Unable to Obtain Cleavage After Breast Augmentation

I had a breast aug on 23rd September 2010. I went from an empty 32AA to a 32D with 230cc unders.I have had concerns following surgery. Firstly my breast are still firm and quite painful and secondly they are very far apart and I am unable to obtain a cleavage. I have read that lack of cleavage may be due to anatomy before surgery and if this is the case then I will have to accept that the surgeon did his best yet I do suspect CC. I hope you can help as I am having trouble getting to see my PS.

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A cup cleavage

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8 Doctor Answers | Asked by Waxxiii in Leicester

Doctor Answers (8)
Community Comments (1)

Dangers of creating cleavage in thin patients: visible implant ripples and webbing or synmastia ((uniboob)

The dangers of creating cleavage in thin patients: visible implant ripples and webbing or synmastia ((uniboob)

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Lack of cleavage

The amount of cleavage after surgery is relative to the amount you had before surgery. In many ways your cleavage is determined by your underlying anatomy.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Lack of cleavage after breast augmentation

The lack of cleavage that you demonstrate is an anatomic issue- more than likely, you have sub-pectoral implants, and started with fairly widely spaced breasts. This combination results in widely spaced implants. Discuss your concerned with your plastic surgeon. Its unlikely that capsular contracture at this early stage ahas anything to do with your post op appearance.

Capsular contractures

Your description of firm, immobile and painful breasts four months after surgery fits the description of capsular contractures. Often the implant moves upward and the nipples are tipped downward ( your photos are not the best, but do look like this may be the case). This is a problem that needs to be corrected. I would call your surgeon's office and let them know that you are in pain and need to be seen sooner rather than later. If this request... more

Cleavage after Breast Augmentation

I cant give a detailed opinion based on your photo, but I can suggest a few points Most of you pain should be resolved by six weeks post operative Your breasts should be softening by six weeks, not getting firmer Not all patients can get cleavage after breast augment, it depends on their specific anatomy, not on the size of the implant If you have concerns following your procedure, you should return to your surgeon who will be able to give you some more specific... more

Pain after breast implant surgery

It is hard to say with the type of photo you posted but the implants do not look centered under the nipples. This may be because before surgery the nipples were not in the optimal position. It also may be that raising your arms for the photos has created a distortion. If the nipples were out of position before surgery and you did not want them shifted into position because of the additional skin scars that would necessitate that is one thing. If they were out of position and you were not... more

Obtaining Cleavage After Breast Augmentation

Four months after your surgery, you should have recovered from all the pain and discomfort associated with your breast augmentation. The implants should be soft and freely mobile. The lack of cleavage is frequently associated with your anatomy before your surgery. The implant should be situated centrally behind the nipple for the most attractive result. If your nipples are naturally located more to the outside of your breasts, then it is difficult to achieve both... more

Capsular Contracture After Breast Augmentation

Four months after surgery your breasts should not be painful. Based on the photograph you provided and your description, you likely have a capsular contracture. Capsular contractures have the following signs and symptoms: 1. Firmness in the breast with limited movement of the implant with breast massage 2. Distortion of the breast shape, especially becoming fuller in the upper portion and narrower as the capsule becomes more firm. 3. Pain is associated with more... more