Do I have an abnormal wide gap between my breasts and will a BA help with cleavage? (Photo)

Question

I have a wide-ish gap in between my breasts. I am currently a Victoria's Secret size 34 b. I am really wanting cleavage and I am scheduled for a BA size 425cc. Do you think that I will have cleavage afterwards? Anyone have a before and after photo of patients with a similar build?

Donovan Rosas, MD · Answer

Cleavage is determined by two factors: breast fullness (specifically upper pole fullness) and breast placement on the chest wall. While volume can be influenced by breast augmentation, the space between one's breasts is a fixed variable. This gap is determined by the width of a patient's chest (sternum) and the insertion of the pectorals muscle. An implant cannot be forced any further medially than is allowed by the medial border of the muscle. One way to address this is by avoiding sub-muscular placement. However, this approach has it's own unique costs and benefits which must be considered in each patient.As always, discuss your concerns with a board certified plastic surgeon.

Larry S. Nichter, MD, MS, FACS · Answer

If you just move the implants towards the center without also moving the areola with them then your will look "cross-eyed". It is relatively straight forward to do both using  a mastopexy technique.

Peter J. Capizzi, MD · Answer

The key is the correct model/width given the person's "gap" and breast dimensions. The best way is to have a surgeon that is an expert to assist you to achieve the look you desire.

Luis Villar, MD, FACS · Answer

Patients with wide cleavage due to wide insertion of the pectoralis muscles should avoid under the muscle placement of implants.  Over the muscle silicone implant placement will allow more natural cleavage and avoid the jumping breast deformity.The medial attachments of the pectoralis limit medial fullness.  They act as a wall.  As the implant increases in size, it is pushed toward and into the axilla.  Breasts with wide cleavage and lateral fullness to start with, beware of under the muscle placement.

Stuart A. Linder, MD, FACS · Answer

Your cleavage will be determined by 2 main factors. First, your anatomy with attachment of the medial pectoralis muscle to the sternum and second, the pocket dissection by your surgeon. It is imperative that the plastic surgeon not open too far lateral or to the side.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  With an appropriately sized implant you should see some narrowing and improvement in the space between your breasts as it appears that you have a wider gap.  This gap is likely the result of your breast bone and can not be altered.  If your surgery does not produce a sufficient enough improvement you may ned to rely on an appropriately fitted bra to further enhance your result.  Hope this helps.

Tom J. Pousti, MD · Answer

Thank you for the question. Careful breast implant pocket dissection and careful selection of breast implant size/profile will be necessary to address your concerns about the space between the breasts. Of course, there may be some anatomic limitations as to how closely the breast implants can be placed, without risking breast implant malposition complications.  Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work. Given your concerns, I would suggest that you spend additional time with your plastic surgeon; ask the same question of him/her regarding the use of ultra-high-profile implants and the greater projection that results from the use of these breast implants.
2. Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.I hope this, and the attached link, helps.

Kamran Khoobehi, MD · Answer

Your picture shows that nipple location is very lateral and implants can not move it medial. I offer my patients fat grafting and implants to achieve the cleavage enhancement.

Mark A. Schusterman, MD, FACS · Answer

The width of the gap between your breasts is genetic.  A BA should help improve the appearance of the gap but you will not have cleavage without support.

Zachary Farris, MD, FACS · Answer

Thank you for your question.  Breast implants can certainly help with cleavage in addition to providing upper pole fullness.  Be sure to consult with an experienced board certified plastic surgeon.  Good luck.

Do I have an abnormal wide gap between my breasts and will a BA help with cleavage? (Photo)

Answers (14)

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