Breast Implants: Q&A

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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.

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C cup female

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15 Doctor Answers | Asked by emma_boobs

Doctor Answers (15)
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Be careful what you wish for

Breast implants should be centered on the nipple-areolar complex. If they are placed too far to the center, the breasts will appear off-center. Simply placing larger implants creates problems as well. The muscle in the center of the chest on the breastbone (sternum) must be detached in many patients to allow the implants to go more to the center. This can cause the chest muscle (pectoralis) to contract in an unusual fashion. It is also irreversible. We advise our patients not to go too... more

Breast Implant Placement Important Considerations

While the issue of ‘over’ or ‘under’ the pectoralis major muscle receives a great deal of attention, even more important than implant position relative to this muscle is implant position vertically and horizontally on the chest wall. In many patients, the inframammary fold needs to be lowered in order to allow the implant to rest at a level that appears natural relative to the position of the nipple and areola, and in order to prevent the appearance of excessive... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

The simple answer is maybe breast implants can help

Your baseline cleavage, or inversely, the degree of breast separation, is a major determinant to the degree of cleavage achievable postoperatively. The surgeon can dissect closer to the midline but must be cognizant of overly thinning the tissues and potentially creating symmastia ("unibreast"), a very difficult problem to correct. Your hi-profile implants are the narrowest of the three profiles (hi, moderate plus and moderate), therefore less likely to yield cleavage. Yes, you... more

Acheiving Perfect Cleavage with Breast Implants

The amount of cleavage obtained after breast augmentation is primarily determined by these three factors: Volume of implant Base diameter of the implant (how wide the implants are) Position of the nipple relative to the middle of your chest Subglandular or submuscular placement of implants. Plastic surgeons can do little to change the distance of the nipple from the midline of your chest. During a breast augmentation, the implant is placed in a pocket that lies below the nipple. If the... more

Beware of chasing the imperfections

In general, you can get more definitive cleavage with implants placed on top of the chest muscles. This is somewhat dependent on what amount and distribution of natural breast a person has to begin with. With the size of your breast you describe, any cleavage in you would come form the size and type of implant.However, you shouldbe aware that breast augmentation is an imperfect operation and you have to be able to accept certain imperfections, otherwise you can end up chasing the... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Improving Implant Cleavage.

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... more

The only way to get the implants to look closer in the...

The only way to get the implants to look closer in the midline is to use ones that are wider than what you have. You might want to consider this in addition to maybe going down to a moderate plus profile so your breasts don't end up looking unnaturally large.

Improving cleavage

There are a couple of things to consider in order to get the cleavage right: Most important I think is base diameter, so that there is the optimal space between the breasts while centering the implants in the natural foundation of the breast. With the right implant dimensions, some improvement can be acheived while still keeping the implants under the muscle. The other issue is cohesive implants, which are shaped rather than round, and firmer than other silicone implants (which are also... more

Putting breast implants closer together

The implant is ideally positioned so the inner edge of it is still underneath your own breast tissue. So if you press your breasts together, you will see where your breast tissue ends and that is as close to the center that the implant can be placed. If the surgeon places the implant closer to the center to create more cleavage, and there is no breast tissue covering it, you will most likely see the edge of the implant-not attractive. If the implant is sliding off to the outside and is not... more

Creating cleavage

In Breast Augmentation surgery the implants are positioned under the breast central mound. If you try to create a cleavage with implants then you have to put a wide implant under the skin covering the sternum, This skin is thin and can loose attachment to the sternum under the tension of the implants creating symmastia. I tell my patients if you have cleavage before surgery, you will have cleavage after surgery. If you do not have cleavage before surgery you will not have cleavage after... more

Cleavage Creation by Placing Breast Implants closer together

To create an attractive enlarged breast, we are forced to work with the limitations YOUR particular body presents. The implants MUST be centered under the locations of your nipples (if your nipples point sideways - your new larger breasts will do as well). If the implants are NOT centered under the nipples, the nipples will appear to be "falling off" the underlying breasts. If your nipples are not even close to the midline, putting the implants closer will have the nipples... more

Achieving cleavage

If you would like to achieve or improve your cleavage, you may need to remove and replace your current implants with ones with a wider diameter. I suggest moderate plus profile implants to maintain a perky look but also achieve better cleavage. It is very important that you find a board certified plastic surgeon to perform your revisionary surgery. There are many risks and complications that come with any surgery. Placement of the implants is very important, your original anatomy can affect... more

Be careful with creating cleavage with breast implants!

The implants have to be centered under your breast and must have the same width as your breast. If the pockets are made too close to one another in an effort to create cleavage, the implants can touch one another, creating symmastia. This is very unnatural and difficult to correct. Unfortunately, if your breasts are naturally spaced more widely apart than you would like, achieving better cleavage may not be possible. Having said that, high profile implants have a narrower base diameter... more

Improving Cleavage

When breast implants are placed behind the muscle, the surgeon must do a good job of releasing the muscle fibers from the border of the sternum (breast bone) in order that the implant pockets are as close together as desired. The surgeon must also avoid opening the pockets too far laterally (towards the armpit), as this will also make the implants look even further apart, since the tendency with the implants placed behind the muscle is for the muscle to push the implants downwards and... more

The medial ( central) muscle attachments limit the...

High profile implants do exactly what you mentioned. They provide projection on smaller framed patients. I always tell patients that if the implant is placed under the muscle( which in most cases I do), the medial ( central) muscle attachments limit the ability to add cleavage. If the implants are placed above the muscle( or just under the breast tissue) cleavage can be improved somewhat, however you can run the risk of developing a symmastia or loss of cleavage. Some people refer to... more