15 silicone in allergan.
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Cleavage cannot be created with with implants
Cleavage is the space between the breasts. Some women have wide breast bones with widely spaced breasts. Implants can not be placed further towards the middle of the chest than the edge of the natural breast. So if your breasts are set far apart, implants cannot create a narrow cleavage.
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Breast augmentation -getting it right the first time
Without a photo or face to face examination it is impossible to know what the problem is. Without knowing that, exactly what was done at surgery and what you looked like before surgery no one can really tell you how to fix the problem.
Cleavage refers to the midline spacing between the breasts and the angle created by this spacing. Due to the nature of breast tissue and breast implants if you do not have cleavage before breast augmentation you will not have it afterward. If you do not...
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Los Angeles Plastic Surgeon
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More cleavage may be possible by better implant choice.
Without photographs or physical examination, it is impossible to state with certainty what your specific issues may be, but if your cleavage area is too wide, either your implants are positioned too far laterally and are not directly behind your nipple/areola complexes (giving your breasts a sort of "cross-eyed" look), or you have widely-spaced nipples, your implants are place properly (centered) behind the nipple/areola complexes, and the implant base diameter (for the...
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Breast Cleavage
High profile implants are narrower than standard profile implants. They are frequently used in petite women like your self. The combination of increased projection and narrower base with "breasts that are separated and under the arms" can be lead to the wide cleavage. You might benefit from a pocket revision to move the implants more medially and/ or an implant revision. "Tightening your muscles" will not effect...
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Breast Implant Revision
Without before and after pictures or examining you in person, it is impossible to give you specific advice. However, if your breast are too wide apart, bit may be due to your anatomy or to misplacement of the implant, or migration of the implants. It is possible to review the implant pocket and/or your choice of implant to achieve a more natural result. You should discuss with your original surgeon or seek a second opinion before proceeding with surgery.
Good...
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