I am writing to ask about my cleavage. Is it possible to improve cleavage with a breast augmentation revision? (Photo)
Doctor Answers 7
Breast augmentation - would like more cleavage if possible
- Your photos suggest that your implants are sitting low and to the side of your chest.
- It also appears that your nipples tend to be a little lateral (to the side).
- And it is possible that you have a capsular contracture.
- I suggest you return to your surgeon to discuss whether a revision with capsulorrhaphy(change in the pocket) and capsulectomy (removal of the capsule will be helpful.
- Always see a Board Certified Plastic Surgeon.
Is it possible to improve my cleavage through revisionary surgery?
Possible to Improve Cleavage?
When a patient starts out with a wide space between their breasts it is important to inform them that this is an anatomic variation which is only partially correctable, and that they will still have a somewhat wider space after augmentation, although it should be improved. However, if the choice of implant and surgical technique are not appropriate to the situation, the problem can actually be accentuated. Your implant has displaced downwards and outwards making your breast look somewhat bottomed out and exaggerating the wide space. In this type of setting a smooth surface higher profile implant is much more predisposed to this type of malposition. It is a misconception to think that a higher profile implant will create more cleavage, often it is just the opposite.
Correcting this, and improving cleavage, would involve switching to a lower profile (wider diameter) implant of similar or slightly larger size and modifying the implant pocket internally with sutures by doing an internal capsulorraphy to tighten the pocket on the out side and underneath. This will reposition the implant higher and more medial thus creating improved "cleavage". It is important not to overdo this repositioning because it can cause your nipple to be rotated outwards which looks weird. In this type setting I would recommend using a textured surface implant. Textured surface implants adhere to your tissues and therefore are much less likely to displace over time. Mentor implants do not have an aggressive enough texturing to consistently adhere. I would recommend using a Sientra implant.
The bottom line is that your situation can be improved but will require a more thoughtful choice of implant and very precise surgical technique to correct the problem
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I am attaching a link to an example of a case where wider implants helped the aesthetics a lot, IMO.
No you are not stuck
Nana Mizuguchi, MD
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.