Will my cleavage get better with time?

Question

I have just had my BA. Literally a few hours ago. Will my cleavage eventually come together more? Will the implants fill and round out the bottom pole which is currently a little squishy? Textured UHP 445 right 400 left

Jerome Edelstein, MD · Answer

Hello,The swelling around the implants will subside over the first few weeks and after 2-3 months you will see the implants settling in, dropping slightly. They will feel softer over time as well. Follow up with your Plastic Surgeon to ensure that you heal well.All the best

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Right now, you are very early on in the
post op recovery period. It will take 3-6 months for you to feel comfortable
having implants in your body and for them to settle. This time allows for you
to physically and psychologically adapt to your new body image. There are many
variables that contribute to a breast augmentation's final result. Preop size
and shape, IMF location, location of the implants and type of implant. Patients
heal at different rates and each breast will sometimes heal at a different
rate. Rest, relax, recover and heal. Please Express your concerns to your surgeon so
he/she can examine you at this time. Then reassess final result at 6 months.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!Dr. Schwartz

Joseph L. Grzeskiewicz, MD, FACS · Answer

First, I have to make the usual two disclaimers:  1) At day of surgery, you are extremely early to judge your final results, as we always expect things to change over time as swelling resolves and tissues heal, and 2) It is impossible to make any definitive statements about your breasts without the ability to personally examine them myself.  However, just based upon what I see in your preop image and your current day of surgery image, and with the knowledge that you have textured high profile implants, with respect to the specific issue of cleavage, I'm sorry to say, I would not expect that to change very much with time.This is mainly because you had ptosis, or drooping, of your breasts before surgery, and that has not been altered by the use of breast implants.  While the breasts are fuller and the upper portion of the breasts has more volume, it is very clear that the nipple and lower breast positions have been unaffected, and the overall tone and position of the breast tissue remains the same.  There is virtually no difference in the so-called intermammary distance, the distance between the innermost aspect of the breasts at the fold, and this is one of the primary determinants of cleavage.  In addition to this, the implants are textured, and one of the characteristics of textured implants is that they don't move much after surgery because the texture creates friction against the tissue preventing that.  Thus, I would expect those implants to remain pretty much where they are now for the long term.While it is not possible to specifically say how the breasts will look a few months from now, I can say with confidence that I expect that they will still have ptosis, and the cleavage will still remain at its current distance.  In order to improve that, one would have to directly address the cause of this, namely the ptosis, with an appropriate breast lifting procedure.At this point, the best course of action is to allow things to heal completely, as it is way to premature to plan or execute any kind of revision.  Remain in close contact with your surgeon and discuss your concerns openly with him or her.  That way, as things progress over time, you can both compare notes, assess your results, and plan for any further action if needed.  Best of luck.

Timothy A. Janiga, MD, FACS · Answer

You are in the very early postoperative period and so it is important to be patient.  The shape and location of the implants will change over the next 3-6 months.  In regards to cleavage, this may not change dramatically. The amount of cleavage a women has really depends on the shape and anatomy of that specific breast before breast augmentation. Again, it is important to give yourself time to heal and allow the implants to settle.  Take care. Timothy A. Janiga MD, FACS

Paul J. Leahy, MD · Answer

Thanks for you post, but you are way too early to judge anything about the final results. Time will almost always help with this type of surgery. The cleavage might not change dramatically, however

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